Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

    151/332 (page 131)
    Fig. j-6. spasmodic contraction of the immature uterus, with which it is nearly always associated : a stenosis is rare which will not allow the 30—40 drops per hour of menstrual blood to pass easily and painlessly. A contracted os uteri may produce a certain difficulty in fertilisation, and the patient's condition is one of relative ster- ility; absolute sterility is not due to this condition, but is more likely to depend upon the rigid state of the tissues, which may impede spontaneous dilatation during coition. (fi) Hypertrophic Elongation of the Cervix.—This is a con- genital defect, and it consists of a more or less exaggerated length- ening of the vaginal portion of the cervix, without any thickening of the walls or other abnormal pathological condition arising. The os utei-i may present at the vulval orifice or may even be extruded, simulating a prolapse of the uterus; the os uteri in this condition is often found smaller than normal (Fig. 76). The diagnosis is easy; it will be found that the anterior and posterior fornices retain their normal depth. The sound will pass four or more inches, but the point of it at the fundus uteri will be felt just above the sym- physis pubis ; by combined rectal and bladder examination the uter- ine body will be felt. The symptoms to which it gives rise are difficulty in the act of coitus, and the presence of the cervix in the vulval outlet. Treatment. — Removal by the ecraseur, and amputation by the circular or by the flap method The dangers are: (1) A possibly deep Douglas's pouch and opening of the peritoneal cavity; (2) Severe haemorrhage; (3) Secondary stenosis of the cervical canal by cicatrisation Laceration of the Cervix Uteri.—This consists in a breach Hypertrophic elongation of the cervix uteri simulating prolap- sus uteri (Fig. 66). The anterior and posterior cul- de-sacs are seen to be norm ally- situated. (After Schroeder.) (y) of continuity of the cervical canal; it occurs during labour in about 32 per cent, of parous women, and is caused usually through too rapid a labour, or the extraction of the child with forceps