A text-book of obstetrics / by Barton Cooke Hirst.

  • Barton Cooke Hirst
Date:
1918
Catalogue details

Licence: In copyright

Credit: A text-book of obstetrics / by Barton Cooke Hirst. Source: Wellcome Collection.

    33/930 page 27
    the anterior trunk of the internal iliac to the neck of the uterus, giving off a large branch to the lower uterine segment and cervix, the circular artery of the cervix, and numerous smaller branches to the uterine wall as it rises to meet the ovarian artery. The veins of the pelvic organs of chief interest to the obstetrician are the large trunks between the layers of the broad ligament alongside the uterus and the complicated pam¬ piniform plexuses in the neighborhood of the ovaries. Fig. ii.—The veins of the uterus (Hyrtl). The lymphatic ducts of the pelvic organs are of interest mainly in the part they play in the absorption of the involuting uterus and by conveying septic micro-organisms and the prod¬ ucts of their activity into the system. The lymph-spaces of the uterus, lying between connective-tissue bundles and clothed with endothelial cells, empty by means of ducts into the pelvic system of lymphatic glands. The most important groups of the pelvic lymphatic glands are the uterine, obturator, hypo¬ gastric, lumbar, sacral, and inguinal. It is interesting to note that the lymphatic ducts of the lower fourth of the vagina terminate in the inguinal glands. The enlargement, inflamma¬ tion, and suppuration of the inguinal glands, therefore, indicate infection of the parturient outlet.
    digitised image 1
    digitised image 2
    digitised image 3