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

  • Jones, H. Macnaughton (Henry Macnaughton), 1844-1918.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Practical manual of diseases of women and uterine therapeutics : for students and practitioners / by H. Macnaughton Jones. 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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    it in position, more especially the utero-sacral, broad, and round ligaments, there are some other matters connected with their attachments and relations that must not be overlooked. The uterus is mainly prevented from falling downwards and forwards by the utero-sacral folds of peritoneum; in the dragging and stretching of these we have doubtless a ready explanation of the characteristic pain felt over the sacrum in certain cases of anteversion. The vascular and sensitive round ligaments, doubtless, contribute their share to the support of the uterus, and may serve to favour conception (Rainey), through the muscular power with which they are endowed, in altering the direction of the uterus. When they are put on the stretch and dragged on, in displacements and in procidentia, we have a satis- factory clue to that characteristic pain running in the course of these ligaments, so frequently accompanying ova- rian pain in congested states both of uterus and ovaries.* The association between over-distended conditions of the bladder and uterine discomfort, we have an explanation of, in the connection of the bladder and uterus through the utero-vesical ligaments, while the general distribution of the uterine and pelvic peritoneum, and the intimate association between it and the extensive fascia of the pelvis offer a ready explanation of the rapid transitional phases of uterine and pelvic inflammation—metritis passing into perimetritis and pelvic cellulitis, and the further com- plication of general peritonitis as a sequence to both. From the broad ligaments above to the sciatic notches below we have the complete continuity of the cellular tissue maintained. A match struck at one end of the train quickly lights the mischief, that, with lightning rapidity, often spreads, until the entire pelvic viscera are involved: they are thus pushed and pressed against each other by the effusion, the force of the conflagration being still further * See Chapter on Retroversion and Retroflexion for Alexander's operation of shortening the round ligaments.