Essays on Hysterectomy

Essays on Hysterectomy

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1905 edition. Excerpt: ...aged 31 years. She was sterile. She had a fibroid of the size of a turkey's egg growing from the anterior wall of the cervix and pressing on the bladder. This filled up the vagina, hindering coitus. Vaginal enucleation was performed on May 18th, 1903. (Chelsea Hospital for Women.) The largest intra-cervical fibroid known to me is a specimen (Hunterian) preserved in the Museum of the Royal College of Surgeons of England. It measures 30 centimetres (12 inches) in length by 12'5 centimetres (5 inches) in width. Unfortunately it is without history. A close study of these ten cases brings out some further facts. It will be noticed that in some of them the condition of the mouth of the womb is described in this way: "The os uteri was a mere dimple ";wherever this sentence appears it almost certainly follows that menstruation is described as normal, scanty, or irregular, and a closer study of the records shows that the patient is usually a spinster or, if married, sterile. On the other hand, the great majority of the women in whom the intra-cervical fibroid is a source of menorrhagia have borne children and present a patulous and often widely patulous os uteri. It should also be borne in mind that cervical fibroids of all varieties, though commonly solitary tumours, are occasionally complicated by a submucous fibroid in the body of the uterus and this is a notorious agent in producing metrorrhagia (Fig. 9). A glance at the brief notes of the ten cases shows that these cervix fibroids do not lend themselves to any routine kind of operation. When of moderate size and associated with a capacious vagina, the intra-cervical kind and those which arise on the anterior aspect of the supra-vaginal cervix may be easily, expeditiously, ...
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Product details

  • Paperback | 32 pages
  • 189 x 246 x 2mm | 77g
  • United States
  • English
  • black & white illustrations
  • 1236868021
  • 9781236868022