Anatomia uteri humani gravidi : tabulis illustrata = the anatomy of the human gravid uterus exhibited in figures / auctore Gulielmo Hunter = William Hunter.

  • William Hunter
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: Anatomia uteri humani gravidi : tabulis illustrata = the anatomy of the human gravid uterus exhibited in figures / auctore Gulielmo Hunter = William Hunter. Source: Wellcome Collection.

    16/136 page 4
    SSSS Vesica urinaria, anteriorem inferioris extremitatis uteri portionem ambiens. T Vesic urinariz cavum, partem ejus anteriorem ab urethra sursum incidendo, oculis subjectum. UU Uteri extremitas parva vel inferior, in cavo pelvis posita. Ea pars, quee cireundata fuerat margine pelvis, satis evidenter constricta fuit: quam super uterus statim eminentior evasit, quippe partes qui facilius cedunt eum ibi amplectebantur. VVV Uteri facies exterior. X Vasorum spermaticorum in latere sinistro chorus. Y Y Uteri substantia, ad dextrum latus, ab fundo penitus dissecta. In hac sectione vasa resecta occurrunt; quod autem ad figuram attinet inordinata, quippe cera friabili adimpleta. — Ven coloris sunt lucidioris ac grandes ; exiliores arterie, atque fusce; fundum versus uteri utrz:eque minores quam 1n parte inferiori, ubi a lateribus uteri ad placentam transibant. Uteri crassitudo cum magnitudine vasorum his in locis proportionis legem quodammodo servat. ZZ Decidua, sive membrana exterior, ramulis venarum ab facie interna uteri ad eam transeuntium distincta. a . Hie decidua vasis referta et opaca, cauta manu sublata fuit. Nulla hie loci, vel in chorio, vel in amnio, venarum, ex injectione cere, species fuit. Altera enim pars per alteram adeo perlucebat, ut foetus cutem distincte cernere liceret. bb Externe superficiei placentz portio, hie cera extra venas uteri effusa, illic venis ipsis cera impletis, a facie interna uteri ad eam transeuntibus interstincta. c — Arteria cera rubri coloris impleta, quz ab utero abrupta fuit, et, semel cireumvoluta, in placentam se immisit. EI dd Ejus partis uteri, qux deciduam (Z Z) antea obtexerat, facies interna. In hae superfidie venz: qux per deciduam ramos suos diffuderunt, abrupte conspiciuntur. , ee Ejus partis uteri, qu: placentam (5 5) obtexerat facies interna. — Hzc quidem superficies cera extra vasa effusa specimen pre se tulit. Quse autem aspectu primo, extra vasa effusio videbatur, re vera, venarum complanatarum, cum anastomosibus frequentioribus, ex utero ad placentam peroblique transeuntium, cera adimpletarum, species fuit, Cujus quod sequitur sit specimen. In substantia uteri vena. Ejusdem ven: in placentam continuatio. Uteri facies interna hic cavata, et venz dimidium, qu: cursu peroblique transibat, formans. AO TABULA VI. Farvs in utero prout a natura positus. Omnes hujus figurz partes, utero et iis quie in eo continentur exceptis, ezedem fere sunt eum iis, quz, in tabula precedentilineis exterioribus literisque jamjam explanate sunt. In hoe tantum discrepant, nimirum hic vesieze urimarie pars superior omnino sublata est, ad fcetus caput in parte uteri inferiori exhibendum. Uteri et secundarum pars anterior, una cum placenta, omnino sublata est. —Funis umbilicalis est disscissus, deligatus, et in marginem uteri resecti sinistrorsum reflexus. Ad fundum uteri membrane investientes etiam in marginem uteri quo melius possint conspici inverse sunt. Caput foetus in uteri parte inferiori, in pelvis scilicet cavo, ponitur; corpus ejus precipue in latere dextro jacet. Positio obliqua, vel ad lineam diagonalem appropinquans ; unde partes posteriores antrorsum sunt et ad matris latus dextrum ; partes anteriores retrorsum et ad latus sinistrum versz. Pes dexter inter femur sinistrum et tibiam occurrit. Corpus, uti infantibus denuo utero exclusis plerumque fit, muco albo pinguiusculo feedatam : scilicet. hic mucus, ad dorsi partem superiorem, ex rugis in corpore foetus, motuque suo lineis intersecta, oculis subjicitur. Representatur quique pars eodem modo quo primum occurrebat, ne quidem vel digiti articulo deturbato, partem aliquam magis illustrandi, aut tabulam elegantiorem reddendi gratia. 4 SSSS The bladder spread round the forepart of the lower end of the womb. T The cavity of the bladder exposed by an incision through its forepart from the urethra upwards. À : ; UU The small »É lower extremity of the womb, lodged in the cavity of the nm There was a manifest constriction upon that part of it which was surrounded by the brim of the pelvis; above which the womb swelled out immediately, being there embraced by more yielding parts. VVV The outside of the body and fundus of the womb. X The cluster of spermatic vessels of the left side. YY The substance of the womb cut quite through, from the fundus downwards, on the right side. In this section the cut vessels bear an irregular figure, which was occasioned by the crumbling of the wax with which they were filled. The veins are of a light colour, and large; the arteries dark, and small in proportion. At the upper part of the womb, both of them are small in comparison with what they are lower down, where they were passing from the sides of the womb to the placenta: and the thickness of the womb bears some proportion to the size of its vessels in these different places. — ] ZZ The external membrane, or decidua, full of small branching veins, which passed into it from the internal surface of the womb. a At this place the vascular and opaque decidua was carefully removed : there was no appearance of injected veins upon the chorion, or m the amnion Lp of which were so transparent, that the child's skin could be seen distinctly through them. A ET bb A portion of the external surface of the placenta, interspersed partly wi E extravasated wax, from the venal system of the womb, and partly with injecte veins, passing into it from the interior surface of the womb. — c — An artery filled with red wax, which was broken off from the womb. 1t made one eircumvolution, and plunged into the placenta. — : dd The inner surface of that part of the womb which was 1n contact with the decidua (Z Z). Upon this surface the veins are seen broken off, which dis- persed their branches through the decidua. ee The inside of that part of the womb which covered the placenta (bb). Upon this surface there was indeed some extravasated wax; but the greatest part of what seemed, at first sight, to be extravasation, proved to be injected veins, of a flattened figure, with numerous anastomoses, passing from the womb to the placenta in a very slanting direction. The following mstance may serve as à specimen. À vein in the substance of the uterus. The same vein continued into the placenta. ; ; The inner surface of the womb hollowed, and forming half of the vein, which passed here in a very slanting direction. Sag Ru. PLATE VI. Tus represents the child in the womb, in its natural situation. All the parts of this figure, except the womb and its contents, are nearly the same as those represented by outlines in the fifth plate, where they are lettered and explained. The only difference is, that here all the upper part of the bladder is cut away, in order to show the situation ofthe child's head in the lower part of the womb. All the forepart, both of the womb and of the secundines (which included the placenta), is removed. — The navel-string is cut, tied, and turned to the left side, over the edge of the womb. — At the fundus the investing membranes are likewise turned over the edge of the womb, that they might be more apparent. The head of the child is lodged in the lower part of the womb, or in the cavity of the pelvis; and its body lies principally in the right side. Its position is diagonal or oblique; so that its posterior parts are turned forwards and to the right side of the mother, and its foreparts are directed backwards, and to the left side. Its right foot appears between its left thigh and leg. Its body was covered with a white, greasy mucus, which is commonly seen on children at their birth. This is represented at the upper part of its back, where it was intersected with lines, from the wrinkles and motion of the child's body. Every part is represented just as it was found ; not so much as one joint of a finger having been moved to show any part more distinctly, or to give a more picturesque effect. TABULA VII. SusLATO fctu, paries uteri conspicitur intimus et posticus, membranis suis adhuc vestitus. — Partes lineis adumbratz in precedenti tabula se ad plenum dedere. AA Partis uteri proJectio versus interna. — Hzc nata est a spina, vasis magnis, et precipue ex aorta, quze hie loci in arterias duas iliacas se dividit. Pars projecta, cadaveris situ supinato adaucta, superiorem et posticam uteri partem in cava duo lateralia retrorsum dividit. Cavum dextrum, propter obliquitatem hujus uteri sinistro majus fuit, et maximam fcetus partem continuit. BB Partes dux eodem modo projectz, scilicet ob projectionem musculorum psoxe vasorumque iliaeorum. Obliqua hzc juga, uteri cava superiora lateralia ab inferiore azygo, in pelve posito, secernunt; in parte hujus ima posteriore oculis subjicitur. C Os tincze, paulo ad latus dextrum versum. — Uterus in statu laxo, rugoso, uti foetu vaeuus apparebat, repr:sentatur. Paries totus internus membranis suis vestitus. Per eas vens cera impletz, tales quales in hac figura, distincte se videndas exhibuerunt. TABULA VIII. PanTEs proxime post gravidum uterum sitz; utero ipso sede sua amoto et in pudenda devoluto. Ossa pubis, &c. prius fuerant abscissa, ut in tabula quarta. Femora, partesque ceteras lineis adumbratas, in tabula quinta jamjam explanata, cernere licet. AAA Uterus. BBBB Intestina tenuia que fundo uteri arcte cireumjacebant. CCCC Intestinorum tenuium (cum mesenterio D.D D) gyri, qui, post uterum, in latere sinistro, spinam, inter et os ilium, supraque partem oblique prominentem, e musculo scilicet psoa et vasis iliacis formatam, jacebant. PLATE VII. À ronr-viEW ofthe cavity of the womb, as it appeared when the child was taken out, and the investing membranes left adhering. The parts which are expressed by outlines are nearly the same as in Plate V. and VL, the first of which may be consulted for the explanation. A . An internal projection of the womb, occasioned by the spine and great vessels, especially the aorta, which divides at this place into the two iliac arteries. — This projection, which is increased by the supine position of the subject, divides the upper part of the womb backwards into two lateral cavities. The right cavity, from the obliquity of the womb in this case, was larger than the left, and contained the greatest part of the child. BB Two similar projections, occasioned, in the same manner, by the projection of the psoz muscles and of the iliac vessels. These oblique ridges divide the upper lateral cavities of the womb from the azygos lower cavity, which is situated in the pelvis ; at the lower posterior part of which is seen C The os tincz, in this case a little on the right side. The womb is represented in the loose rugous state, as it appeared when empty ; and its whole internal surface is covered by the membranes. Through these the injected veins were distinctly seen, as they appear in this figure. PLATE VIII. A viEW of the parts which lay immediately behind the womb, and which were in contact with it. They were brought to view by turning down the empty womb over the pudendum ; the ossa pubis, &c. having been removed, as in the preceding figures. : The thighs and other parts expressed by outlines are nearly in the same state as in Plate V. where the explanation is given. AAA The womb. B.BBB The small intestines which la of the womb. CCCC Those turns of the small intestines (and DD D the mesentery) which lay behind the womb in the left side, between the spine aud os ilium, and above the oblique ridge formed by the psoas and iliac vessels. y around, and in contact with the upper part
    digitised image 1
    digitised image 2
    digitised image 3