Anatomical atlas of obstetrics, with special reference to diagnosis and treatment / by Oskar Schaeffer ... Authorized translation from the 2d rev. German ed.; edited by J. Clifton Edgar ... with 122 figures on 56 lithographic plates, and 38 other illustrations.

  • Schaeffer, Oskar.
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: Anatomical atlas of obstetrics, with special reference to diagnosis and treatment / by Oskar Schaeffer ... Authorized translation from the 2d rev. German ed.; edited by J. Clifton Edgar ... with 122 figures on 56 lithographic plates, and 38 other illustrations. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    Fig. 1. Ovary with Ampulla of Tube.—The fimbriated extremity of the tube, loosely held iu place by the ovariopelvic fold of peritoneum, is attached to the broad ligament, although less firmly than the isthmus. The gaping morsus diahoU is seen with a stalked hydatid hanging from it; a small cyst is also seen on the fimbria ovarica. These structures are present in four-fifths of all individuals and represent, when situated in the anterior layer of the broad ligament, the atrophic remains of the transverse tubules of the lower part of the Wolffian body; or they may be pedunculated fimbriae covered with epithelium. The surface of the ovary is grayish-red and presents on its upper margin a structure of similar appearance, which is a Graafian follicle, while several deeper lying follicles can be made out by their bluish color shining through the tunica albuginea. The furrows represent the scars of follicles which have burst and been converted into corpora fibrosa or candicantia. The upper border of the ovary is covered by peritoneum, or rather embedded in a fold of the membrane; the boundary, known as Farre's line, can be seen in the figure (original water-color, natural size). Fig. 2. Ovary with Corpus Luteum (original water-color, natural size) laid open; underneath, a cyst laid open, with myoma of the uterus. The follicle, which may attain the size of a pea, is ruptured by the inter- nal pressure at the time of the menstrual congestion, the ovum escaping into the peritoneal cavity. The follicle then becomes filled with clotted blood and large cellular elements containing fat and a yellow pigment— the lutein-cells, derived from the follicular epithelium, or, according to others, from the granular cells of the internal tunic {membrana granulosa), and is then called a corpus luteum. It is often traversed by radiating connective-tissue septa, and the center is occupied by coagulated blood, which may persist a long time and contain hematoidin crystals. Fig. 3. Longitudinal Section of an Ovary (original water-color, natural size), showing the cortcr., in which Graafian follicles in various stages of development are embedded, and the medulla., richly supplied with blood- vessels. The outermost laj^er is formed by the fibrous tunica albuginea, covered with cuboidal epithelial cells. reliable sig-ns of pregnancy must be learned by constant practice, and the search for them should never be neglected. If the physician has had an opportunity of examining the patient before she became ])regnant the diagnosis is, of course, much easier, as the size, position, and consistency of the unimpregnated uterus are known. During the first month the picture of a normally progressing preg- nancy is obtained by comparing the changes observed at two successive examinations made at an interval of three to four weeks.