Pathology and treatment of diseases of women . a defective development whichwe have learned to designate with W. A. Freund as infantilismus: ashort vagina with a defective connective-tissue supporting structure,excavatio recto-uterina reaching deep down between the vagina and therectum, a short perineal body, a pelvic floor devoid of adipose tissue. Inother, according to my experience, more frequent cases, the condition of PATHOLOGY OF THE VAGINA AND UTERUS 109 development, in itself non-pathologic, is complicated by a grave disturb-ance of the general nutrition, which we find in scrofulosis,
Pathology and treatment of diseases of women . a defective development whichwe have learned to designate with W. A. Freund as infantilismus: ashort vagina with a defective connective-tissue supporting structure,excavatio recto-uterina reaching deep down between the vagina and therectum, a short perineal body, a pelvic floor devoid of adipose tissue. Inother, according to my experience, more frequent cases, the condition of PATHOLOGY OF THE VAGINA AND UTERUS 109 development, in itself non-pathologic, is complicated by a grave disturb-ance of the general nutrition, which we find in scrofulosis, tuberculosis, inlong wasting and febrile diseases, and disturbances of the function of thestomach and bowels, in nephritis chronica, in psychosis, in diabetes, alsoin improper and faulty nutrition on account of failing means of subsist-ence, in cachexia from alcoholism, carcinoma, and in conditions termedneurasthenic. If we mention enteroptosis in this connection we recog-nize in the displacement of the organs, especially of the kidneys, the. Fig. 63.—Prolapsus Vaginas Anterioris CumCystocele. Prolapsus colli uteri decubitale (result of action of pes-sary) labii anterioris. Fig. 64.—Prolapse of the Anterior Va-ginal Wall through Tumor Forma-tion in the Same. effect of the same factors which lead to an insufficiency of the pelvicconnective tissue. Our conception of the participation of the uterus in the displacementdebars a discussion of the question whether the so frequent stretchingand elongation of the cervix uteri could be a result of the dragging ofthe anterior vaginal wall or the bladder. Such a dragging could only beconsidered if the corpus has become fixed by perimetritic perimetritis, as a rule, appears after the occurrence of the is considered justly as a sort of safeguard against descensusand prolapsus. The insufficieny of the pelvic connective-tissue structures 110 DISEASES OF WOMEN and the following prolapsus
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
