Operative Gynecology Volume 2

Operative Gynecology Volume 2

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1898 edition. Excerpt: ...the uniformity of the resistance in all parts of the abdomen, and a few percussion taps over the tumor bringing out the note of resonance all over its surface--serves at once to dispel the illusion. cystic from the more or less distinct sense of fluctuation, and is always movable as distinct from the uterus, with which its connection may often be traced by the utero-ovarian ligament on one side. By recognizing these peculiarities in any given case the possibility of the tumor being uterine is excluded. The greatest difficulty is met with when the small ovarian tumor is adherent to the uterus; the tumor is then usually lateral to the uterus, it is fluctuant, and, in addition, the firm uterine body can be outlined independent of the tumor; a careful palpation also shows a slight independent mobility. A tubal tumor is thin-walled, elongate, sausage-shaped, and often convoluted, and in addition the normal ovary may be felt close by. Fecal masses, although liable to confuse at the first examination, will not do so when the bowels have been thoroughly evacuated and a high rectal examination is made. Ovarian tumors of medium size, from that of a child's head to a uterus at term, may best be differentiated, first, by outlining the other abdominal and pelvic organs by palpation and percussion, and so excluding their participation, and then by grasping the cervix with a tenaculum forceps and pulling it down, by which means perceptible traction is made upon the tumor; or by grasping the cervix and pulling it down and then pulling the tumor up in the abdomen, when the hand holding the forceps is seen to respond to the traction. If a rectal examination is made at this time the tense pedicle may be felt, showing on which side the tumor arises. Ovarian tumors...show more

Product details

  • Paperback | 216 pages
  • 189 x 246 x 12mm | 395g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236625242
  • 9781236625243