Gynaecology for students and practitioners . F DOUGLAS AND THE UtERO- Sacral Folds, as seen during operation with the patient in the high PELVIC posture. to the vagina than to any other structure. The upper end of thevagina is inverted, forming a cup-shaped depression which receivesthe vaginal portion of the cervix. The fibro-muscular tissues of thecervix and vagina are intimately blended, and the stratified epitheliumof the latter is continued over the cervical surface up to the externalOS. Separation of the cervix from the vagina is impossible, exceptby cutting, as there is no intervening pl
Gynaecology for students and practitioners . F DOUGLAS AND THE UtERO- Sacral Folds, as seen during operation with the patient in the high PELVIC posture. to the vagina than to any other structure. The upper end of thevagina is inverted, forming a cup-shaped depression which receivesthe vaginal portion of the cervix. The fibro-muscular tissues of thecervix and vagina are intimately blended, and the stratified epitheliumof the latter is continued over the cervical surface up to the externalOS. Separation of the cervix from the vagina is impossible, exceptby cutting, as there is no intervening plane of cellular tissue, and thecontinuity of the two organs is complete. This intimate union 30 GYNAECOLOGY forms the principal support of the vaginal tube, which in theremainder of its course is surrounded by a sheath of loose cellulartissue. The Pelvic Floor. The structures composing the pelvic floor andthe general supports of the pelvic viscera will be more convenientlydescribed in a later section dealing with Displacements {see p. 562).. -UTERUS POUCH OFDOUOLAS AhU2 Fig. 21. Sagittal Section of the Fcetal Pelvis of seven to eight months Development (Charing Cross Hospital Museum). Both uterus and bladder extend above the pelvic briru; the cervix is equal in length to the body of the uterus; the vaginal rugfe are very prominent. The Uterus at Different Periods of Life. In the Jcetus at aboutthe seventh month the uterus lies above the pelvic brim, at a higherlevel than in the adult. Tlie cervix is about equal to the body in length,and the arrangement of the cervical endometrium, known as the arborvitse, has already appeared. The uterine axis is straight and nearlyvertical. At puberty the uterus begins to grow rapidly, the bodymore rapidly than the cervix, until the adult proportions have beenreached. The angle between the body and the cervix has nowappeared ; the whole organ has become anteverted and has sunkuntil it lies below the level of the pelvic brim. The proportio
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
