Gynecological diagnosis and pathology . Fig. 195.—Complete Teak of Perineum. Note the end of the septumseparating vagina and rec-tum, and the exposed Fig. 196.—Recto-vaginal Tear, the perineal part of which has healed, leaving arecto-vaginal fistula above, through which a bougieis passed from the rectum. posterior third of the vaginal orifice, superficial to the triangular ligament,lies the Bartholinian Gland. It is a compound tubular gland whichsecretes a clear translucent fluid; and is the homologue of Cowpersglands in the male. Each has a long duct which opens laterally at theba
Gynecological diagnosis and pathology . Fig. 195.—Complete Teak of Perineum. Note the end of the septumseparating vagina and rec-tum, and the exposed Fig. 196.—Recto-vaginal Tear, the perineal part of which has healed, leaving arecto-vaginal fistula above, through which a bougieis passed from the rectum. posterior third of the vaginal orifice, superficial to the triangular ligament,lies the Bartholinian Gland. It is a compound tubular gland whichsecretes a clear translucent fluid; and is the homologue of Cowpersglands in the male. Each has a long duct which opens laterally at thebase of the hymen. Both glands and duct are lined with a tall columnarepithelium. The appearance of the vulvar orifice varies in different conditions, asis seen in figs. 193, 194, which show the vaginal orifice in the virgin, themarried nullipara, and the multipara. In the nullipara the hymen can 206 GYNECOLOGICAL PATHOLOGY be traced as a continuous membrane at its base, while in the multiparathe orifice is wider and only relics of the hymen are seen in the caruncuhemyrtiformes. It should be borne in mind that a slight tear always occurswhen a full-time f
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
