A Text-book of practical gynecology for practitioners and studentsDavis, 1908 - 642 pages |
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Common terms and phrases
abdominal wall acid adhesions affected anus applied atresia becomes bladder blood bowel broad ligament cancer catgut cause cervical canal cervix condition cystic cystocele denuded diagnosis dilatation discharge disease dissection distended douches drainage dysmenorrhea endometritis endometrium enlarged epithelium examination external Fallopian tubes fibroid finger fistula fluid forceps frequently fundus gauze genital germs glands gonorrheal growth hemorrhage inch incision infection inflammation inflammatory intestines introduced irritation kidney laceration later lesion ligature malignant menstruation mucosa mucous membrane muscle normal occasionally occur opening operation organs orifice ovarian cyst ovary ovum pain patient pedicle pelvic floor perineum peritoneal cavity peritoneum pessary placed portion position posterior pregnancy pressure prolapse rectal rectocele rectum removed result retractor rupture scissors secretions seldom sepsis septic side skin sometimes sphincter sterilized structures suppuration surface sutures symptoms tion tissue treatment tubal tumor ulcer ureter ureteral urethra urine usually uterine cavity uterus vaginal wall vesical vessels vulva woman women wound
Popular passages
Page 211 - At a point about one inch and a half above the pubes, the peritoneum, muscle and fascia are caught up by a volsella and pinned together, being careful that the edges of these layers are in line. (7) Traction is now made, and with a claw retractor the skin and superficial fat are drawn in the opposite direction, and by a sweep of the knife the face of the fascia is laid bare.
Page 211 - ... (4) Selecting a point an inch and a half from the uterus, a thread is passed under the round ligament, and the ends of the thread are brought out of the opening and secured in the bite of a clamp forceps, which is laid on the surface of the abdomen. (5) The other ligament is sought for and secured in the same manner. (6) At a point about one inch and a half above the pubes, the peritoneum, muscle and fascia are caught up by a volsella and pinned together, being careful that the edges of these...
Page 212 - Now, while the ligament is held taut, with its loop end just above the surface of the fascia, a catgut suture is passed through it, including the tissues on either side, and back again where it is tied. This is cut close to the knot, the suspending thread cut on one side close to the ligament and withdrawn, and the volsella and retractor removed.
Page 210 - Operation.— I. An abdominal incision three or four inches in length is made in the median line at the usual site between the umbilicus and pubes. 2. The adhesions are broken up and the fundus brought forward. 3. By lifting up the broad ligament of one side on the tip of a finger applied to the posterior surface, the round ligament is brought into view and is picked up with a bullet forceps. 4. Selecting a point an inch and a half from the uterus, a thread is passed under the round ligament, and...
Page 150 - In this way it serves the double purpose of supporting the cystoccle and preventing descent of the uterus. The patient being placed in the lithotomy position, the cervix is grasped with a volsella and a crescentic incision made anteriorly at the cervico-vaginal junction.
Page 149 - ... all the slack in the base of the bladder, from side to side; these sutures are also left long. The three sutures are then tied successively, beginning with the middle one. The effect of this is to stretch the base of the bladder taut and smooth in every direction.
Page 289 - ... a matter of much importance to distinguish between streptococcus infection and that of other germs. This can only be done positively by microscopic examination of the lochia. Unfortunately, even this is at times misleading or utterly unavailing. Furthermore, it is not always practicable, especially in the less densely populated districts, hence it becomes necessary to depend on the clinical evidences. It may be stated, as a rule, that putrid...
Page i - Member of the American Medical Association, of the Ninth International Medical Congress, etc. Second Revised Edition. Illustrated with 350 Engravings, a Colored Frontispiece, and 13 Full-page Halftone Plates.
Page 399 - The protein disintegration varies in different individuals and in the same individual at different periods of the fast.
Page 377 - ... it is destroyed and the fundus reached. The anterior retractor should continually follow the finger into the depths of the dissection, and the traction forceps should always secure a new hold on the tissues above before a piece is cut away. When the peritoneal cavity is reached the narrow retractor should be substituted for the anterior one, and should be pushed up into the cavity. Traction on the fundus will now cause it to roll forward and out into the vagina. Forceps are now applied to the...