. Operative gynecology. Fig. 4t;0.—Opehation run ok the ureters are both catheterized in oraer to make them .stand out prominently during the t)ie right side the peritoneum has been removed and the bladder divided so as to show the relations otthe ureter to the uterine and pelvic vessels. A part of the pubic rami have also been removed, to expose thestructures better to view. We are not yet in a position to realize anything positive by any process ofhygiene or of medication ; there is, however, one suggestive fact in the his-tory of carcinoma, and that is
. Operative gynecology. Fig. 4t;0.—Opehation run ok the ureters are both catheterized in oraer to make them .stand out prominently during the t)ie right side the peritoneum has been removed and the bladder divided so as to show the relations otthe ureter to the uterine and pelvic vessels. A part of the pubic rami have also been removed, to expose thestructures better to view. We are not yet in a position to realize anything positive by any process ofhygiene or of medication ; there is, however, one suggestive fact in the his-tory of carcinoma, and that is its occurrence with such frequency in parouswomen. This points clearly to a direct relation between the trauma of child-birth and cancerous affections of the cervix, and suggests the need of some. Fig. 461.—Carcinoma Uteri. Carcinoma limited to the posterior cervical and tlie posterior vaginal walls. It has apparently been en-tirely removed, a narrow band of vaginal mucosa surrounding the margin of advancement downward. Theparametrium is apparently free on either side. The right and left pelvic glands with lymph channels re-moved and shown above. The small noddles in anterior uterine wall are myomata. No extension of car-cinoma to the body. Dec. 23,1895. Anterior view. /, natural size. TREATMENT. 317 such rules as the foUo^vmg in medical practice (see New Yorh Med. Jour.,Oct. M, 1893): Rules for the Prevention of Cancer.—1. It is the duty of theoljstetrician to see each of his patients at his office from two to three monthsafter confinement, and to examine and carefully record the exact condition ofthe various pelvic structures, stating accurately jiist what lesions have been pro-duced by the childbirth. 2. Cervical lacerations should be described with especial care, noting
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
