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.

    152/332 (page 132)
    before complete dilatation and thinning out of the cervix ha? taken place; tearing begins at the rim of the external os uteri, and may extend up to the roof of the vagina, thus involving the whole thickness of the cervical wall, or it may be superficial only; occasionally the vaginal mucous membrane is involved, when a hard cicatrix often results. In dilatation of the cervix by bougies laceration commences at the internal os uteri and extends down- W8The most usual site of a laceration is to the left and anterior ; then to the right and posterior, and therefore diametrically opposite; should these two occur together, a bilateral lacera- Fig. 77. SteUate laceration of the cervix (superficial). (After Emmet.) A few Nabothian follicles are scattered over the surface. tion is produced; if several lacerations occur, they are generally superficial, and arranged in a radiating manner; these produce a stellate laceration of the cervix (Fig. 77). . Deep laceration is attended by certain results ; the cervical lips tend to spring apart like celery when peeled, and the mucous membrane of the cervical canal becomes everted m consequence To see a bilateral laceration a Sims's speculum must be used, by applying a volsella to the vaginal surfaces of the two flaps and bringing them together a normal cervix is temporarily pro- dU57?e %^Joma vary very much; a severe laceration may exist and produce absolutely no symptoms; but a painful vagmai f*^™* result and there may have been a cailulitic deposit in its neign-