On Diseases of menstruation and ovarian inflammation : in connexion with sterility, pelvic tumours, and affections of the womb / by Edward John Tilt.

  • Edward John Tilt
Date:
1851
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Licence: Public Domain Mark

Credit: On Diseases of menstruation and ovarian inflammation : in connexion with sterility, pelvic tumours, and affections of the womb / by Edward John Tilt. Source: Wellcome Collection.

Provider: This material has been provided by the Woodruff Health Sciences Center Library at Emory University, through the Medical Heritage Library. The original may be consulted at the Woodruff Health Sciences Center Library, Emory University.

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    Dr. Rigby thinks that retroversion, when of long standing, is capable of producing ovaritis by pressure on the ovaries, particularly the left, and also by the strain on the broad ligaments, and the consequent obstruction to the returning circulation of the ovary. Dr. Oldham in discussing this subject, says, I have never met with a single instance of this de- of the os uteri, adhesion not unfrequently having taken place between the external portion of the os uteri and the vagina, causing the close adaptation of the orifice of the os uteri to the sides of the vagina. It is then necessary to destroy the cicatrix, but that is the least part of the matter, the greatest difficulty in the treatment being to hinder the edges of the wound from again uniting, as in a case published by J. P. Frank. This has been shown by Dr. Bernutz, who, after alluding to the cause of retention here indicated, remarks, But these are not the only cicatrices produced by these cauterizations, of which so extensive a use is now made; the excretion of the menstrual flow from the neck of the womb is often rendered difficult, and sometimes impossible, by cicatrices (coarctations) situated at the inferior orifice of the os uteri, and even in the higher position of the canal.—(Archives Gen. de Med., Feb. 1849.) We shall take this opportunity of observing that with respect to uterine pathology, we can no longer taunt our Gallic neighbours with the rashness of their treatment, nor vaunt the sterling good sense which used to characterize our own; for in London practice we hear of such rough handling of the uterus, such probing and skewering of this organ, even by gentlemen of great ability, that we are obliged to recog- nise their belief in the insensibility of the uterus, and to ex- press our hope that the patients do not get worse when sub- jected to such energetic interference. (This remark of the author appeared in Tlie Lancet long before the publication of Dr. Oldham's memorable case iu the] Guy's Hospital Reports: seep. 133 of this work.)