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.

    47/332 (page 27)
    into the left renal vein; (3) the hemorrhoidal and (4) the vesical, both terminating in the internal iliac vein. In addition, the broad ligament contains a very large series of plexuses which are in communication with all the above. The arrangement of the arteries and veins above mentioned shows the important fact that accurate compression of the broad ligaments will absolutely control the circulation to the uterus and its appendages; this should be remembered in all operations en- tailing wounds of the broad ligaments, such as supra-vaginal amputation of the cervix, or in total extirpation of the uterus. Any haemorrhage from a lacerated vein may be very profuse, leading to the formation of a pelvic hematocele. On the Course of the Arteries and Veins in the Uterus itself.— It has already been mentioned that two tortuous arterial trunks Fig. 22. A transverse section of the uterus at x, Fig. 21. On the right hand is represented the venous circulation, on the left, the arterial. u. Outline of uterine wall (pos- v. Uterine plexus cut across. terior surface.) «• Circular artery being given off I Broad ligament. from anastomotic trunk. p. Peritoneum. c. Uterine cavity cut across. run on either side of the uterus between the layers of the broad ligaments; these give off branches somewhat obliquely, which by anastomosing with those of the opposite side form circular arterial loops which can be compared to the blood-supply to the intestines (Fig. 22). This series of arterial circles lies just within the muscular tissue of the uterus, having the majority of the organ internal to it: from each is given off branches at right angles tc the uterine surface, which break up into capillaries near the mucous membrane; the blood returns by venous trunks some- what similarly arranged, emerging finally into the uterine plexuses; these again communicate with the vaginal and broad ligament plexuses and the ovarian veins. This arrangement must be considered in treating of uterine flexions: from the various collateral methods of entry and escape