Obstetrics : the science and the art . n consequence ofthe adhesive bands and bridles that bound it to the lower part of thesacrum. When these adhesions had been divided by the scalpel, could lift the fundus out of its bed, and reposit the womb. This I had been unable to effect during Mrs. N s lifetime, either with the hand or with Hervez de Chegoins caoutchouc pessary. Iwas not surprised to find the fundus glued in this manner to the lowerpart of the sacrum, for I had, in June, announced to Dr. Yardley mybelief that it was adherent—an opinion founded upon the firm resist-ance of th
Obstetrics : the science and the art . n consequence ofthe adhesive bands and bridles that bound it to the lower part of thesacrum. When these adhesions had been divided by the scalpel, could lift the fundus out of its bed, and reposit the womb. This I had been unable to effect during Mrs. N s lifetime, either with the hand or with Hervez de Chegoins caoutchouc pessary. Iwas not surprised to find the fundus glued in this manner to the lowerpart of the sacrum, for I had, in June, announced to Dr. Yardley mybelief that it was adherent—an opinion founded upon the firm resist-ance of the tumor against all my attempts to reposit it. I may remarkhere, that I believe the womb might have been got out of its falseand adherent position by means of the caoutchouc pessary, or by slowand cautious proceeding with colpeurysis, had not the tubal preg- 272 P R E G N A X C Y. nancy unhappily supervened. I suppose that the adhesions mighthave been gradually broken or absorbed under the elevating powerof M. Brauns method. Kg. 75,. The rupture of the tube had occurred near its outer end, which, fromits being turned over and laid upon the prostrate womb, was foundnearer the right than the left ischium. Through the edges of lacera-tion in the tube-sac, one of the feet of the embryon was uterus and its appendages were removed, with consent of thefriends. CJpon laying the uterus open, it was found to be fdlcd with a deci- PREGNANCY. 273 duous mass and with bloody slime. The cavity was somewhat en-larged, but the paries of the uterus was very thick, like that of auterus contracted after delivery. The tube was now laid over to theleft, its natural position, and opened; whereupon it disclosed the em-bryon, as in the figure, which was taken by Mr. MUvaine ad deciduous membrane is seen in the cavity of the uterus, its edgesbeing laid over on the cut surfaces. I regard the case as an interesting one, from its showing thepresence of its decidua in utero in a t
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