Operative gynecology : . e.—Fig. 23. It is particularly important to the gyne-cologist to be familiar with the anatomy of the terminal portion of the ileum,that part of the intestine which is most liable to drop into the pelvis and tobe involved in the various inflammatory gynecological processes. Fig. 23 shows the cecum in the right iliac fossa with its longitudinalfibers leading down to the vermiform appendix, which lies coiled above thecommon iliac artery on the psoas muscle. The straight ascent of the ileum outof the pelvis and over the sacro-iliac junction to its point of exit in the cecu
Operative gynecology : . e.—Fig. 23. It is particularly important to the gyne-cologist to be familiar with the anatomy of the terminal portion of the ileum,that part of the intestine which is most liable to drop into the pelvis and tobe involved in the various inflammatory gynecological processes. Fig. 23 shows the cecum in the right iliac fossa with its longitudinalfibers leading down to the vermiform appendix, which lies coiled above thecommon iliac artery on the psoas muscle. The straight ascent of the ileum outof the pelvis and over the sacro-iliac junction to its point of exit in the cecumis especially noteworthy. This arrangement appears to be a mechanical neces-sity due to the triangular form of the end of the mesentery which terminatesat the cecum in a point. See also Fig. 21. Fig. 24 shows the various positions within the right lower quadrant in whichthe appendix may be found, a, b, c, d are determined by the length of themesentery, while e and / are congenital forms due to incomplete descent. s/:.. Yxg 26 The Uterus Pulled Out Over the Symphysis, Displaying its Lateral Structures More Cle\rly This Figure is Especially designed to show the Utero-sacral Ligaments Belowwith Douglas Cul-de-sac. The Ureters are Seen through the Peritoneum at the biDES. The Pelvic Viscera.—Fig. 25 shows the mutual relations of the pelvicviscera as seen upon opening the abdomen through the superior strait. Thedrawing is after nature exactly, and, although presenting some slight indi-
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
