Treatise on gynæcology : medical and surgical . by certain authors(.Williams, Kundrat, Engelmann). It is very likely that sometimes during menstruation part of the mu-cous membrane is destroyed QLeopold, Wyder), and that there is no such desquamation at other times(Moericke). This figure shows that the different changes maybe simultaneous, and that there is greatdiversity in the process. the shedding of the mucous membrane. Finally, to complete thecycle of acute inflammation with pus-formation, most authors blindlyrepeat a number of ancient observations which are all exposed tohostile criticis
Treatise on gynæcology : medical and surgical . by certain authors(.Williams, Kundrat, Engelmann). It is very likely that sometimes during menstruation part of the mu-cous membrane is destroyed QLeopold, Wyder), and that there is no such desquamation at other times(Moericke). This figure shows that the different changes maybe simultaneous, and that there is greatdiversity in the process. the shedding of the mucous membrane. Finally, to complete thecycle of acute inflammation with pus-formation, most authors blindlyrepeat a number of ancient observations which are all exposed tohostile criticism. Their x>retended uterine abscesses are either collec-tions of pus in the neighborhood, as in pyo-salpinx, or suppuration ina degenerated myoma, neither of which bear any relation to metritis. 136 CLINICAL AND OPERATIVE GYNAECOLOGY. Of the two cases reported by Schroder, one, post partum, seems to bea simple parametritis ? the other, opened by the rectum after uterine CZdtia cel/ularum Jj-Zoxa exfohalionts, £ Zona g&ndu!;y. Fig. 94.—Normal Placenta (Friedlaender, Wyder). The figure is largely diagrammatic, for the sake of clearness. It represents the placenta at the end ofpregnancy. This membrane is the product of two factors, viz., proliferation of the uterine mucous mem-brane in all its elements, and compression of this hypertrophied mass by the enlarging ovum. There arethus two layers, the cellular (zona cellularum) and the glandular (zona glandularum). The former liesclose to the foetal membranes (amnion and chorion), and is made up of cells which measure 2 /u. to 61 ^ indiameter; superiorly they are round, but below they become fusiform. Intercellular tissue is altogetherlacking, or present as a trace merely. The glandular layer shows a plexus of flattened alveoli, not very longor wide, not communicating with each other freely, empty or filled with granular matter. The layers whichseparate these alveoli are formed of connective tissue, richly supplied wit
Size: 1469px × 1700px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology