. Operative gynecology. Fig. 509.—Large Myomatous Uterus filling the Lower Two Thirds of the Abdomen. Showing the bladder adherent to the uterus and lifted up out of the pelvis with it. This is especiallyintended to show the difference between the bladder as elevated by its natural anatomical connections andone elevated by adventitious peritoneal adhesious. Hystero-myomectomy. Recovery. Dec. 11, Fio. 510.—Displacement of the Bladder due to a Large Myomatous Uterus with the Fundus at the Umbilicus. The position of the bladder is indicated by enormous tortuous vessels running parallel to e


. Operative gynecology. Fig. 509.—Large Myomatous Uterus filling the Lower Two Thirds of the Abdomen. Showing the bladder adherent to the uterus and lifted up out of the pelvis with it. This is especiallyintended to show the difference between the bladder as elevated by its natural anatomical connections andone elevated by adventitious peritoneal adhesious. Hystero-myomectomy. Recovery. Dec. 11, Fio. 510.—Displacement of the Bladder due to a Large Myomatous Uterus with the Fundus at the Umbilicus. The position of the bladder is indicated by enormous tortuous vessels running parallel to each other downtoward the .symphysis; the vessels end at the line of reflection of the vesioo-uterine peritoneum. Hystero-myomectomy. Kecovery. Dec. 14,1895. }4 natural size. COMPLICATIONS OF HYSTEEO-MYOMECTOMT. 391 main masses are wedged into the posterior pelvis, he will be able to rectify thechief source of difficulty by instructing an assistant to push upward on thetumor with two fingers in the vagina, while he himself makes strong tractionfrom above with musean or obstetric forceps; as the tumor is disengaged andextracted from its bed it gives forth a peculiar loud sucking sound, and thewhole mass rotates on its transveise axis as it is lifted out of the incision. Sucha case is figured in the text (see Figs. 4S7, 488, and 508). The top part of themass in the picture is the part which lay


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal