Gynecological diagnosis and pathology . the body of the uterus. Behind cervix is posterior fornix : note relation of finger placed in it to rectum andpouch of Douglas, which contains intestines (in its upper part). The deepestpart of the pouch is not shown, the section passing to the left of the middleline posteriorly and not through the coccyx. The uterus, which measures (externally) 3 inches long and 1 inch thick, and has acavity of 2A inches, is normally bent on itself to the front (ante-flexed), andturned fflllialds (ante-verted), its position varying with the distension of thebladder. Not
Gynecological diagnosis and pathology . the body of the uterus. Behind cervix is posterior fornix : note relation of finger placed in it to rectum andpouch of Douglas, which contains intestines (in its upper part). The deepestpart of the pouch is not shown, the section passing to the left of the middleline posteriorly and not through the coccyx. The uterus, which measures (externally) 3 inches long and 1 inch thick, and has acavity of 2A inches, is normally bent on itself to the front (ante-flexed), andturned fflllialds (ante-verted), its position varying with the distension of thebladder. Note that (in the Bimanual) with both lingers in the anterior fornix,the uterus is grasped antero-posteriorly ; while with one finger in front andone behind the cervix, it can lie grasped lengthwise. 16 GYNECOLOGICAL DIAGNOSIS frozen section is that it gives the closest approximation to the positionof the structures during life. Such a section as that in fig. 6 practicallymakes the pelvis transparent in the middle line so that one can see. Fig. 7.—Section of PelvisPassing through the Sight Lateral Fornix and the base of the Broad Ligament. a. Vagina with wall separated ; b. Bladder ; c. Symphysis ;</. Broad Ligament ; r. Ovary ; /. Fallopian Tube. Note the relation of the finger placed in the fornix to the utero-vesical peritoneumand that of the pouch of Douglas (divided at the utero-sacral ligament), to thecellular tissue at the base of the Broad Ligament, and (at a higher level) tothe Tube and Ovary. Note the isthmus, ampulla, and fimbriated end of the Tube, as also the positionof the Ovary. anatomical structures as they are, nothing being left to the it we learn the relation of the structures to the finger placed in theanterior and posterior fornices. For the lateral fornix we may take sucha section as that in fit;. 7. It also is a frozen section, but the intestines BIMANUAL EXAMINATION «7 have been lifted oul so as to show the relations f the peritoneum,
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
