The student's guide to the diseases of women / by Alfred Lewis Galabin.

  • Galabin, Alfred Lewis, 1843-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to the diseases of women / by Alfred Lewis Galabin. Source: Wellcome Collection.

    66/434 (page 48)
    DISEASES OF WOMEN. although the primary condition is usually that a,] scanty menstruation. The uterus then becomes hyv pertrophied, partly from the effect of hyperemia, partf from the muscular efforts to overcome obstruction Women who have suffered from symptoms of obi. structive dysmenorrhcea, especially if menstruation i profuse, are more liable than others to attacks o pelvic peritonitis, and ever haunatocele, in connection with menstruation. Therm is reason to believe that an impediment to the outflow of menstrual blood majv sometimes lead to dilatation of the Fallopian tubes, anal reflux into the peritoneal! cavity, possibly dependent upon spasmodic contractions of the uterus. Such a re-_- flux of blood may be thee starting point of pelvic peri- tonitis, or form one of thee milder varieties of hamia-i- tocele.* Treatment.—If the con-t- traction is only moderate] and if the os points in theo normal direction, dilatationn may be effected either bjjj tents, or by mechanicalll dilators, such as graduated i metallic bougies, Priestley'al dilating sound (Fig. 20), on any of the two-bladed or three-bladed uterine dilators. If, as is often the case, the os contracts up again, it is well to have recourse!? to the method of incision ; and, if the stenosis is very * For anatomical evidence on this subject see Bernutz, Clinique Medicale sur les Maladies des FeIUIues.,' Fig. 15. Kuchenmeistee's Scissors.