The mechanical system of uterine pathology : being the Harveian lectures delivered before the Harveian Society of London, December 1877 / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: The mechanical system of uterine pathology : being the Harveian lectures delivered before the Harveian Society of London, December 1877 / by Graily Hewitt. Source: Wellcome Collection.

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    Of the 620 examined cases, 61, or 9-8 per cent., were set down as suffering from absence or malformation of uterus, or various symptomatic affections only. In 182, or 293 per cent., the patients were found to be suffering from fibroid tumour, cancer, or pelvic cellulitis. In 377, or 60'8 per cent., the shape of the uterus was materially changed or its position markedly changed. These 377 cases are further resolved into— (Eetroflexions, 112) a Flexions , . • \o. 296 lAnteflexions, 184] 137 7 Prolapses g][^ Further, ' the flexion cases were very generally attended with alterations such as would be properly termed as of a chronic inflammatory character; but it is precisely in those cases where the symptoms of irritation or inflammation were most marked that severe and well-established flexions were found to exist.' ^ It thus appears that in 60-8 per cent, of those hospital out-patient cases Avliich presented uterine symptoms of sufficient importance to suggest the necessity for making an examination, marked physical changes in the form, shape, or position of the uterus were detected. The total number of cases recorded was, as I have before stated, 1,205, of which 714 are accounted for in the above analysis. There remain 491 cases, which include many of syphilis or gonorrhoea, pregnancy, general debility, overlactation, diseases of the bladder or external generative organs, phlegmasia dolens, tumours or inflammations of the ovaries, cases of doubtful diagnosis, cases of disease of other than the generative organs, &c. The above is an exact account of observations made and recorded in pubhc. Before the observations in question were made I had been led to 1 Chi the Pathology, Dingnom, and Tre.atmmt of the Dimises of Women, p. 7. Third edition.