. The Principles and practice of gynecology : for students and practitioners. om the foregoing. The followingreasons, in addition to the rolling-in of the everted tissue, are there-fore submitted : loss of blood and tissue in denuding; evacuation orremoval of retention-cysts ; contraction of muscular fibre due to thestimulus of the operation ; and, above all, relief from congestion, whichnaturally follows restoration of everted intra-uterine structures to theirnormal position inside of the uterus. The outrolled structures beforethe operation had been, so to speak, in a state of erection. 574 T
. The Principles and practice of gynecology : for students and practitioners. om the foregoing. The followingreasons, in addition to the rolling-in of the everted tissue, are there-fore submitted : loss of blood and tissue in denuding; evacuation orremoval of retention-cysts ; contraction of muscular fibre due to thestimulus of the operation ; and, above all, relief from congestion, whichnaturally follows restoration of everted intra-uterine structures to theirnormal position inside of the uterus. The outrolled structures beforethe operation had been, so to speak, in a state of erection. 574 TRA UMA TISMS. Operation for Atypical Lacerations.—The closure of a uni-lateral, anterior or posterior laceration follows the rules already downfor simple bilateral injuries. Stellate lacerations in some cases maybe treated by closure of each individual tear; or, if two are very neartogether, they may be changed into one by removal of the inter-vening tissue. There may be one or two major and several minorrents; in such a case the surgeon sometimes may disregard the small. Left lateroprone position ; exposure by Sims speculum. The sutures tied and the cervixunited, as seeu looking through the speculum into the vagina. Notice the Hues of union run-ning from the os over the cervix across the uterovaginal attachment into the reflected vaginalwall. In this case, as in all others, a great part of the tear is In the vaginal walls. fissures, and by rolling in the everted cervix, as indicated by thedeeper tears, find that the smaller ones disappear within the canal,and may therefore be ignored in the operation. It is impossible toanticipate every variation in the direction and eifect of the atypical case must be treated according to the special require-ments. Resection of the Cervix.—In a large proportion of cases oflaceration of the cervix the lesion is unrecognized, neglected, or PUERPERAL LACERATION OF THE CERVIX UTERL 575 unskilfully treated, so that extensive jJutli
Size: 1561px × 1600px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
