Essentials of gynaecology : Arranged in the form of questions and answers, prepared for students of medicine / By Edwin B. Cragin ... With 62 illustrations.

  • Cragin, Edwin B. (Edwin Bradford), 1859-1918
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of gynaecology : Arranged in the form of questions and answers, prepared for students of medicine / By Edwin B. Cragin ... With 62 illustrations. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    The lymphatics from the upper three-fourths 1' the vagina join witli those from the cervix and bladder, and niter the iliac glands. According to L<> Bee, they enter the obturator gland* Describe the nerve supply of the vagina. The vagina is supplied by branches of the inferior hypogastric plexuses of the sympathetic system. These plexuses lie on either side of the vagina Give the relations of the vagina. The anterior vaginal wall is connected in its lower half with the urethra, in its upper half with the neck and fundus of the bladder ; the former connection is much more intimate than the latter. The posterior vaginal wall in its lower fourth lies in connection with the perineal body, in its middle two-fourths with the rectum, in its upper fourth with the cul-de-sac of Douglas. The anterior fornix is distant ]] inches from the utero-vesical pouch, and through this fornix can normally be felt the body of the uterus and the angle it makes with the cervix. The posterior fornix is in contact with the cul-de-sac of Douglas. The lateral fornices are in relation with the bases of the broad liga- ments, and through these fornices can normally be felt the vessels of the broad ligament, and occasionally the ovary and tube of that side. The vagina makes an angle of 60° with the horizon when the woman is erect. Uterus. Give the gross anatomy. The uterus, the organ of gestation, is a hollow, pear-shaped organ, flattened antero-posteriorly, situated in the pelvis between the bladder and rectum. It measures in the virgin about 3 inches in length, 2 inches in breadth, at the level of the Fallopian tubes, and one inch in thickness. The weight of the virgin uterus varies from 1 to 1J oz.. It consists of three portions : the cervix, body and fundus. As viewed externally, the uterus, on its anterior surface, is nearly flat, its posterior surface convex ; a little below the centre is a slight constriction called the isthmus. The cervix is that portion of the uterus below the isthmus, and which projects in part into the vagina.