Treatise on gynæcology : medical and surgical . hich reacts upon the system(Recamiers and Lisfrancs opinion), that ulceration is serious in itseffects, but solely by the enfeebling drain of the discharge. Tyler Smith,28 and more recently Roser,29 see in this lesion only akind of hernia of the mucous membrane within the cervix, which is 152 CLINICAL AND OPERATIVE GYNAECOLOGY. comparable, according to Roser, with the similar condition observedin the lids during conjunctivitis. This anthor distinguishes a trau-matic or cicatricial ectropion, due to laceration of the cervix, and aninflammatory, du
Treatise on gynæcology : medical and surgical . hich reacts upon the system(Recamiers and Lisfrancs opinion), that ulceration is serious in itseffects, but solely by the enfeebling drain of the discharge. Tyler Smith,28 and more recently Roser,29 see in this lesion only akind of hernia of the mucous membrane within the cervix, which is 152 CLINICAL AND OPERATIVE GYNAECOLOGY. comparable, according to Roser, with the similar condition observedin the lids during conjunctivitis. This anthor distinguishes a trau-matic or cicatricial ectropion, due to laceration of the cervix, and aninflammatory, due to hernia of the mucous membrane. Assuredly acertain portion of the intra-cervical mucous membrane does makesuch a descent when it is swollen so that it passes out of the externalos and appears upon the external surface of the part. It would thusform the greater portion of the exposed ulcerated surface in deeplaceration. But in the majority of cases the external os is closed anddoes not allow more than a very thin edge of the internal mucous. Fig. 109.—Follicular Hypertrophy of the Cervix, a, Anterior lip, internal surface displayed byan incision; fc, same, anterior lip, front view. membrane to protrude, and when the ulceration has invaded a largepart of the convexity of the cervix we absolutely must recognize thatthe ulceration has taken place in situ, upon that particular surface. What is the exact nature of the alteration ? Does the ancientnotion of ulceration correspond exactly to an anatomical reality oronly to an appearance ? The authoritative work of Ruge and Veit,verified in France by De Sinety, clears up this question. These authorsaffirm that there is no destruction of tissue, but a new formation;that while the cylindrical epithelium replaces, at the level of the ex-ternal ulcerated surface, the pavement epithelium, it is the product ofthe adjacent glands, and the interglandular substance between thedepressions assumes the appearance of stakes in a palisade, when
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