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.

    48/332 (page 28)
    of the blood from the uterus, it is evident that little or no influence in the shape of retardation or arrest of the blood- current can take place, and that uterine congestion as a consequence of flexion of the body on the cervix is very im- probable. (iii.) Lymphatics. (1) Those of the external genitals and the lower third or fourth of the vagina open into the inguinal glands : hence any irritation about the pudendum, from specific sores, or malignant disease, would be attended by corresponding swelling of the glands in the groin. (2) The lymphatics of the upper two-thirds or three-fourths of the vagina, of the cervix and bladder, enter into the hypogastric or internal iliac glands. (3) The lymphatics of the uterus consist of a superficial and deep set: the former he immediately beneath the peritoneum, the latter in the organ proper : they traverse the space between the layers of the broad ligaments, and after union with the lymphatics of the tubes and ovaries enter into the lumbar glands. (4) The lymphatics of the rectum run in the meso-rectum to the sacral glands. The importance of these details in relation to sepsis from in- juries to the genital canal is self-evident. (iv.) Nervous Supply.—This is derived from (a) the spinal nerves: (0) the sympathetic system. The spinal nerves are the third, fourth and fifth sacral, which in addition to supplying the muscles of the pelvic diaphragm, send branches to the sympathetic plexuses. , The pelvic or inferior hypogastric plexuses are two m number, derived from the hypogastric plexus, and situated on the sides of the vagina and rectum; they receive spinal branches from the thud and fourth sacral nerves. From these plexuses are given off— . (1) Rectal plexuses which run along the arteries to the rectum; (2) Ureteric, to the lower portion of the ureters; (3) Vesical, to the bladder; (4) Yaginal; (5) Uterine; (6) Ovarian and Fallopian. The vesical appears to receive a larger proportion of spinal nerve branches than do the others; the ovary obtains its chief sunnlv from the sympathetic running along the ovarian artery. The uterine plexuses travel upon the vessels between the layers