. Operative gynecology. t. It is evident that the large upper tumor formsa perfect east of the sacral curve and the posterior pelvis. Note the irregular masses, in contact with the ab-domen .iust above the rubber tube, which projected out of the pelvis into the abdomen. Hystero-myomec-tomy. Kecoverv. Oct. 12, 1892. nodules bud oiit on the surface of a tumor, in which case the tumor presents alobulated or bossed appearance. The most striking instances of the plastic influence of repeated impacts ofthe soft parts is represented by the vertical furrows on large tumors due to thepressure of the li
. Operative gynecology. t. It is evident that the large upper tumor formsa perfect east of the sacral curve and the posterior pelvis. Note the irregular masses, in contact with the ab-domen .iust above the rubber tube, which projected out of the pelvis into the abdomen. Hystero-myomec-tomy. Kecoverv. Oct. 12, 1892. nodules bud oiit on the surface of a tumor, in which case the tumor presents alobulated or bossed appearance. The most striking instances of the plastic influence of repeated impacts ofthe soft parts is represented by the vertical furrows on large tumors due to thepressure of the linea alba. The persistence with which the rectum preserves apatulous channel when the j^elvis appears to be completely choked is an exam- KINDS AND SITES OF MYOMATA. 347 pie of the power of a weak force acting with persistent regularity on a more orless resisting body. A myoma is occasionally detained within the bony pelvis until its cavity ischoked with the tumor, which then presents a perfect cast of the posterior part. Fig. 485.—Large Subpeeitoneal Myoma, seen from Behind. Showing remarkable adaptation of form to the vertebral column. FIT, the fundus of the uterus lay onthe sacral promontory, and the mass, T, below, lay on the pelvic floor, while T, above, lay on the lumbarvertebrae. From T to Fl\ to 7, the form of the tumor is concave, exactly following tlie vertebial columndown to the pelvic floor. The large tumor is also exactly adapted in its form to the lumbar vertebras fromBide to side; its concavity thus presents a perfect cast of the lumbar vertebral bodies and the sacral promon-tory. Hystero-myomectomy. Recovery. Path. Ko. 498. =/? natural size. of the pelvis, showing exquisitely the sacral curve and the breadth of the surface appears smooth, but, if examined minutely, slight irregularities dueto suppressed budding tumors are evident. This explanation is borne out bythe fact that clusters of large spherical nodules often bud out through the supe-rior str
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
