Abdominal surgery . vessels as well. The free upper margin of the broad ligaments, looked at from 134 CYSTS OF THE BROAD LIGAMENT AND PAROVARIUM. above, is broader at its pelvic than at its uterine is caused by the divergence of the round Hgament, whichcurves forward to the inguinal opening, and which is so farremoved from the broad ligament proper as to be described aslying in separate folds. The position of the ovary and tube intheir folds of broad ligament have already been described (p, 84).The veins in the broad ligaments form closely-set plexuses, whichare of importance i


Abdominal surgery . vessels as well. The free upper margin of the broad ligaments, looked at from 134 CYSTS OF THE BROAD LIGAMENT AND PAROVARIUM. above, is broader at its pelvic than at its uterine is caused by the divergence of the round Hgament, whichcurves forward to the inguinal opening, and which is so farremoved from the broad ligament proper as to be described aslying in separate folds. The position of the ovary and tube intheir folds of broad ligament have already been described (p, 84).The veins in the broad ligaments form closely-set plexuses, whichare of importance in relation to sub-peritoneal hgematoma. Theveins of the uterus, ovaries, and Fallopian tubes, after beinggathered together in the pampiniform plexus, finally coalescein the internal spermatic vein which follows the course of thespermatic artery. The structures in and adjacent to the broad ligaments whichare liable to be the starting-points of disease are admirablydepicted in the diagram here copied from Dorans Fig. 14. Diagram of the Structures in and adjacent to the Broad Ligament. (Doran.) I. Framework of the parenchyma of the ovary, seat of la, simple or glandular multi-locular cyst. 2. Tissue of hiluni, with 3, papillomatous cyst. 4. Broad ligament cyst,independent of parovarium and Fallopian tube. 5. A similar cyst in broad ligament abovethe tube, but not connefted with it. 6. A similar cyst developed close to 7, ovarian fimbriaof tube. 8. The hydatid of Morgagni. 9. Cyst developed from horizontal tube of 4, 5, 6, 8 and 9, are always lined internally with a simple layer of endothelium. 10. Theparovarium ; the dotted lines represent the inner portion, always more or less obsolete in theadult. II. A small cyst developed from a vertical tube; cysts that have this origin, or that springfrom the obsolete portion, have a lining of cubical or ciliated epithelium, and tend to developpapillomatous growths, as do cysts in 2, tissue of the hilum. 12. The duct


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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherlondo, bookyear1887