Volume 1

Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones.

  • Macnaughton-Jones, H. (Henry), 1844-1918.
Date:
1904
Catalogue details

Licence: In copyright

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton-Jones. Source: Wellcome Collection.

    60/712 (page 16)
    various uterine affections. It is frequently fixed in fibroid enlarge- ment, in malignant disease, by pelvic peritoneal effusions, and in cases of retroversion where adhesions exist. We are enabled, from its normal dimensions, to estimate comparatively its increase in size in morbid states, notably in fibroid enlargement and subinvolution. The dimensions of the isthmus explain to us the difficulty occa- sionally met with in passing the uterine sound, and how essential free dilatation of the sphincter uteri is in any form of intra-uterine medication. They also explain how readily the narrow canal may be closed by reflex contraction, by irritation or inflammation, and how thus secretions or medicated solutions are imprisoned in the uterine cavity. Just as important is the situation of the isthmus Pif}, ]2. Relative Position of Pelvic Visceiia when the Uterus is pusiiei) RACK BY A Distended Bladder. (A. Farre.) uteri with regard to the reflected utero-rectal and utero-vesical folds of the peritoneum. Above and below the isthmus uteri the organ is free, being supported just at this part by the bed of cellular tissue which surrounds it. The uterus is thus balanced in the pelvis by the reflections of peritoneum and encircling cellular tissue. The uterus has the tendency to bend backwards and forwards at this situation—a bending still further increased by the conseciuent constriction of the bloodvessels, at the junction of the cervix wdth the body, and an increase of weight, posteriorly or anteriorly, from congestion of the tissues or small myomata, in the posterior or anterior wall of the fundus above the seat of constriction. Constriction