. Operative gynecology. ristics of a parovarian cyst (see Figs. 3Y1, 372). Peaslee cites an extraordinary case, if his interpretation is to be credited,which contained 18 pounds of fluid {Ovarian Tumors and Ovariotomy, 1872,p. 105). One or more kinks are commonly found in the tube before its removal, dueto the flexures necessary to accommodate its posture to the more resisting sur-rounding structures. Adhesions are uniformly found at the fimbriated end, and54 200 SIMPLE SALPINGO-OOPHORECTOMT FOE ADHERENT TUBES AND OVARIES. these commonly hold the tube down to the pelvic floor; adhesions to the
. Operative gynecology. ristics of a parovarian cyst (see Figs. 3Y1, 372). Peaslee cites an extraordinary case, if his interpretation is to be credited,which contained 18 pounds of fluid {Ovarian Tumors and Ovariotomy, 1872,p. 105). One or more kinks are commonly found in the tube before its removal, dueto the flexures necessary to accommodate its posture to the more resisting sur-rounding structures. Adhesions are uniformly found at the fimbriated end, and54 200 SIMPLE SALPINGO-OOPHORECTOMT FOE ADHERENT TUBES AND OVARIES. these commonly hold the tube down to the pelvic floor; adhesions to the ovaryand to the contiguous pelvic wall are also common. The dorsum of the tubeis, however, usually free. In rare instances the ampulla is simply closed andthere are no pelvic adhesions. When the tubal walls are thin and unruptured, s t r i se may often be seenon the inside, parallel to its long axis; these are folds in the mucosa. The innersurface is glistening and pinkish in color. Microscopically, the muscular layers. Fig. 370.—Double Hydrosalpinx, dbawn from Nature, showing the Relations between the LargeTubes dilated with Clear Fluid and the Uterus and the Posterior Pelvis. Note the flexions of the right tube and the adhesions from the uterine oornu to the ampulla. in the wall of the tube, in the cases with the least distention, may appear nor-mal ; in other cases they are thinned out until they may be nearly all gone. Be-tween the muscular bundles a connective-tissue-cell proliferation is often found,and the intermuscular connective tissue may be loose and edematous. Hyper-trophy of the muscular coat does not occur. The mucous lining of the tube presents the most remarkable and character-istic changes. The folds, normally so luxuriant and complicated in their branch- ,iix 3TAJ1 ^o zoiTiiaoeaa eriT .b9Ma§8m,I .^il,IZ noiiloq lUare A .(0^ ai edu) arfT .iBtmoa ai ahusIuDaura srfJ i)aB anoi83rfliB mo-i. ;?;... i^u ai lisoo 81 ablol
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
