Prolapse of the ovaries / by Paul F. Mundé.

  • Mundé, Paul F. (Paul Fortunatus), 1846-1902.
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: Prolapse of the ovaries / by Paul F. Mundé. Source: Wellcome Collection.

    4/52 (page 2)
    experienced in their effectual treatment; and lastly, by the defective discussion of the topic in the majority of the text¬ books. Thus, of recent authors, Barnes 1 alone devotes some¬ thing over two pages to the consideration of “Displace¬ ments of the Ovary,” while, of the five pages allotted by Beigel2 to the “ Displacements and Prolapsus of the Ovary,” less than half a page treats of the intra-pelvic dislocation of the organ, which, the author expressly states, will “rarely call for our attention, unless from some cause fresh irrita¬ tion or inflammation supervenes, in which case the causa¬ tive agents will attract our notice far more than the dis¬ placement.” Thomas,3 in a very brief section, says : “ The ovaries often fall, when their weight is increased, into the cul-de-sac of Douglas,” which is permitted under favoring circum¬ stances by their extreme mobility and the laxity of their supports. Of treatment, not a word. The bulk of the chapter in the treatises of both Beigel and Thomas relates to that comparatively rare affection, the extra-pelvic dis¬ placement or hernia of the ovary. Schroeder4 devotes one page to “ Prolapse of the Ova¬ ries,” and says : “ An abnormally low position of the ovary is a condition which is very frequently met with, but has received heretofore very little attention.” 4 It depends on a relaxed condition of the broad ligament and the enlarge¬ ment of the ovary. The symptoms are, sudden abdominal pain, often occurring in paroxysms, dyspareunia and dys- chezia. “ The question of treatment is one of great diffi¬ culty, and it is not only in cases where the ovary is bound down by adhesions in Douglas’ cul-de-sac that the hope of gradually relaxing the prolapsed condition of the ovary is disappointed.” 1 Diseases of the Female Sexual Organs, 1878. 2 Krankheiten des weiblichen Geschlechtes, i., p. 435. 3 Diseases of Women, 1874. 4 Diseases of the Fe?nale Sexual Organs, vol. x. Ziemssen’s Cyclope¬ dia, Amer. ed., 1874.