. Operative gynecology. nnected with it by a small pedicle only, whilethey are intimately attached to the abdominal walls, intestines, or with omental attachments present the most striking characteristics ofthis group ; the omentum forms a fringe around the upper border of the mass,and its congested and tortuous blood vessels are enlarged to the size of goosequills, looking hke a cluster of whip cords or a collection of angleworms in thespace between the tumor and the transverse colon. Form Peculiarities.—When unrestrained in its growth a singlemyoma will assume a more or less s
. Operative gynecology. nnected with it by a small pedicle only, whilethey are intimately attached to the abdominal walls, intestines, or with omental attachments present the most striking characteristics ofthis group ; the omentum forms a fringe around the upper border of the mass,and its congested and tortuous blood vessels are enlarged to the size of goosequills, looking hke a cluster of whip cords or a collection of angleworms in thespace between the tumor and the transverse colon. Form Peculiarities.—When unrestrained in its growth a singlemyoma will assume a more or less spherical form, and retain it until outsideiniiuences compel a change. Various restricting influences frequently impressother than a spherical form upon these tumors. Two sets of external forcescome into play in this molding process, the hard and the soft parts. Irregulartumor outlines arising from forces within the tumor itself are found whenthere is a coincident development of a number of these tumors, and when fresh. 4S4.—.Myomatous Uterus, exhibiting a Pekfect Cast of the Pelvis. A rubber ligature has been tlirown around the neck of the mass and tied to control the circulation, a pro-cedure no longer employed. Tlie uppermost part of the mass in the picture lay in contact with the pelvicfloor, the tumor has therefore been inverted in lifting it out. It is evident that the large upper tumor formsa perfect east of the sacral curve and the posterior pelvis. Note the irregular masses, in contact with the ab-domen .iust above the rubber tube, which projected out of the pelvis into the abdomen. Hystero-myomec-tomy. Kecoverv. Oct. 12, 1892. nodules bud oiit on the surface of a tumor, in which case the tumor presents alobulated or bossed appearance. The most striking instances of the plastic influence of repeated impacts ofthe soft parts is represented by the vertical furrows on large tumors due to thepressure of the linea alba. The persistence with which the rectum preserves apa
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
