Gynaecology for students and practitioners . dehiscence of the Graafian follicle isinterfered with, and rendered more difficult, and consequently may clearly be induced by general thickening of the tunica albu-ginea, or by previously existing adhesions of that part of the ovariansurface upon which the ripening follicle presents. The view advancedby certain writers that it is due to intermittent hydrosalpinx {see p. 612),while it may account for the occasional accompaniment of a waterydischarge, does not explain the principal feature of the affection, itsregular periodicity. T
Gynaecology for students and practitioners . dehiscence of the Graafian follicle isinterfered with, and rendered more difficult, and consequently may clearly be induced by general thickening of the tunica albu-ginea, or by previously existing adhesions of that part of the ovariansurface upon which the ripening follicle presents. The view advancedby certain writers that it is due to intermittent hydrosalpinx {see p. 612),while it may account for the occasional accompaniment of a waterydischarge, does not explain the principal feature of the affection, itsregular periodicity. The treatment consists essentially in dealing with the local lesionwhich may be present. The attacks of pain may be relieved by the I EXTRA-UTERINE (ECTOl^IC) GESTATION 191 same remedies as those employed in cases of dysmenorrhoea. Theprospect of permanent cure is not hopeful. EXTRA-UTERINE (ECTOPIC) GESTATION It is now well established that a fertilized ovum may becomeimplanted not only in the uterus, but in the Fallopian tube, or in Villi. Luteincell layer Hilumof ovary Ovarian tiasueFig. 100. Ovarian Pregnancy (Van Tussenbrock). The ovum has de-veloped in a Graafian follicle ; rupture has occurred on the free surface of the gestation-sac. the ovary ; in the two last-named positions the pregnancy is calledextra-uterine or ectopic. The possibility of the implantation of a fertilized ovum upon theperitoneum—primary peritoneal pregnancy—has been much dis-cussed, but until the last year or two it cannot be said to have beensatisfactorily demonstrated. Blair Bell now claims to have shown thatit may occur in rodents, and its occurrence in the human species cannotbe regarded as impossible. Further, a case has recently been recordedby Grone (Sweden), which he asserts to be one of primary peritonealpregnancy, the ovum having been implanted upon the peritoneumimmediately behind the right round ligament. The case was sub-mitted to operation, and as the patient recovered a detailed hi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
