Clinical Notes on Uterine Surgery: With Special Reference to the Management of the Sterile Condition

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Robert Hardwicke, 1866 - Infertility, Female - 436 pages
While Sims was in Paris in voluntary exile because of the Civil War, he wrote this revolutionary and controversial work. It includes important and pioneering work on the treatment of infertility, including analysis of the conditions essential to conception and a record of a successful artificial insemination.

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Page 140 - It may be inflammation of the cervical mucous membrane; retroflexion; anteflexion; fibroid tumour in one wall of the uterus or the other ; contraction of the os internum or os externum ; flexures of the canal of the cervix, either acute or gently curved, either at the os internum, at the insertion of the vagina, or extending throughout the whole length of the canal : all of which are but so many mechanical causes of obstruction, which must be recognised and remedied if we expect to cure the dysmenorrhœa.
Page 324 - The most perfect examples of vaginismus that I have seen were uncomplicated with inflammation ; but I have met with several cases in which there was a redness or erythema at the fourchette. Usually the hymen is thick and voluminous, and when the finger is forced through it, its free border often feels as resistent as if bound by a fine cord or wire.
Page 322 - By the term vaginismus I mean an excessive hyperaesthesia of the hymen and vulvar outlet, associated with such involuntary spasmodic contraction of the sphincter vaginae as to prevent coition.
Page 8 - The knees must be separated some 6 or 8 inches, the thighs at about right angles with the table, and the clothing all thoroughly loosened, so that there shall be no compression of the abdominal parietes. An assistant on each side lays a hand in the fold between the glutei muscles and the thigh, the ends of the fingers extending quite to the labia majora; then, by simultaneously pulling the nates upwards and outwards, the os externum opens, the pelvic and abdominal viscera all gravitate towards the...
Page 375 - And on the eighth day she shall take unto her two turtles, or two young pigeons, and bring them unto the priest, to the door of the tabernacle of the congregation.
Page 139 - I lay it down as an axiom, that there can be no dysmenorrhoea, properly speaking, if the canal of the neck of the womb be straight, and large enough to permit the free passage of the menstrual blood.
Page 29 - OBSERVATIONS ON OBSTETRIC AUSCULTATION, With an Analysis of the Evidences of Pregnancy, and an Inquiry into the Proofs of the Life and Death of the Foetus in Utero. BY EVORY KENNEDY, MD With an Appendix containing Legal Notes, by JOHN SMITH, Esq.
Page 140 - This is but a high-sounding term that means absolutely nothing. The fact is that most of the diseases of the uterus are as purely surgical as are those of the eye, and require the same nice discrimination of the true surgeon. And if we fail to detect the abnormal condition that produces diseased manifestations, whether of sensation or secretion, it is plainly our fault. For of all organs the uterus is now most subservient to the laws of physical exploration...
Page 323 - This irritable spasmodic action is produced by the gentlest touch ; often the touch of a camel's-hair brush will produce such agony as to cause the patient to shriek, complaining at the same time that the pain is that of thrusting a knife into the sensitive part. In a very large majority of cases the pain and spasm conjoined are so great as to preclude the possibility of sexual intercourse. In some instances it will be borne occasionally, notwithstanding the intolerable suffering, while in others...
Page 330 - ... and an inch from its lower edge to the perineal raphe. Of course this will vary in different subjects, according to the development of the parts in each. To perfect the cure it is necessary for the patient to wear for a time a properly adapted bougie or dilator.

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