Gynaecology for students and practitioners . usual indication of partity { of child-bearing). Parturient lacerations rarelyheal by first intention, and in conse-quence they leave, not only visiblescarring, but often marked deformityas well. This takes the form of a gapin the continuity of the cervical wall,which may involve only the cervicallip, or may run up into the vaginalroof, or into the base of the broad liga-ment, according to the extent of theoriginal injury. The left lateral wallof the cervix is the commonest seat ofthese lacerations {see Fig. 294) ; some-times there is one on eac
Gynaecology for students and practitioners . usual indication of partity { of child-bearing). Parturient lacerations rarelyheal by first intention, and in conse-quence they leave, not only visiblescarring, but often marked deformityas well. This takes the form of a gapin the continuity of the cervical wall,which may involve only the cervicallip, or may run up into the vaginalroof, or into the base of the broad liga-ment, according to the extent of theoriginal injury. The left lateral wallof the cervix is the commonest seat ofthese lacerations {see Fig. 294) ; some-times there is one on each lateral wall ; ^ ^ bstetric aceration OF THE Cervix with Eversion andoccasionally there are three or more thickening of the Lips of the the cervix up into irregular segments. Considerable puckering may then occur which completelyalters the shape and appearance of the cervix. When a deep tear hasrun up into the vaginal vault, an irregular scar may be traced fromthe base of the cervical injury across the lateral vaginal 560 GYNECOLOGY When a deep bilateral laceration has occurred, the cervix is splitinto two halves, which are roughly anterior and posterior {see Fig. 295).A certain amount of infection of a mild type takes place, resulting in
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
