Broad ligament of the uterus Stock Photos and Images
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Broad ligament of the uterus Stock Photos and Images
the large veins of the uterus of a cat in pregnancy Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-large-veins-of-the-uterus-of-a-cat-in-pregnancy-image273068498.htmlRFWT79JA–the large veins of the uterus of a cat in pregnancy
Internal genitals of women, vintage engraved illustration. Usual Medicine Dictionary - Paul Labarthe - 1885. Stock Vectorhttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-internal-genitals-of-women-vintage-engraved-illustration-usual-medicine-84406757.htmlRFEW91K1–Internal genitals of women, vintage engraved illustration. Usual Medicine Dictionary - Paul Labarthe - 1885.
EB1911 Reproductive System, in Anatomy A. uterus and broad ligament; B. uterine cavity Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-image-eb1911-reproductive-system-in-anatomy-a-uterus-and-broad-ligament-162151848.htmlRMKBPJ9C–EB1911 Reproductive System, in Anatomy A. uterus and broad ligament; B. uterine cavity
An atlas of human anatomy for students and physicians . ection through the Female Pelvis, 4 Centimetres (r575 Inches) to the Right of theMedian Plane. The Section passes through the Right Broad Ligament of the Uterus, and showsthe Continuity of the Two Layers of this Ligament with the Parietal Peritoneum of the Floor ofthe Pelvis. *Parametrium, or Parametric Connective Tissue {see Appe7id!.7tote^). Diaphragma Pelvis,the Pelvic Diaphragm (see Appejuiix, note *), with its Superior and Inferior Fascial Layers, and Inferiorto the Latter of these the Fatty Tissue of the Ischiorectal Fossa. From a Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/an-atlas-of-human-anatomy-for-students-and-physicians-ection-through-the-female-pelvis-4-centimetres-r575-inches-to-the-right-of-themedian-plane-the-section-passes-through-the-right-broad-ligament-of-the-uterus-and-showsthe-continuity-of-the-two-layers-of-this-ligament-with-the-parietal-peritoneum-of-the-floor-ofthe-pelvis-parametrium-or-parametric-connective-tissue-see-appe7id!7tote-diaphragma-pelvisthe-pelvic-diaphragm-see-appejuiix-note-with-its-superior-and-inferior-fascial-layers-and-inferiorto-the-latter-of-these-the-fatty-tissue-of-the-ischiorectal-fossa-from-a-image338287676.htmlRM2AJA9AM–An atlas of human anatomy for students and physicians . ection through the Female Pelvis, 4 Centimetres (r575 Inches) to the Right of theMedian Plane. The Section passes through the Right Broad Ligament of the Uterus, and showsthe Continuity of the Two Layers of this Ligament with the Parietal Peritoneum of the Floor ofthe Pelvis. *Parametrium, or Parametric Connective Tissue {see Appe7id!.7tote^). Diaphragma Pelvis,the Pelvic Diaphragm (see Appejuiix, note *), with its Superior and Inferior Fascial Layers, and Inferiorto the Latter of these the Fatty Tissue of the Ischiorectal Fossa. From a
FEMALE GENITALIA, DRAWING Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-female-genitalia-drawing-49267381.htmlRMCT4919–FEMALE GENITALIA, DRAWING
. Cunningham's Text-book of anatomy. Anatomy. THE OVAEY. 1311 OVAEIUM. The ovary is a solid body, flattened from side to side, and about the size and shape of a large almond. Its length is usually between one and one and a half inches, and the thickness from side to side between a quarter and half an inch. In the adult the ovary is placed against the lateral wall of the pelvic cavity, and is connected by peritoneal folds with the broad ligament of the uterus and with the lateral wall of the pelvis. The position occupied by the ovary within the pelvic cavity is fairly constant, although these l Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/cunninghams-text-book-of-anatomy-anatomy-the-ovaey-1311-ovaeium-the-ovary-is-a-solid-body-flattened-from-side-to-side-and-about-the-size-and-shape-of-a-large-almond-its-length-is-usually-between-one-and-one-and-a-half-inches-and-the-thickness-from-side-to-side-between-a-quarter-and-half-an-inch-in-the-adult-the-ovary-is-placed-against-the-lateral-wall-of-the-pelvic-cavity-and-is-connected-by-peritoneal-folds-with-the-broad-ligament-of-the-uterus-and-with-the-lateral-wall-of-the-pelvis-the-position-occupied-by-the-ovary-within-the-pelvic-cavity-is-fairly-constant-although-these-l-image216339811.htmlRMPFY3HR–. Cunningham's Text-book of anatomy. Anatomy. THE OVAEY. 1311 OVAEIUM. The ovary is a solid body, flattened from side to side, and about the size and shape of a large almond. Its length is usually between one and one and a half inches, and the thickness from side to side between a quarter and half an inch. In the adult the ovary is placed against the lateral wall of the pelvic cavity, and is connected by peritoneal folds with the broad ligament of the uterus and with the lateral wall of the pelvis. The position occupied by the ovary within the pelvic cavity is fairly constant, although these l
ANATOMY, FEMALE GENITALIA Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-anatomy-female-genitalia-53860965.htmlRMD3HG5W–ANATOMY, FEMALE GENITALIA
The female reproductive system Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-the-female-reproductive-system-14030745.htmlRFAFX0RP–The female reproductive system
. Fig. 49—Same as Fig. 48, with further Development of the Muellerian Ducts. Lettering same as in Fig. 4S, except BL indicates broad ligament of the uterus and just above BL at DM, the ducts of Mueller are excavated and distended. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fig-49same-as-fig-48-with-further-development-of-the-muellerian-ducts-lettering-same-as-in-fig-4s-except-bl-indicates-broad-ligament-of-the-uterus-and-just-above-bl-at-dm-the-ducts-of-mueller-are-excavated-and-distended-image179903833.htmlRMMCK94W–. Fig. 49—Same as Fig. 48, with further Development of the Muellerian Ducts. Lettering same as in Fig. 4S, except BL indicates broad ligament of the uterus and just above BL at DM, the ducts of Mueller are excavated and distended.
Internal genitals of women, vintage engraved illustration. Usual Medicine Dictionary - Paul Labarthe - 1885. Stock Vectorhttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-internal-genitals-of-women-vintage-engraved-illustration-usual-medicine-84419074.htmlRFEW9HAX–Internal genitals of women, vintage engraved illustration. Usual Medicine Dictionary - Paul Labarthe - 1885.
An atlas of human anatomy for students and physicians . cahs transversa Urachal or median umbilical fold•Plica umbilicalis media Anterior superior spineof the ilium Spina ilutL.i anteriorsuperior Fallopian tube 1 uba uterina (Falloppii) , Mesosalpinx-^ I Broad ligament of the uterus Mesometrium- J Lif;amentum latum uteri Uterovesical pouch lixeavatio ves.eo-iiterina Body of the uterus (anterior or vesical surface) Corpus uteri (facies vesicalis) Urinary bladderesica urinaria Fig. 929.—Pelvic Viscera ok a Female aged Twentv-nine Years, seen from Above and Before. Sacral promontoryIrom Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/an-atlas-of-human-anatomy-for-students-and-physicians-cahs-transversa-urachal-or-median-umbilical-foldplica-umbilicalis-media-anterior-superior-spineof-the-ilium-spina-ilutli-anteriorsuperior-fallopian-tube-1-uba-uterina-falloppii-mesosalpinx-i-broad-ligament-of-the-uterus-mesometrium-j-lifamentum-latum-uteri-uterovesical-pouch-lixeavatio-veseo-iiterina-body-of-the-uterus-anterior-or-vesical-surface-corpus-uteri-facies-vesicalis-urinary-bladderesica-urinaria-fig-929pelvic-viscera-ok-a-female-aged-twentv-nine-years-seen-from-above-and-before-sacral-promontoryirom-image338269194.htmlRM2AJ9DPJ–An atlas of human anatomy for students and physicians . cahs transversa Urachal or median umbilical fold•Plica umbilicalis media Anterior superior spineof the ilium Spina ilutL.i anteriorsuperior Fallopian tube 1 uba uterina (Falloppii) , Mesosalpinx-^ I Broad ligament of the uterus Mesometrium- J Lif;amentum latum uteri Uterovesical pouch lixeavatio ves.eo-iiterina Body of the uterus (anterior or vesical surface) Corpus uteri (facies vesicalis) Urinary bladderesica urinaria Fig. 929.—Pelvic Viscera ok a Female aged Twentv-nine Years, seen from Above and Before. Sacral promontoryIrom
ANATOMY, FEMALE GENITALIA Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-anatomy-female-genitalia-53860966.htmlRMD3HG5X–ANATOMY, FEMALE GENITALIA
The female reproductive system Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-the-female-reproductive-system-14038679.htmlRFAFXTCT–The female reproductive system
. Fig. 49—Same as Fig. 48, with further Developruent of the Muellerian Ducts. Lettering same as in Fig. 48, except BL indicates broad ligament of the uterus and just above BL at DM, the ducts of Mueller are excavated and distended. I Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fig-49same-as-fig-48-with-further-developruent-of-the-muellerian-ducts-lettering-same-as-in-fig-48-except-bl-indicates-broad-ligament-of-the-uterus-and-just-above-bl-at-dm-the-ducts-of-mueller-are-excavated-and-distended-i-image179903209.htmlRMMCK8AH–. Fig. 49—Same as Fig. 48, with further Developruent of the Muellerian Ducts. Lettering same as in Fig. 48, except BL indicates broad ligament of the uterus and just above BL at DM, the ducts of Mueller are excavated and distended. I
. The anatomy of the domestic animals . Veterinary anatomy. 668 BLOOD-VASCULAE SYSTEM OF THE HORSE collateral branches are detached to the ureter, the epididj'mis, and the spermatic cord. ' a. The utero-ovarian arteries in the female correspond to the preceding ves- sels, but are much larger and shorter. Each is placed in the anterior part of the broad ligament of the uterus and divides into ovarian and uterine branches. The ovarian artery (A. ovarica) pursues a flexuous course to the ovary, which it supplies. The anterior uterine artery (A. uterina cranialis) passes to the concave border of Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-anatomy-of-the-domestic-animals-veterinary-anatomy-668-blood-vasculae-system-of-the-horse-collateral-branches-are-detached-to-the-ureter-the-epididjmis-and-the-spermatic-cord-a-the-utero-ovarian-arteries-in-the-female-correspond-to-the-preceding-ves-sels-but-are-much-larger-and-shorter-each-is-placed-in-the-anterior-part-of-the-broad-ligament-of-the-uterus-and-divides-into-ovarian-and-uterine-branches-the-ovarian-artery-a-ovarica-pursues-a-flexuous-course-to-the-ovary-which-it-supplies-the-anterior-uterine-artery-a-uterina-cranialis-passes-to-the-concave-border-of-image232323522.htmlRMRDY70J–. The anatomy of the domestic animals . Veterinary anatomy. 668 BLOOD-VASCULAE SYSTEM OF THE HORSE collateral branches are detached to the ureter, the epididj'mis, and the spermatic cord. ' a. The utero-ovarian arteries in the female correspond to the preceding ves- sels, but are much larger and shorter. Each is placed in the anterior part of the broad ligament of the uterus and divides into ovarian and uterine branches. The ovarian artery (A. ovarica) pursues a flexuous course to the ovary, which it supplies. The anterior uterine artery (A. uterina cranialis) passes to the concave border of
ANATOMY, FEMALE GENITALIA Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-anatomy-female-genitalia-53860964.htmlRMD3HG5T–ANATOMY, FEMALE GENITALIA
The female reproductive system Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/stock-photo-the-female-reproductive-system-14034969.htmlRFAFXDBP–The female reproductive system
. Anatomy in a nutshell : a treatise on human anatomy in its relation to osteopathy. Human anatomy; Osteopathic medicine; Osteopathic Medicine; Anatomy. ANATOMY IN A NUTSHELL. 457 plies the testicle. Each artery anastomoses with the artery of the vas deferens and the cremasteric artery. In the female these arteries are called the ovarian. They are shorter than the spermatic and do no1 pass out of the abdominal cav- ity. They rim between the layers of the broad ligament of the uterus to the ovary and the round ligament and Fallopian tubes. Branches are given off which follow the round ligament Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/anatomy-in-a-nutshell-a-treatise-on-human-anatomy-in-its-relation-to-osteopathy-human-anatomy-osteopathic-medicine-osteopathic-medicine-anatomy-anatomy-in-a-nutshell-457-plies-the-testicle-each-artery-anastomoses-with-the-artery-of-the-vas-deferens-and-the-cremasteric-artery-in-the-female-these-arteries-are-called-the-ovarian-they-are-shorter-than-the-spermatic-and-do-no1-pass-out-of-the-abdominal-cav-ity-they-rim-between-the-layers-of-the-broad-ligament-of-the-uterus-to-the-ovary-and-the-round-ligament-and-fallopian-tubes-branches-are-given-off-which-follow-the-round-ligament-image236762931.htmlRMRN5DEY–. Anatomy in a nutshell : a treatise on human anatomy in its relation to osteopathy. Human anatomy; Osteopathic medicine; Osteopathic Medicine; Anatomy. ANATOMY IN A NUTSHELL. 457 plies the testicle. Each artery anastomoses with the artery of the vas deferens and the cremasteric artery. In the female these arteries are called the ovarian. They are shorter than the spermatic and do no1 pass out of the abdominal cav- ity. They rim between the layers of the broad ligament of the uterus to the ovary and the round ligament and Fallopian tubes. Branches are given off which follow the round ligament
. The anatomy of the domestic animals. Veterinary anatomy. 668 BLOOD-VASCULAR SYSTEM OF THE HORSE collateral branches an- (U'tai'h('(l to the ureter, the eiiiilidyinis, anil the spermatic conl. V a. The utero-ovarian arteries in the female eorrespontl to the preceding ves- sels, but arc much larger and shorter. Each is placed in the anterior part of the broad ligament of the uterus and divides into ovarian and uterine branches. The ovarian artery (.. ovarica) pursues a flexuous course to the ovary, which it supplies. Till' anterior uterine artery (A. uterina cranialis) passes to the concave b Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-anatomy-of-the-domestic-animals-veterinary-anatomy-668-blood-vascular-system-of-the-horse-collateral-branches-an-utaihl-to-the-ureter-the-eiiiilidyinis-anil-the-spermatic-conl-v-a-the-utero-ovarian-arteries-in-the-female-eorrespontl-to-the-preceding-ves-sels-but-arc-much-larger-and-shorter-each-is-placed-in-the-anterior-part-of-the-broad-ligament-of-the-uterus-and-divides-into-ovarian-and-uterine-branches-the-ovarian-artery-ovarica-pursues-a-flexuous-course-to-the-ovary-which-it-supplies-till-anterior-uterine-artery-a-uterina-cranialis-passes-to-the-concave-b-image236759421.htmlRMRN591H–. The anatomy of the domestic animals. Veterinary anatomy. 668 BLOOD-VASCULAR SYSTEM OF THE HORSE collateral branches an- (U'tai'h('(l to the ureter, the eiiiilidyinis, anil the spermatic conl. V a. The utero-ovarian arteries in the female eorrespontl to the preceding ves- sels, but arc much larger and shorter. Each is placed in the anterior part of the broad ligament of the uterus and divides into ovarian and uterine branches. The ovarian artery (.. ovarica) pursues a flexuous course to the ovary, which it supplies. Till' anterior uterine artery (A. uterina cranialis) passes to the concave b
. The anatomy of the domestic animals. Veterinary anatomy. 668 BLOOD-VASCULAB SYSTEM OF THE HOBSE collateral branches are detached to the ureter, the epididymis, and the spermatic cord. V a. The utero-ovarian arteries in the female correspond to the preceding ves- sels, but are much larger and shorter. Each is placed in the anterior part of the broad ligament of the uterus and divides into ovarian and uterine branches. The ovarian artery (A. ovarica) pursues a flexuous course to the ovary, which it supplies. The anterior uterine artery (A. uterina cranialis) passes to the concave border of the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-anatomy-of-the-domestic-animals-veterinary-anatomy-668-blood-vasculab-system-of-the-hobse-collateral-branches-are-detached-to-the-ureter-the-epididymis-and-the-spermatic-cord-v-a-the-utero-ovarian-arteries-in-the-female-correspond-to-the-preceding-ves-sels-but-are-much-larger-and-shorter-each-is-placed-in-the-anterior-part-of-the-broad-ligament-of-the-uterus-and-divides-into-ovarian-and-uterine-branches-the-ovarian-artery-a-ovarica-pursues-a-flexuous-course-to-the-ovary-which-it-supplies-the-anterior-uterine-artery-a-uterina-cranialis-passes-to-the-concave-border-of-the-image236759527.htmlRMRN595B–. The anatomy of the domestic animals. Veterinary anatomy. 668 BLOOD-VASCULAB SYSTEM OF THE HOBSE collateral branches are detached to the ureter, the epididymis, and the spermatic cord. V a. The utero-ovarian arteries in the female correspond to the preceding ves- sels, but are much larger and shorter. Each is placed in the anterior part of the broad ligament of the uterus and divides into ovarian and uterine branches. The ovarian artery (A. ovarica) pursues a flexuous course to the ovary, which it supplies. The anterior uterine artery (A. uterina cranialis) passes to the concave border of the
. Cunningham's Text-book of anatomy. Anatomy. THE OVAEY. 1311 OVAEIUM. The ovary is a solid body, flattened from side to side, and about the size and shape of a large almond. Its length is usually between one and one and a half inches, and the thickness from side to side between a quarter and half an inch. In the adult the ovary is placed against the lateral wall of the pelvic cavity, and is connected by peritoneal folds with the broad ligament of the uterus and with the lateral wall of the pelvis. The position occupied by the ovary within the pelvic cavity is fairly constant, although these l Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/cunninghams-text-book-of-anatomy-anatomy-the-ovaey-1311-ovaeium-the-ovary-is-a-solid-body-flattened-from-side-to-side-and-about-the-size-and-shape-of-a-large-almond-its-length-is-usually-between-one-and-one-and-a-half-inches-and-the-thickness-from-side-to-side-between-a-quarter-and-half-an-inch-in-the-adult-the-ovary-is-placed-against-the-lateral-wall-of-the-pelvic-cavity-and-is-connected-by-peritoneal-folds-with-the-broad-ligament-of-the-uterus-and-with-the-lateral-wall-of-the-pelvis-the-position-occupied-by-the-ovary-within-the-pelvic-cavity-is-fairly-constant-although-these-l-image231867957.htmlRMRD6DXD–. Cunningham's Text-book of anatomy. Anatomy. THE OVAEY. 1311 OVAEIUM. The ovary is a solid body, flattened from side to side, and about the size and shape of a large almond. Its length is usually between one and one and a half inches, and the thickness from side to side between a quarter and half an inch. In the adult the ovary is placed against the lateral wall of the pelvic cavity, and is connected by peritoneal folds with the broad ligament of the uterus and with the lateral wall of the pelvis. The position occupied by the ovary within the pelvic cavity is fairly constant, although these l
. An atlas of human anatomy for students and physicians. Anatomy. Anterior superior spine of the ilium Spina iliaca anterior superior Fallopian tube Tuba uterina (Falloppii) Upper limit of the pelvic cavity, /,' or brim of the pelvis ('' Round ligament of the uterus-Lig. teres uten Hypogastric or external umbilical fold nbilit Lateral false ligament of the bladder or 'trans , verse vesical fold— ' Plica usicalib. transversa I Urachal or *median umbilical fold *Plica umbilicalis media Mesosalpinx- | Broad ligament of the uterus ^Mesometrium- I Ligamentum latum uteri Uterovesical pouch j B Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/an-atlas-of-human-anatomy-for-students-and-physicians-anatomy-anterior-superior-spine-of-the-ilium-spina-iliaca-anterior-superior-fallopian-tube-tuba-uterina-falloppii-upper-limit-of-the-pelvic-cavity-or-brim-of-the-pelvis-round-ligament-of-the-uterus-lig-teres-uten-hypogastric-or-external-umbilical-fold-nbilit-lateral-false-ligament-of-the-bladder-or-trans-verse-vesical-fold-plica-usicalib-transversa-i-urachal-or-median-umbilical-fold-plica-umbilicalis-media-mesosalpinx-broad-ligament-of-the-uterus-mesometrium-i-ligamentum-latum-uteri-uterovesical-pouch-j-b-image235393448.htmlRMRJY2MT–. An atlas of human anatomy for students and physicians. Anatomy. Anterior superior spine of the ilium Spina iliaca anterior superior Fallopian tube Tuba uterina (Falloppii) Upper limit of the pelvic cavity, /,' or brim of the pelvis ('' Round ligament of the uterus-Lig. teres uten Hypogastric or external umbilical fold nbilit Lateral false ligament of the bladder or 'trans , verse vesical fold— ' Plica usicalib. transversa I Urachal or *median umbilical fold *Plica umbilicalis media Mesosalpinx- | Broad ligament of the uterus ^Mesometrium- I Ligamentum latum uteri Uterovesical pouch j B
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . utthree weeks. This was followed by a very offensive leucorrhealdischarge. From July, 1916, until March, 1917, there was an occa-sional uterine hemorrhage of from two to ten days duration. Shehad lost about 10 pounds in weight in the past eight months. Onabdominal palpation a large solid tumor inthe lower abdomen couldeasily be mapped out (Fig. 1); on bimanual examination it wasascertained that this tumor involved the uterus and extended into THE CORPUS UTERI. 391 the left broad ligament; an examinat Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/transactions-of-the-american-association-of-obstetricians-and-gynecologists-for-the-year-utthree-weeks-this-was-followed-by-a-very-offensive-leucorrhealdischarge-from-july-1916-until-march-1917-there-was-an-occa-sional-uterine-hemorrhage-of-from-two-to-ten-days-duration-shehad-lost-about-10-pounds-in-weight-in-the-past-eight-months-onabdominal-palpation-a-large-solid-tumor-inthe-lower-abdomen-couldeasily-be-mapped-out-fig-1-on-bimanual-examination-it-wasascertained-that-this-tumor-involved-the-uterus-and-extended-into-the-corpus-uteri-391-the-left-broad-ligament-an-examinat-image339473581.htmlRM2AM8A0D–Transactions of the American Association of Obstetricians and Gynecologists for the year ... . utthree weeks. This was followed by a very offensive leucorrhealdischarge. From July, 1916, until March, 1917, there was an occa-sional uterine hemorrhage of from two to ten days duration. Shehad lost about 10 pounds in weight in the past eight months. Onabdominal palpation a large solid tumor inthe lower abdomen couldeasily be mapped out (Fig. 1); on bimanual examination it wasascertained that this tumor involved the uterus and extended into THE CORPUS UTERI. 391 the left broad ligament; an examinat
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . It > papuliferous ovarian cyst. The accompanying myoma ofthe uterus was not diagnosed before operation. OVARIAN CYSTS 113. 114 GROSS LESIONS OF APPENDAGES chap. Broad-Ligament Cysts.—Figure 125 shows an intra-ligamentary cystoma which arose on the right side, and by Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fibroids-and-allied-tumours-myoma-and-adenomyoma-their-pathology-clinical-features-and-surgical-treatment-it-gt-papuliferous-ovarian-cyst-the-accompanying-myoma-ofthe-uterus-was-not-diagnosed-before-operation-ovarian-cysts-113-114-gross-lesions-of-appendages-chap-broad-ligament-cystsfigure-125-shows-an-intra-ligamentary-cystoma-which-arose-on-the-right-side-and-by-image340203705.htmlRM2ANDH89–Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . It > papuliferous ovarian cyst. The accompanying myoma ofthe uterus was not diagnosed before operation. OVARIAN CYSTS 113. 114 GROSS LESIONS OF APPENDAGES chap. Broad-Ligament Cysts.—Figure 125 shows an intra-ligamentary cystoma which arose on the right side, and by
Gynecology . of the uterus has been delivered. The broad ligament of the left side is about to be tied and cut. The parametrial tissue is excised as far away from the uterus as possible,there being some bleeding from the hemorrhoidal vessels that run to theuterosacral ligaments. (5) Removal of Uterus and Adnexa.—The fundus of the uterus is deliveredthrough the opening into the uterovesical pouch. This is accomplishedby passing the forefinger of the left hand into the pouch of Douglas andanteflexing the fundus by pressure from behind. The fundus is seized withstrong volsella and drawn sharply f Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-of-the-uterus-has-been-delivered-the-broad-ligament-of-the-left-side-is-about-to-be-tied-and-cut-the-parametrial-tissue-is-excised-as-far-away-from-the-uterus-as-possiblethere-being-some-bleeding-from-the-hemorrhoidal-vessels-that-run-to-theuterosacral-ligaments-5-removal-of-uterus-and-adnexathe-fundus-of-the-uterus-is-deliveredthrough-the-opening-into-the-uterovesical-pouch-this-is-accomplishedby-passing-the-forefinger-of-the-left-hand-into-the-pouch-of-douglas-andanteflexing-the-fundus-by-pressure-from-behind-the-fundus-is-seized-withstrong-volsella-and-drawn-sharply-f-image340275744.htmlRM2ANGW54–Gynecology . of the uterus has been delivered. The broad ligament of the left side is about to be tied and cut. The parametrial tissue is excised as far away from the uterus as possible,there being some bleeding from the hemorrhoidal vessels that run to theuterosacral ligaments. (5) Removal of Uterus and Adnexa.—The fundus of the uterus is deliveredthrough the opening into the uterovesical pouch. This is accomplishedby passing the forefinger of the left hand into the pouch of Douglas andanteflexing the fundus by pressure from behind. The fundus is seized withstrong volsella and drawn sharply f
Gynecology . Fig. 356.—Schautas Operation for Cancer of the Cervix.The fundus of the uterus has been delivered. The broad ligament of the left side is about to be tied and cut. The parametrial tissue is excised as far away from the uterus as possible,there being some bleeding from the hemorrhoidal vessels that run to theuterosacral ligaments. (5) Removal of Uterus and Adnexa.—The fundus of the uterus is deliveredthrough the opening into the uterovesical pouch. This is accomplishedby passing the forefinger of the left hand into the pouch of Douglas andanteflexing the fundus by pressure from beh Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-fig-356schautas-operation-for-cancer-of-the-cervixthe-fundus-of-the-uterus-has-been-delivered-the-broad-ligament-of-the-left-side-is-about-to-be-tied-and-cut-the-parametrial-tissue-is-excised-as-far-away-from-the-uterus-as-possiblethere-being-some-bleeding-from-the-hemorrhoidal-vessels-that-run-to-theuterosacral-ligaments-5-removal-of-uterus-and-adnexathe-fundus-of-the-uterus-is-deliveredthrough-the-opening-into-the-uterovesical-pouch-this-is-accomplishedby-passing-the-forefinger-of-the-left-hand-into-the-pouch-of-douglas-andanteflexing-the-fundus-by-pressure-from-beh-image340276101.htmlRM2ANGWHW–Gynecology . Fig. 356.—Schautas Operation for Cancer of the Cervix.The fundus of the uterus has been delivered. The broad ligament of the left side is about to be tied and cut. The parametrial tissue is excised as far away from the uterus as possible,there being some bleeding from the hemorrhoidal vessels that run to theuterosacral ligaments. (5) Removal of Uterus and Adnexa.—The fundus of the uterus is deliveredthrough the opening into the uterovesical pouch. This is accomplishedby passing the forefinger of the left hand into the pouch of Douglas andanteflexing the fundus by pressure from beh
Gynaecology for students and practitioners . them lies the uterus, which is only slightly enlarged. The largerlobe has expanded the left broad ligament, stretching the tube over it; theleft tube is divided near the uterus disturbance of the general pelvic relations than subperitoneal fibroids.The enlargement of the uterus which they produce is sometimesfairly symmetrical {see Fig. 213), but more or less distortion is usuallymet with. They occur in the anterior and posterior walls, and inthe fundus. Solitary fibroids are usually of the interstitial variety,and in such cases the capsule is somet Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynaecology-for-students-and-practitioners-them-lies-the-uterus-which-is-only-slightly-enlarged-the-largerlobe-has-expanded-the-left-broad-ligament-stretching-the-tube-over-it-theleft-tube-is-divided-near-the-uterus-disturbance-of-the-general-pelvic-relations-than-subperitoneal-fibroidsthe-enlargement-of-the-uterus-which-they-produce-is-sometimesfairly-symmetrical-see-fig-213-but-more-or-less-distortion-is-usuallymet-with-they-occur-in-the-anterior-and-posterior-walls-and-inthe-fundus-solitary-fibroids-are-usually-of-the-interstitial-varietyand-in-such-cases-the-capsule-is-somet-image340006138.htmlRM2AN4H8A–Gynaecology for students and practitioners . them lies the uterus, which is only slightly enlarged. The largerlobe has expanded the left broad ligament, stretching the tube over it; theleft tube is divided near the uterus disturbance of the general pelvic relations than subperitoneal fibroids.The enlargement of the uterus which they produce is sometimesfairly symmetrical {see Fig. 213), but more or less distortion is usuallymet with. They occur in the anterior and posterior walls, and inthe fundus. Solitary fibroids are usually of the interstitial variety,and in such cases the capsule is somet
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . to fall away from the pelvis towardthe diaphragm, and my assistant suggested that we probablyhad to do with a cyst of the omentum. The operation, which was made through a right rectus inci-sion extending from the umbilicus to the pubes, revealed amultilocular cyst of the omentum, with apparent implantation30 396 LOUIS FRANK, metastasis, as we thought at the time, on all the peritonealsurfaces, the cecum, small gut, mesentery, uterus, anterior andposterior layers of the broad ligament, and the tubes a Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/transactions-of-the-american-association-of-obstetricians-and-gynecologists-for-the-year-to-fall-away-from-the-pelvis-towardthe-diaphragm-and-my-assistant-suggested-that-we-probablyhad-to-do-with-a-cyst-of-the-omentum-the-operation-which-was-made-through-a-right-rectus-inci-sion-extending-from-the-umbilicus-to-the-pubes-revealed-amultilocular-cyst-of-the-omentum-with-apparent-implantation30-396-louis-frank-metastasis-as-we-thought-at-the-time-on-all-the-peritonealsurfaces-the-cecum-small-gut-mesentery-uterus-anterior-andposterior-layers-of-the-broad-ligament-and-the-tubes-a-image340025531.htmlRM2AN5E0Y–Transactions of the American Association of Obstetricians and Gynecologists for the year ... . to fall away from the pelvis towardthe diaphragm, and my assistant suggested that we probablyhad to do with a cyst of the omentum. The operation, which was made through a right rectus inci-sion extending from the umbilicus to the pubes, revealed amultilocular cyst of the omentum, with apparent implantation30 396 LOUIS FRANK, metastasis, as we thought at the time, on all the peritonealsurfaces, the cecum, small gut, mesentery, uterus, anterior andposterior layers of the broad ligament, and the tubes a
A system of midwifery . f the cavity of thepelvis, one on each side, near to the uterus, to which they are merelyattached by a ligament (the ligamentum ovarii) which is a portion ofthat duplicature of the peritoneum which connects the uterus to thepelvis, and is known by the name of ligamentum latum, or broad liga-ment. They are of an oval figure; their anterior and posterior surface is con-vex, the superior margin is also convex, while their lower edge is straight,or somewhat concave: towards their inner and outer extremities they be-come thinner. Their external surface in the virgin state is Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-system-of-midwifery-f-the-cavity-of-thepelvis-one-on-each-side-near-to-the-uterus-to-which-they-are-merelyattached-by-a-ligament-the-ligamentum-ovarii-which-is-a-portion-ofthat-duplicature-of-the-peritoneum-which-connects-the-uterus-to-thepelvis-and-is-known-by-the-name-of-ligamentum-latum-or-broad-liga-ment-they-are-of-an-oval-figure-their-anterior-and-posterior-surface-is-con-vex-the-superior-margin-is-also-convex-while-their-lower-edge-is-straightor-somewhat-concave-towards-their-inner-and-outer-extremities-they-be-come-thinner-their-external-surface-in-the-virgin-state-is-image339953399.htmlRM2AN260R–A system of midwifery . f the cavity of thepelvis, one on each side, near to the uterus, to which they are merelyattached by a ligament (the ligamentum ovarii) which is a portion ofthat duplicature of the peritoneum which connects the uterus to thepelvis, and is known by the name of ligamentum latum, or broad liga-ment. They are of an oval figure; their anterior and posterior surface is con-vex, the superior margin is also convex, while their lower edge is straight,or somewhat concave: towards their inner and outer extremities they be-come thinner. Their external surface in the virgin state is
The principles and practice of obstetrics . broad ligament. The inner extremity of eachovary is attached to the side of the uterus by a solidfibrous cord, termed the ligament of the ovary. Under the peritoneal coat is the tunica albuginea, afibrous envelope so dense as to give form to the ovary.From the inner surface of this coat there are numerousprolongations of fibrous bands, in the interstices ofwhich will be found a large number of small bodies,which give a soft spongy character to the whole tissueduring childhood. These are the rudiments of theGraafian vesicles or ovisacs. Toward the age Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-principles-and-practice-of-obstetrics-broad-ligament-the-inner-extremity-of-eachovary-is-attached-to-the-side-of-the-uterus-by-a-solidfibrous-cord-termed-the-ligament-of-the-ovary-under-the-peritoneal-coat-is-the-tunica-albuginea-afibrous-envelope-so-dense-as-to-give-form-to-the-ovaryfrom-the-inner-surface-of-this-coat-there-are-numerousprolongations-of-fibrous-bands-in-the-interstices-ofwhich-will-be-found-a-large-number-of-small-bodieswhich-give-a-soft-spongy-character-to-the-whole-tissueduring-childhood-these-are-the-rudiments-of-thegraafian-vesicles-or-ovisacs-toward-the-age-image338443443.htmlRM2AJHC1R–The principles and practice of obstetrics . broad ligament. The inner extremity of eachovary is attached to the side of the uterus by a solidfibrous cord, termed the ligament of the ovary. Under the peritoneal coat is the tunica albuginea, afibrous envelope so dense as to give form to the ovary.From the inner surface of this coat there are numerousprolongations of fibrous bands, in the interstices ofwhich will be found a large number of small bodies,which give a soft spongy character to the whole tissueduring childhood. These are the rudiments of theGraafian vesicles or ovisacs. Toward the age
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . of the uterus adaj-cent to the tear. There was no fresh bleeding on admission.Patient was simply kept quiet with an ice pack over the uterusafter her recovery from shock. Temperature for the first twoand one-half weeks ranged between 980 and 100.40. On July12, as the lochia was very foul and as the fibroid was evidentlybecoming gangrenous, an easy myomectomy was performed frombelow. The tear into the broad ligament was healing fairlywell. After the operation the patient had an up-and-down FIBROMYOMAT Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/transactions-of-the-american-association-of-obstetricians-and-gynecologists-for-the-year-of-the-uterus-adaj-cent-to-the-tear-there-was-no-fresh-bleeding-on-admissionpatient-was-simply-kept-quiet-with-an-ice-pack-over-the-uterusafter-her-recovery-from-shock-temperature-for-the-first-twoand-one-half-weeks-ranged-between-980-and-10040-on-july12-as-the-lochia-was-very-foul-and-as-the-fibroid-was-evidentlybecoming-gangrenous-an-easy-myomectomy-was-performed-frombelow-the-tear-into-the-broad-ligament-was-healing-fairlywell-after-the-operation-the-patient-had-an-up-and-down-fibromyomat-image338372242.htmlRM2AJE56X–Transactions of the American Association of Obstetricians and Gynecologists for the year ... . of the uterus adaj-cent to the tear. There was no fresh bleeding on admission.Patient was simply kept quiet with an ice pack over the uterusafter her recovery from shock. Temperature for the first twoand one-half weeks ranged between 980 and 100.40. On July12, as the lochia was very foul and as the fibroid was evidentlybecoming gangrenous, an easy myomectomy was performed frombelow. The tear into the broad ligament was healing fairlywell. After the operation the patient had an up-and-down FIBROMYOMAT
A treatise on the science and practice of midwifery . They are the broad, the vesieo-uterine, andsacro-uterine ligaments ; the round ligaments are not peritoneal foldslike the others. Broad Ligaments.—The broad ligaments extend from either sideof the uterus, where their laminae are separated from each other,transversely across to the pelvic wall, and thus divide the cavity ofthe pelvis into two parts; the anterior containing the bladder, theposterior the rectum. Their upper borders are divided into threesubsidiary folds, the anterior of which contains the round ligament,the middle the Fallopia Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-treatise-on-the-science-and-practice-of-midwifery-they-are-the-broad-the-vesieo-uterine-andsacro-uterine-ligaments-the-round-ligaments-are-not-peritoneal-foldslike-the-others-broad-ligamentsthe-broad-ligaments-extend-from-either-sideof-the-uterus-where-their-laminae-are-separated-from-each-othertransversely-across-to-the-pelvic-wall-and-thus-divide-the-cavity-ofthe-pelvis-into-two-parts-the-anterior-containing-the-bladder-theposterior-the-rectum-their-upper-borders-are-divided-into-threesubsidiary-folds-the-anterior-of-which-contains-the-round-ligamentthe-middle-the-fallopia-image338430586.htmlRM2AJGRJJ–A treatise on the science and practice of midwifery . They are the broad, the vesieo-uterine, andsacro-uterine ligaments ; the round ligaments are not peritoneal foldslike the others. Broad Ligaments.—The broad ligaments extend from either sideof the uterus, where their laminae are separated from each other,transversely across to the pelvic wall, and thus divide the cavity ofthe pelvis into two parts; the anterior containing the bladder, theposterior the rectum. Their upper borders are divided into threesubsidiary folds, the anterior of which contains the round ligament,the middle the Fallopia
A text-book of clinical anatomy : for students and practitioners . Thatportion of the broad ligament which they enter is called the infundibulo-pelvic ligament. The veins of the uterus pass into the internal iliacveins. The ovarian arteries also supply the ovaries, the tubes beingchiefly nourished by a branch of the uterine artery, so that it is neces-sary, in extirpating the tube and ovary, to consider their double sourceof supply from the ovarian artery through the infundibulo-pelvic liga-ment, which it is necessary to ligate, and from the uterine artery at theinner end of the tube (Fig. 101 Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-text-book-of-clinical-anatomy-for-students-and-practitioners-thatportion-of-the-broad-ligament-which-they-enter-is-called-the-infundibulo-pelvic-ligament-the-veins-of-the-uterus-pass-into-the-internal-iliacveins-the-ovarian-arteries-also-supply-the-ovaries-the-tubes-beingchiefly-nourished-by-a-branch-of-the-uterine-artery-so-that-it-is-neces-sary-in-extirpating-the-tube-and-ovary-to-consider-their-double-sourceof-supply-from-the-ovarian-artery-through-the-infundibulo-pelvic-liga-ment-which-it-is-necessary-to-ligate-and-from-the-uterine-artery-at-theinner-end-of-the-tube-fig-101-image340208886.htmlRM2ANDRWA–A text-book of clinical anatomy : for students and practitioners . Thatportion of the broad ligament which they enter is called the infundibulo-pelvic ligament. The veins of the uterus pass into the internal iliacveins. The ovarian arteries also supply the ovaries, the tubes beingchiefly nourished by a branch of the uterine artery, so that it is neces-sary, in extirpating the tube and ovary, to consider their double sourceof supply from the ovarian artery through the infundibulo-pelvic liga-ment, which it is necessary to ligate, and from the uterine artery at theinner end of the tube (Fig. 101
The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 491. — Interstitial Pregnancy.Right Wall of the Uterus. FourthMonth.—{Bumm.) ECTOPIC GESTATION. 363. Fig. 492.—Intraligamentous Pregnancy.Broad Ligament.—{Bumm.) Left commonly stated that in any of these cases death of the ovum may be followedby suppuration, but it is difficult to understand how this could result under thenormal sterile conditions which should obtain. If the fetus dies only afterreaching an advanced stage of development, some one of various changes notedexceptionally after intraut Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-practice-of-obstetrics-designed-for-the-use-of-students-and-practitioners-of-medicine-fig-491-interstitial-pregnancyright-wall-of-the-uterus-fourthmonthbumm-ectopic-gestation-363-fig-492intraligamentous-pregnancybroad-ligamentbumm-left-commonly-stated-that-in-any-of-these-cases-death-of-the-ovum-may-be-followedby-suppuration-but-it-is-difficult-to-understand-how-this-could-result-under-thenormal-sterile-conditions-which-should-obtain-if-the-fetus-dies-only-afterreaching-an-advanced-stage-of-development-some-one-of-various-changes-notedexceptionally-after-intraut-image343275661.htmlRM2AXDFH1–The practice of obstetrics, designed for the use of students and practitioners of medicine . Fig. 491. — Interstitial Pregnancy.Right Wall of the Uterus. FourthMonth.—{Bumm.) ECTOPIC GESTATION. 363. Fig. 492.—Intraligamentous Pregnancy.Broad Ligament.—{Bumm.) Left commonly stated that in any of these cases death of the ovum may be followedby suppuration, but it is difficult to understand how this could result under thenormal sterile conditions which should obtain. If the fetus dies only afterreaching an advanced stage of development, some one of various changes notedexceptionally after intraut
. The diagnosis and treatment of diseases of women. ig. 539), and between them are a number of importantstructures. This disposition of the peritoneum and consequent formation of thebroad ligaments, is represented very well by a thin cloth laid over the pelvisand then tucked down snugly around the pelvic organs. The peritoneum cover-ing the anterior surface of the uterus, when continued laterally forms the anteriorlayer of the broad ligament, and that covering the posterior surface of the uterus,continued laterally, forms the posterior layer of the broad ligament. Betweenthese two layers of pe Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-diagnosis-and-treatment-of-diseases-of-women-ig-539-and-between-them-are-a-number-of-importantstructures-this-disposition-of-the-peritoneum-and-consequent-formation-of-thebroad-ligaments-is-represented-very-well-by-a-thin-cloth-laid-over-the-pelvisand-then-tucked-down-snugly-around-the-pelvic-organs-the-peritoneum-cover-ing-the-anterior-surface-of-the-uterus-when-continued-laterally-forms-the-anteriorlayer-of-the-broad-ligament-and-that-covering-the-posterior-surface-of-the-uteruscontinued-laterally-forms-the-posterior-layer-of-the-broad-ligament-betweenthese-two-layers-of-pe-image336788892.htmlRM2AFX1JM–. The diagnosis and treatment of diseases of women. ig. 539), and between them are a number of importantstructures. This disposition of the peritoneum and consequent formation of thebroad ligaments, is represented very well by a thin cloth laid over the pelvisand then tucked down snugly around the pelvic organs. The peritoneum cover-ing the anterior surface of the uterus, when continued laterally forms the anteriorlayer of the broad ligament, and that covering the posterior surface of the uterus,continued laterally, forms the posterior layer of the broad ligament. Betweenthese two layers of pe
Gynecological diagnosis and pathology . ontroversy as AFFECTIONS OF THE OVARY 151 to the direction of the long axis of the ovary under normal conditions.This varies with the position of the uterus. The relations of the ovaryhave a bearing on the conditions found when the abdomen is opened and the broad ligament pulled up into view (fig. 8). The attachments, especially that through the ovario pelvic ami lite varian ligaments, are (if importance in relation to prolapse of th ovary. When these ligamentsbecome relaxed, as in retroversion, the ovary tends to fall downwardsand may be even below the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecological-diagnosis-and-pathology-ontroversy-as-affections-of-the-ovary-151-to-the-direction-of-the-long-axis-of-the-ovary-under-normal-conditionsthis-varies-with-the-position-of-the-uterus-the-relations-of-the-ovaryhave-a-bearing-on-the-conditions-found-when-the-abdomen-is-opened-and-the-broad-ligament-pulled-up-into-view-fig-8-the-attachments-especially-that-through-the-ovario-pelvic-ami-lite-varian-ligaments-are-if-importance-in-relation-to-prolapse-of-th-ovary-when-these-ligamentsbecome-relaxed-as-in-retroversion-the-ovary-tends-to-fall-downwardsand-may-be-even-below-the-image338509836.htmlRM2AJMCN0–Gynecological diagnosis and pathology . ontroversy as AFFECTIONS OF THE OVARY 151 to the direction of the long axis of the ovary under normal conditions.This varies with the position of the uterus. The relations of the ovaryhave a bearing on the conditions found when the abdomen is opened and the broad ligament pulled up into view (fig. 8). The attachments, especially that through the ovario pelvic ami lite varian ligaments, are (if importance in relation to prolapse of th ovary. When these ligamentsbecome relaxed, as in retroversion, the ovary tends to fall downwardsand may be even below the
Gynecology . th one ligature and cut. After cutting the round ligament, theregion of the uterine vessels is exposed by cutting the leaves of the broad liga-ment as close to the round ligament as possible. If the division of the broadligaments is carried down too close to the uterus, several branches of the uterinevessels are inevitably wounded and require extra clamps to control the hemor- HYSTERECTOMY OPERATIONS 615 rhage. (It is important to limit the number of clamps as much as possible, forthey greatly hamper the progress and smooth technic of the operation.) Whenthe leaves of the broad li Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-th-one-ligature-and-cut-after-cutting-the-round-ligament-theregion-of-the-uterine-vessels-is-exposed-by-cutting-the-leaves-of-the-broad-liga-ment-as-close-to-the-round-ligament-as-possible-if-the-division-of-the-broadligaments-is-carried-down-too-close-to-the-uterus-several-branches-of-the-uterinevessels-are-inevitably-wounded-and-require-extra-clamps-to-control-the-hemor-hysterectomy-operations-615-rhage-it-is-important-to-limit-the-number-of-clamps-as-much-as-possible-forthey-greatly-hamper-the-progress-and-smooth-technic-of-the-operation-whenthe-leaves-of-the-broad-li-image340291841.htmlRM2ANHHM1–Gynecology . th one ligature and cut. After cutting the round ligament, theregion of the uterine vessels is exposed by cutting the leaves of the broad liga-ment as close to the round ligament as possible. If the division of the broadligaments is carried down too close to the uterus, several branches of the uterinevessels are inevitably wounded and require extra clamps to control the hemor- HYSTERECTOMY OPERATIONS 615 rhage. (It is important to limit the number of clamps as much as possible, forthey greatly hamper the progress and smooth technic of the operation.) Whenthe leaves of the broad li
. The diagnosis and treatment of diseases of women. tween the layers of the broad-ligament, separating them anddisplacing the adjacent organs. The uterus is pushed far to one side (Fig. 667)and the tube is usually stretched over the cyst, being much lengthened andflattened. The ovary also is flattened out on the surface of the cyst. There ismore or less fixation of the cyst and also of the displaced uterus. They may growunder the peritoneum and separate it from the rectum, bladder or abdominal wall. 2. They produce troublesome symptoms much earlier than ovarian cysts. Thisis due to their being Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-diagnosis-and-treatment-of-diseases-of-women-tween-the-layers-of-the-broad-ligament-separating-them-anddisplacing-the-adjacent-organs-the-uterus-is-pushed-far-to-one-side-fig-667and-the-tube-is-usually-stretched-over-the-cyst-being-much-lengthened-andflattened-the-ovary-also-is-flattened-out-on-the-surface-of-the-cyst-there-ismore-or-less-fixation-of-the-cyst-and-also-of-the-displaced-uterus-they-may-growunder-the-peritoneum-and-separate-it-from-the-rectum-bladder-or-abdominal-wall-2-they-produce-troublesome-symptoms-much-earlier-than-ovarian-cysts-thisis-due-to-their-being-image336755226.htmlRM2AFTEMA–. The diagnosis and treatment of diseases of women. tween the layers of the broad-ligament, separating them anddisplacing the adjacent organs. The uterus is pushed far to one side (Fig. 667)and the tube is usually stretched over the cyst, being much lengthened andflattened. The ovary also is flattened out on the surface of the cyst. There ismore or less fixation of the cyst and also of the displaced uterus. They may growunder the peritoneum and separate it from the rectum, bladder or abdominal wall. 2. They produce troublesome symptoms much earlier than ovarian cysts. Thisis due to their being
Text book of abdominal surgery : a clinical manual for practitioners and students . Round ligamentof uterus. Cellular tissue betweenthe broad ligament. Fig. 20.—Diagrammatic Axtero-Posterior Vertical Section of the Broad Ligament,showing the normal relation of the organs enclosed within the peritoneal folds (Hepburn). along the line of the hilum. At the same time it should benoted that the cells characteristic of peritoneum are replaced bythe columnar (germinal) epithelium. Blood vessels and nerves pass into it at the hilum from 3i8 TUMOURS OF THE OVARY. between the layers of the broad ligamen Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-abdominal-surgery-a-clinical-manual-for-practitioners-and-students-round-ligamentof-uterus-cellular-tissue-betweenthe-broad-ligament-fig-20diagrammatic-axtero-posterior-vertical-section-of-the-broad-ligamentshowing-the-normal-relation-of-the-organs-enclosed-within-the-peritoneal-folds-hepburn-along-the-line-of-the-hilum-at-the-same-time-it-should-benoted-that-the-cells-characteristic-of-peritoneum-are-replaced-bythe-columnar-germinal-epithelium-blood-vessels-and-nerves-pass-into-it-at-the-hilum-from-3i8-tumours-of-the-ovary-between-the-layers-of-the-broad-ligamen-image339883017.htmlRM2AMY075–Text book of abdominal surgery : a clinical manual for practitioners and students . Round ligamentof uterus. Cellular tissue betweenthe broad ligament. Fig. 20.—Diagrammatic Axtero-Posterior Vertical Section of the Broad Ligament,showing the normal relation of the organs enclosed within the peritoneal folds (Hepburn). along the line of the hilum. At the same time it should benoted that the cells characteristic of peritoneum are replaced bythe columnar (germinal) epithelium. Blood vessels and nerves pass into it at the hilum from 3i8 TUMOURS OF THE OVARY. between the layers of the broad ligamen
Gynaecology for students and practitioners . rior, some over theposterior surface of the uterus to anastomose, in the middle line,with corresponding branches from the artery of the opposite side(see Fig. 44). The first of these branches to be given off is of com-paratively large size, and with its fellow of the opposite sideforms the circular artery of the cervix. Near the uterine cornu theterminal portion of the uterine artery anastomoses with the ovarian(anastomotic branch). There are numerous companion veins through-out. In the broad ligament a large venous plexus (pampiniform PELVIC BLOOD- Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynaecology-for-students-and-practitioners-rior-some-over-theposterior-surface-of-the-uterus-to-anastomose-in-the-middle-linewith-corresponding-branches-from-the-artery-of-the-opposite-sidesee-fig-44-the-first-of-these-branches-to-be-given-off-is-of-com-paratively-large-size-and-with-its-fellow-of-the-opposite-sideforms-the-circular-artery-of-the-cervix-near-the-uterine-cornu-theterminal-portion-of-the-uterine-artery-anastomoses-with-the-ovariananastomotic-branch-there-are-numerous-companion-veins-through-out-in-the-broad-ligament-a-large-venous-plexus-pampiniform-pelvic-blood-image340086592.htmlRM2AN87WM–Gynaecology for students and practitioners . rior, some over theposterior surface of the uterus to anastomose, in the middle line,with corresponding branches from the artery of the opposite side(see Fig. 44). The first of these branches to be given off is of com-paratively large size, and with its fellow of the opposite sideforms the circular artery of the cervix. Near the uterine cornu theterminal portion of the uterine artery anastomoses with the ovarian(anastomotic branch). There are numerous companion veins through-out. In the broad ligament a large venous plexus (pampiniform PELVIC BLOOD-
. Operative gynecology. 24, 1894. If both sides are affected, it will be easier and better to operate by removingthe uterus and tumors together, by ligating the ovarian vessels first on one side,and so opening up the broad ligament and peeling out and rolling one of the 302 OTAEIOTOMT. tumors with the uterus up and out of the incision, and controlling the uterinevessels of that side. The uterus is then amputated in its cervical portion, the. Fto. 447-—Multiple Dermoid Cysts of Both Ovaries, with Extensive Pelvi-peritonitis involvinoUterus, Tubes, and Ovaries, seen from Above and Anteriorly. FU Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-24-1894-if-both-sides-are-affected-it-will-be-easier-and-better-to-operate-by-removingthe-uterus-and-tumors-together-by-ligating-the-ovarian-vessels-first-on-one-sideand-so-opening-up-the-broad-ligament-and-peeling-out-and-rolling-one-of-the-302-otaeiotomt-tumors-with-the-uterus-up-and-out-of-the-incision-and-controlling-the-uterinevessels-of-that-side-the-uterus-is-then-amputated-in-its-cervical-portion-the-fto-447-multiple-dermoid-cysts-of-both-ovaries-with-extensive-pelvi-peritonitis-involvinouterus-tubes-and-ovaries-seen-from-above-and-anteriorly-fu-image336858013.htmlRM2AG15R9–. Operative gynecology. 24, 1894. If both sides are affected, it will be easier and better to operate by removingthe uterus and tumors together, by ligating the ovarian vessels first on one side,and so opening up the broad ligament and peeling out and rolling one of the 302 OTAEIOTOMT. tumors with the uterus up and out of the incision, and controlling the uterinevessels of that side. The uterus is then amputated in its cervical portion, the. Fto. 447-—Multiple Dermoid Cysts of Both Ovaries, with Extensive Pelvi-peritonitis involvinoUterus, Tubes, and Ovaries, seen from Above and Anteriorly. FU
Gynecology . and obliquely through therectus muscle, entering the space between the leaves of the broad ligamentthrough the internal ring. It is forced along in the subperitoneal spaceuntil it reaches the clamp first placed on the round ligament 1^ inches fromthe uterus. The curved clamp is forced through the peritoneum and made tograsp the round ligament. It is then drawn out, bringing the loop of round OPERATIONS FOR UTERINE MALPOSITION 583 ligament with it through the channel forced by its entrance into the abdominalcavity. The loop of the round ligament is fastened beneath the rent in thef Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-and-obliquely-through-therectus-muscle-entering-the-space-between-the-leaves-of-the-broad-ligamentthrough-the-internal-ring-it-is-forced-along-in-the-subperitoneal-spaceuntil-it-reaches-the-clamp-first-placed-on-the-round-ligament-1-inches-fromthe-uterus-the-curved-clamp-is-forced-through-the-peritoneum-and-made-tograsp-the-round-ligament-it-is-then-drawn-out-bringing-the-loop-of-round-operations-for-uterine-malposition-583-ligament-with-it-through-the-channel-forced-by-its-entrance-into-the-abdominalcavity-the-loop-of-the-round-ligament-is-fastened-beneath-the-rent-in-thef-image340309788.htmlRM2ANJCH0–Gynecology . and obliquely through therectus muscle, entering the space between the leaves of the broad ligamentthrough the internal ring. It is forced along in the subperitoneal spaceuntil it reaches the clamp first placed on the round ligament 1^ inches fromthe uterus. The curved clamp is forced through the peritoneum and made tograsp the round ligament. It is then drawn out, bringing the loop of round OPERATIONS FOR UTERINE MALPOSITION 583 ligament with it through the channel forced by its entrance into the abdominalcavity. The loop of the round ligament is fastened beneath the rent in thef
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fir;. 125.—Showing a broad-ligament cyst of the right side, lying at a lower level thanthe myomatous uterus to which it was adherent. burrowing pushed up a myomatous uterus and came to hebelow the latter. The walls of the cyst were stained byyellow-ochreous patches indicative of old blood-extravasa-tions. The anterior wall of the uterus has been opened up. VI BROAD-LIGAMENT CYSTS 115. ii6 GROSS LESIONS OF APPENDAGES chap. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fibroids-and-allied-tumours-myoma-and-adenomyoma-their-pathology-clinical-features-and-surgical-treatment-fir-125showing-a-broad-ligament-cyst-of-the-right-side-lying-at-a-lower-level-thanthe-myomatous-uterus-to-which-it-was-adherent-burrowing-pushed-up-a-myomatous-uterus-and-came-to-hebelow-the-latter-the-walls-of-the-cyst-were-stained-byyellow-ochreous-patches-indicative-of-old-blood-extravasa-tions-the-anterior-wall-of-the-uterus-has-been-opened-up-vi-broad-ligament-cysts-115-ii6-gross-lesions-of-appendages-chap-image340202898.htmlRM2ANDG7E–Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fir;. 125.—Showing a broad-ligament cyst of the right side, lying at a lower level thanthe myomatous uterus to which it was adherent. burrowing pushed up a myomatous uterus and came to hebelow the latter. The walls of the cyst were stained byyellow-ochreous patches indicative of old blood-extravasa-tions. The anterior wall of the uterus has been opened up. VI BROAD-LIGAMENT CYSTS 115. ii6 GROSS LESIONS OF APPENDAGES chap.
Gynaecology for students and practitioners . of fibrous tissuecauses muscular atrophy, and thus an old pus-sac may consist ofa thick wall, composed entirely of connective tissue without a traceof muscle. The peritoneum is generally overlain by fibrinousadhesions, granulations, and finally by thick connective-tissue laminae.Generally there is also extensive pelvic peritonitis, with adhesionsto the ovary, to the back of the uterus, to the broad ligament, and tothe rectum. Tubal pus-sacs may communicate with each other orwith an ovarian abscess (see Fig. 332), in fact the adnexal structuresmay be Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynaecology-for-students-and-practitioners-of-fibrous-tissuecauses-muscular-atrophy-and-thus-an-old-pus-sac-may-consist-ofa-thick-wall-composed-entirely-of-connective-tissue-without-a-traceof-muscle-the-peritoneum-is-generally-overlain-by-fibrinousadhesions-granulations-and-finally-by-thick-connective-tissue-laminaegenerally-there-is-also-extensive-pelvic-peritonitis-with-adhesionsto-the-ovary-to-the-back-of-the-uterus-to-the-broad-ligament-and-tothe-rectum-tubal-pus-sacs-may-communicate-with-each-other-orwith-an-ovarian-abscess-see-fig-332-in-fact-the-adnexal-structuresmay-be-image339958681.htmlRM2AN2CND–Gynaecology for students and practitioners . of fibrous tissuecauses muscular atrophy, and thus an old pus-sac may consist ofa thick wall, composed entirely of connective tissue without a traceof muscle. The peritoneum is generally overlain by fibrinousadhesions, granulations, and finally by thick connective-tissue laminae.Generally there is also extensive pelvic peritonitis, with adhesionsto the ovary, to the back of the uterus, to the broad ligament, and tothe rectum. Tubal pus-sacs may communicate with each other orwith an ovarian abscess (see Fig. 332), in fact the adnexal structuresmay be
Gynecology . Fig. 287.—Baldy-Webster Operation for Retroversion. An opening is made through the broad ligament just under the suspensory ligament of the ovary. A half-length forceps passed through the opening grasps the round ligament and draws it backward. just the right level on the back of the uterus, for if the attachment is too lowthe uterus may become retroflexed over the ligaments, and if the attachmentis made too high there is danger of causing an anteflexion of the uterus. Theperforation of the broad ligaments and the suture of the round ligaments mustbe done with as little damage to Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-fig-287baldy-webster-operation-for-retroversion-an-opening-is-made-through-the-broad-ligament-just-under-the-suspensory-ligament-of-the-ovary-a-half-length-forceps-passed-through-the-opening-grasps-the-round-ligament-and-draws-it-backward-just-the-right-level-on-the-back-of-the-uterus-for-if-the-attachment-is-too-lowthe-uterus-may-become-retroflexed-over-the-ligaments-and-if-the-attachmentis-made-too-high-there-is-danger-of-causing-an-anteflexion-of-the-uterus-theperforation-of-the-broad-ligaments-and-the-suture-of-the-round-ligaments-mustbe-done-with-as-little-damage-to-image340307331.htmlRM2ANJ9D7–Gynecology . Fig. 287.—Baldy-Webster Operation for Retroversion. An opening is made through the broad ligament just under the suspensory ligament of the ovary. A half-length forceps passed through the opening grasps the round ligament and draws it backward. just the right level on the back of the uterus, for if the attachment is too lowthe uterus may become retroflexed over the ligaments, and if the attachmentis made too high there is danger of causing an anteflexion of the uterus. Theperforation of the broad ligaments and the suture of the round ligaments mustbe done with as little damage to
Virginia medical monthly . ad ligament. Glancing over the literature of the subject, you will seea variety of methods followed in the completion of the ope-ration. The uterus is anteverted, retroverted, or .steadilydrawn down; the broad ligaments are ligated en masse, insections, or compressed by clamps or forceps. The perito-neum is closed by sutures; the mucous membranes suturedor the peritoneum and the mucous edges brought together.These plans of procedure require from one and a half to fourhours for the completion of the operation. We will drawrdown the uterus firmly, introduce a finger be Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/virginia-medical-monthly-ad-ligament-glancing-over-the-literature-of-the-subject-you-will-seea-variety-of-methods-followed-in-the-completion-of-the-ope-ration-the-uterus-is-anteverted-retroverted-or-steadilydrawn-down-the-broad-ligaments-are-ligated-en-masse-insections-or-compressed-by-clamps-or-forceps-the-perito-neum-is-closed-by-sutures-the-mucous-membranes-suturedor-the-peritoneum-and-the-mucous-edges-brought-togetherthese-plans-of-procedure-require-from-one-and-a-half-to-fourhours-for-the-completion-of-the-operation-we-will-drawrdown-the-uterus-firmly-introduce-a-finger-be-image340312743.htmlRM2ANJGAF–Virginia medical monthly . ad ligament. Glancing over the literature of the subject, you will seea variety of methods followed in the completion of the ope-ration. The uterus is anteverted, retroverted, or .steadilydrawn down; the broad ligaments are ligated en masse, insections, or compressed by clamps or forceps. The perito-neum is closed by sutures; the mucous membranes suturedor the peritoneum and the mucous edges brought together.These plans of procedure require from one and a half to fourhours for the completion of the operation. We will drawrdown the uterus firmly, introduce a finger be
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. omata from the la-bia. It can hardly be said to be known as an idiopathic affection. The actual seat of the effusion is, in most cases, the meshes ofthe cellular tissue surrounding the uterus, between the folds ofthe broad ligament, and extending thence in various directions PELVIC CELLULITIS AND ABSCESS. 499 towards the pelvic walls ; but it is probable that in some cases ofpelvic inflammation there is an inflammatory condition of the peri-toneum itself. In Figs. 65 and 66 are represented the g Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-diagnosis-pathology-and-treatment-of-diseases-of-women-including-the-diagnosis-of-pregnancy-omata-from-the-la-bia-it-can-hardly-be-said-to-be-known-as-an-idiopathic-affection-the-actual-seat-of-the-effusion-is-in-most-cases-the-meshes-ofthe-cellular-tissue-surrounding-the-uterus-between-the-folds-ofthe-broad-ligament-and-extending-thence-in-various-directions-pelvic-cellulitis-and-abscess-499-towards-the-pelvic-walls-but-it-is-probable-that-in-some-cases-ofpelvic-inflammation-there-is-an-inflammatory-condition-of-the-peri-toneum-itself-in-figs-65-and-66-are-represented-the-g-image336642910.htmlRM2AFKBD2–. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. omata from the la-bia. It can hardly be said to be known as an idiopathic affection. The actual seat of the effusion is, in most cases, the meshes ofthe cellular tissue surrounding the uterus, between the folds ofthe broad ligament, and extending thence in various directions PELVIC CELLULITIS AND ABSCESS. 499 towards the pelvic walls ; but it is probable that in some cases ofpelvic inflammation there is an inflammatory condition of the peri-toneum itself. In Figs. 65 and 66 are represented the g
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 29.—True cervical myoma, showing elongation of the cervical canal, expansionof the cervix, and obliteration of the portio. There are secondary nodules project-ing into the left broad ligament; the lower of these displaced the ureter upwards.The duct lay between the two tumour-masses. The uterus has been opened upfrom the front, and the tumour is seen to occupy exclusively the posterior wall of thecervix. opened up with the lower submucous pole of the growth CERVICAL MYOMA 25 pr Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fibroids-and-allied-tumours-myoma-and-adenomyoma-their-pathology-clinical-features-and-surgical-treatment-fig-29true-cervical-myoma-showing-elongation-of-the-cervical-canal-expansionof-the-cervix-and-obliteration-of-the-portio-there-are-secondary-nodules-project-ing-into-the-left-broad-ligament-the-lower-of-these-displaced-the-ureter-upwardsthe-duct-lay-between-the-two-tumour-masses-the-uterus-has-been-opened-upfrom-the-front-and-the-tumour-is-seen-to-occupy-exclusively-the-posterior-wall-of-thecervix-opened-up-with-the-lower-submucous-pole-of-the-growth-cervical-myoma-25-pr-image340230764.htmlRM2ANERPM–Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . Fig. 29.—True cervical myoma, showing elongation of the cervical canal, expansionof the cervix, and obliteration of the portio. There are secondary nodules project-ing into the left broad ligament; the lower of these displaced the ureter upwards.The duct lay between the two tumour-masses. The uterus has been opened upfrom the front, and the tumour is seen to occupy exclusively the posterior wall of thecervix. opened up with the lower submucous pole of the growth CERVICAL MYOMA 25 pr
Text book of abdominal surgery : a clinical manual for practitioners and students . ium of ovary. (Hepburn.) the broad ligament and pelvic cellular tissue. The pedicle of anovarian tumour consists of that part of the broad ligament to whichthe hilum is attached, along with the cellular tissue, blood vessels,and nerves. It will be easy to understand how, if the part of the — Fallopian tube.—• Parovarium. Sessile ovarian -ji-- tumour. W ^» Round ligament of uterus. - Utero-vesicalpouch. ^^ Cellnlar tissue betweenthe broad ligament. Fig. 22.—Diagrammatic Antero-Posterior Vertical Section of the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/text-book-of-abdominal-surgery-a-clinical-manual-for-practitioners-and-students-ium-of-ovary-hepburn-the-broad-ligament-and-pelvic-cellular-tissue-the-pedicle-of-anovarian-tumour-consists-of-that-part-of-the-broad-ligament-to-whichthe-hilum-is-attached-along-with-the-cellular-tissue-blood-vesselsand-nerves-it-will-be-easy-to-understand-how-if-the-part-of-the-fallopian-tube-parovarium-sessile-ovarian-ji-tumour-w-round-ligament-of-uterus-utero-vesicalpouch-cellnlar-tissue-betweenthe-broad-ligament-fig-22diagrammatic-antero-posterior-vertical-section-of-the-image339882763.htmlRM2AMXYX3–Text book of abdominal surgery : a clinical manual for practitioners and students . ium of ovary. (Hepburn.) the broad ligament and pelvic cellular tissue. The pedicle of anovarian tumour consists of that part of the broad ligament to whichthe hilum is attached, along with the cellular tissue, blood vessels,and nerves. It will be easy to understand how, if the part of the — Fallopian tube.—• Parovarium. Sessile ovarian -ji-- tumour. W ^» Round ligament of uterus. - Utero-vesicalpouch. ^^ Cellnlar tissue betweenthe broad ligament. Fig. 22.—Diagrammatic Antero-Posterior Vertical Section of the
Manual of gynecology . , cutthrough the abdomen transversely, and then lifted out the softened viscerauntil the pelvic contents were exposed undisturbed. The bladder wasmoderately distended. Fig. 53 shows Hasses drawing. The fundus of the uterus lying on ANATOMY OF THE FEMALE PELVIC ORGANS. 5< the bladder is well seen. In front of the broad ligament—of which theinfundibulo pelvic ligament is the only portion visible in Fig. 53—we have,on each side, the paravesical pouch of the peritoneum. Behind it lies thelateral pouch of Douglas ; while just behind the uterus, and bounded oneach side by t Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/manual-of-gynecology-cutthrough-the-abdomen-transversely-and-then-lifted-out-the-softened-viscerauntil-the-pelvic-contents-were-exposed-undisturbed-the-bladder-wasmoderately-distended-fig-53-shows-hasses-drawing-the-fundus-of-the-uterus-lying-on-anatomy-of-the-female-pelvic-organs-5lt-the-bladder-is-well-seen-in-front-of-the-broad-ligamentof-which-theinfundibulo-pelvic-ligament-is-the-only-portion-visible-in-fig-53we-haveon-each-side-the-paravesical-pouch-of-the-peritoneum-behind-it-lies-thelateral-pouch-of-douglas-while-just-behind-the-uterus-and-bounded-oneach-side-by-t-image340156636.htmlRM2ANBD78–Manual of gynecology . , cutthrough the abdomen transversely, and then lifted out the softened viscerauntil the pelvic contents were exposed undisturbed. The bladder wasmoderately distended. Fig. 53 shows Hasses drawing. The fundus of the uterus lying on ANATOMY OF THE FEMALE PELVIC ORGANS. 5< the bladder is well seen. In front of the broad ligament—of which theinfundibulo pelvic ligament is the only portion visible in Fig. 53—we have,on each side, the paravesical pouch of the peritoneum. Behind it lies thelateral pouch of Douglas ; while just behind the uterus, and bounded oneach side by t
Gynecology . Nit^btocvj^ Fig. 369.—Transplantation of Ovarian Tissue in the Horns of the Uterus.The tubes have been exsected. Wedges have been removed from the ovaries and the woundsclosed. A section of ovarian tissue is being introduced in the right cornu. The same procedure hasbeen carried out and completed on the left side. until the operator is ready to implant it. Numerous locations are used for theimplantation, most commonly between the leaves of the broad ligament and inthe abdominal wall. Of these two sites, the latter is far preferable, partly becausethe blood-supply is more favorable Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-nitbtocvj-fig-369transplantation-of-ovarian-tissue-in-the-horns-of-the-uterusthe-tubes-have-been-exsected-wedges-have-been-removed-from-the-ovaries-and-the-woundsclosed-a-section-of-ovarian-tissue-is-being-introduced-in-the-right-cornu-the-same-procedure-hasbeen-carried-out-and-completed-on-the-left-side-until-the-operator-is-ready-to-implant-it-numerous-locations-are-used-for-theimplantation-most-commonly-between-the-leaves-of-the-broad-ligament-and-inthe-abdominal-wall-of-these-two-sites-the-latter-is-far-preferable-partly-becausethe-blood-supply-is-more-favorable-image340266675.htmlRM2ANGDH7–Gynecology . Nit^btocvj^ Fig. 369.—Transplantation of Ovarian Tissue in the Horns of the Uterus.The tubes have been exsected. Wedges have been removed from the ovaries and the woundsclosed. A section of ovarian tissue is being introduced in the right cornu. The same procedure hasbeen carried out and completed on the left side. until the operator is ready to implant it. Numerous locations are used for theimplantation, most commonly between the leaves of the broad ligament and inthe abdominal wall. Of these two sites, the latter is far preferable, partly becausethe blood-supply is more favorable
The pathology and surgical treatment of tumors . ved in several cases operated upon bythis method. In some of the cases the external gauze dressing hadto be changed at the end of the first twenty-four hours. All thepatients operated upon by this method recovered without any compli-cations whatever. Until the intraperitoneal treatment of the pediclehas been made safer, the writer regards this method of disposing ofthe pedicle preferable, as it gives the surgeon access to it should anycomplications set in. Broad Ligament.—Myofibroma of the uterus not infrequentlyextends between the folds of the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-pathology-and-surgical-treatment-of-tumors-ved-in-several-cases-operated-upon-bythis-method-in-some-of-the-cases-the-external-gauze-dressing-hadto-be-changed-at-the-end-of-the-first-twenty-four-hours-all-thepatients-operated-upon-by-this-method-recovered-without-any-compli-cations-whatever-until-the-intraperitoneal-treatment-of-the-pediclehas-been-made-safer-the-writer-regards-this-method-of-disposing-ofthe-pedicle-preferable-as-it-gives-the-surgeon-access-to-it-should-anycomplications-set-in-broad-ligamentmyofibroma-of-the-uterus-not-infrequentlyextends-between-the-folds-of-the-image343032127.htmlRM2AX2CYB–The pathology and surgical treatment of tumors . ved in several cases operated upon bythis method. In some of the cases the external gauze dressing hadto be changed at the end of the first twenty-four hours. All thepatients operated upon by this method recovered without any compli-cations whatever. Until the intraperitoneal treatment of the pediclehas been made safer, the writer regards this method of disposing ofthe pedicle preferable, as it gives the surgeon access to it should anycomplications set in. Broad Ligament.—Myofibroma of the uterus not infrequentlyextends between the folds of the
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . adenomyoma lying in the left broad ligament. It displaced the tube andovary upwards and to the right side. (After Doderlein and Herzog, Surgery, Gynaecologyand Obstetrics, Fig. i, page i8, January 1913.) the duct-system of von Recklinghausens tumours andthe lumen of the tube. He accepted Micholitschs viewas to the aetiology of tubal gestation in these cases. Theodore Doderlein and Max Herzog described anew type of ectopic pregnancy : pregnancy in an adeno-myomatous uterus- (see Figs Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fibroids-and-allied-tumours-myoma-and-adenomyoma-their-pathology-clinical-features-and-surgical-treatment-adenomyoma-lying-in-the-left-broad-ligament-it-displaced-the-tube-andovary-upwards-and-to-the-right-side-after-doderlein-and-herzog-surgery-gynaecologyand-obstetrics-fig-i-page-i8-january-1913-the-duct-system-of-von-recklinghausens-tumours-andthe-lumen-of-the-tube-he-accepted-micholitschs-viewas-to-the-aetiology-of-tubal-gestation-in-these-cases-theodore-doderlein-and-max-herzog-described-anew-type-of-ectopic-pregnancy-pregnancy-in-an-adeno-myomatous-uterus-see-figs-image340154762.htmlRM2ANBATA–Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . adenomyoma lying in the left broad ligament. It displaced the tube andovary upwards and to the right side. (After Doderlein and Herzog, Surgery, Gynaecologyand Obstetrics, Fig. i, page i8, January 1913.) the duct-system of von Recklinghausens tumours andthe lumen of the tube. He accepted Micholitschs viewas to the aetiology of tubal gestation in these cases. Theodore Doderlein and Max Herzog described anew type of ectopic pregnancy : pregnancy in an adeno-myomatous uterus- (see Figs
A manual of practical obstetrics . ourse, diagrammatic. fimbria, and to the uterus by the fibro-muscular ligament ofthe ovary, already described. Its anterior margin is attachedto the posterior surface of the anterior fold of the broad liga-ment, while the remainder of the surface, except at the hilumwhere the bloodvessels enter, is covered by the posterior layerof the same ligament. It is one inch and a half in length, 62 INTERNAL ORGANS OF GENERATION three-quarters of an inch wide, and one-third of an inch thick.Weight, from one to two drachms. It is an elongated, oval-shaped body, flattened Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-manual-of-practical-obstetrics-ourse-diagrammatic-fimbria-and-to-the-uterus-by-the-fibro-muscular-ligament-ofthe-ovary-already-described-its-anterior-margin-is-attachedto-the-posterior-surface-of-the-anterior-fold-of-the-broad-liga-ment-while-the-remainder-of-the-surface-except-at-the-hilumwhere-the-bloodvessels-enter-is-covered-by-the-posterior-layerof-the-same-ligament-it-is-one-inch-and-a-half-in-length-62-internal-organs-of-generation-three-quarters-of-an-inch-wide-and-one-third-of-an-inch-thickweight-from-one-to-two-drachms-it-is-an-elongated-oval-shaped-body-flattened-image338492036.htmlRM2AJKJ18–A manual of practical obstetrics . ourse, diagrammatic. fimbria, and to the uterus by the fibro-muscular ligament ofthe ovary, already described. Its anterior margin is attachedto the posterior surface of the anterior fold of the broad liga-ment, while the remainder of the surface, except at the hilumwhere the bloodvessels enter, is covered by the posterior layerof the same ligament. It is one inch and a half in length, 62 INTERNAL ORGANS OF GENERATION three-quarters of an inch wide, and one-third of an inch thick.Weight, from one to two drachms. It is an elongated, oval-shaped body, flattened
Operative gynecology : . ecame very rapid and small and thetemperature fell to 96° F.; death ensued within a few hours. The autopsyshowed a ragged hole through the uterine wall between the leaves of the broadligament. Cultures from this area and all the organs were negative. Anatomical diagnosis of this case: Sapremia; sloughing mass of tissue inthe uterus; perforation of uterus into broad ligament; mucous polyp of uterus;submucous myoma; fatty degeneration of heart, liver, and kidneys; generalmarked anemia. Death may occur shortly after the operation if the patient is already ina state of pro Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-ecame-very-rapid-and-small-and-thetemperature-fell-to-96-f-death-ensued-within-a-few-hours-the-autopsyshowed-a-ragged-hole-through-the-uterine-wall-between-the-leaves-of-the-broadligament-cultures-from-this-area-and-all-the-organs-were-negative-anatomical-diagnosis-of-this-case-sapremia-sloughing-mass-of-tissue-inthe-uterus-perforation-of-uterus-into-broad-ligament-mucous-polyp-of-uterussubmucous-myoma-fatty-degeneration-of-heart-liver-and-kidneys-generalmarked-anemia-death-may-occur-shortly-after-the-operation-if-the-patient-is-already-ina-state-of-pro-image338193145.htmlRM2AJ60PH–Operative gynecology : . ecame very rapid and small and thetemperature fell to 96° F.; death ensued within a few hours. The autopsyshowed a ragged hole through the uterine wall between the leaves of the broadligament. Cultures from this area and all the organs were negative. Anatomical diagnosis of this case: Sapremia; sloughing mass of tissue inthe uterus; perforation of uterus into broad ligament; mucous polyp of uterus;submucous myoma; fatty degeneration of heart, liver, and kidneys; generalmarked anemia. Death may occur shortly after the operation if the patient is already ina state of pro
. The diagnosis and treatment of diseases of women. Fig. .387. Hematoma of Right Broad Ligament.Practical Gynecologij.) (Montgomery- 3. Hydrosalpinx coming low in thepelvis. The cystic mass runs up into thetubal region. It is somewhat elongatedand sausage-shaped and extends from theupper angle of the uterus to the pelvicwall. It fluctuates freely and gives theimpression of a thin-walled cyst. Fre-quently some induration from exudate oradhesions, may be felt. It is not tenderordinarily. It is somewhat movable,though not as much so as a small pedicu-lated ovarian tumor. It is attached tothe uter Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-diagnosis-and-treatment-of-diseases-of-women-fig-387-hematoma-of-right-broad-ligamentpractical-gynecologij-montgomery-3-hydrosalpinx-coming-low-in-thepelvis-the-cystic-mass-runs-up-into-thetubal-region-it-is-somewhat-elongatedand-sausage-shaped-and-extends-from-theupper-angle-of-the-uterus-to-the-pelvicwall-it-fluctuates-freely-and-gives-theimpression-of-a-thin-walled-cyst-fre-quently-some-induration-from-exudate-oradhesions-may-be-felt-it-is-not-tenderordinarily-it-is-somewhat-movablethough-not-as-much-so-as-a-small-pedicu-lated-ovarian-tumor-it-is-attached-tothe-uter-image336846620.htmlRM2AG0K8C–. The diagnosis and treatment of diseases of women. Fig. .387. Hematoma of Right Broad Ligament.Practical Gynecologij.) (Montgomery- 3. Hydrosalpinx coming low in thepelvis. The cystic mass runs up into thetubal region. It is somewhat elongatedand sausage-shaped and extends from theupper angle of the uterus to the pelvicwall. It fluctuates freely and gives theimpression of a thin-walled cyst. Fre-quently some induration from exudate oradhesions, may be felt. It is not tenderordinarily. It is somewhat movable,though not as much so as a small pedicu-lated ovarian tumor. It is attached tothe uter
Gynaecology for students and practitioners . new growth. C, Large solid growth in left broad ligament.D, Cystic part of growth in left broad ligament. The patient was free fromrecurrence five years after operation. women are most prone to uterine sarcoma. One-fourth of the patientsare nuUiparous and three-fourths parous. As previously stated, sarcoma attacks the body of the uterus moreoften than the cervix, differing sharply in this respect from cancer.It also forms a much larger tumour than cancer, and so occasions muchgreater enlargement of the uterus. Usually the enlargement is fairlysymmet Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynaecology-for-students-and-practitioners-new-growth-c-large-solid-growth-in-left-broad-ligamentd-cystic-part-of-growth-in-left-broad-ligament-the-patient-was-free-fromrecurrence-five-years-after-operation-women-are-most-prone-to-uterine-sarcoma-one-fourth-of-the-patientsare-nuuiparous-and-three-fourths-parous-as-previously-stated-sarcoma-attacks-the-body-of-the-uterus-moreoften-than-the-cervix-differing-sharply-in-this-respect-from-cancerit-also-forms-a-much-larger-tumour-than-cancer-and-so-occasions-muchgreater-enlargement-of-the-uterus-usually-the-enlargement-is-fairlysymmet-image339988974.htmlRM2AN3RBA–Gynaecology for students and practitioners . new growth. C, Large solid growth in left broad ligament.D, Cystic part of growth in left broad ligament. The patient was free fromrecurrence five years after operation. women are most prone to uterine sarcoma. One-fourth of the patientsare nuUiparous and three-fourths parous. As previously stated, sarcoma attacks the body of the uterus moreoften than the cervix, differing sharply in this respect from cancer.It also forms a much larger tumour than cancer, and so occasions muchgreater enlargement of the uterus. Usually the enlargement is fairlysymmet
Gynecology . f the Fallopian tube inthe broad ligament. The third step in the operation consists of sewing the round ligament byone or more sutures to the upper posterior surface of the uterus, thus closingover the point of the tubal insertion and the small open space in the peritoneumof the broad ligament. The same technic is observed in resecting the tube of the other side, and theabdomen closed in the usual manner. OPERATIONS ON THE OVARIES RESECTION OF THE OVARY This operation does not at present hold the prominent place in gynecologicsurgery that it did in the days before it was learned t Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-f-the-fallopian-tube-inthe-broad-ligament-the-third-step-in-the-operation-consists-of-sewing-the-round-ligament-byone-or-more-sutures-to-the-upper-posterior-surface-of-the-uterus-thus-closingover-the-point-of-the-tubal-insertion-and-the-small-open-space-in-the-peritoneumof-the-broad-ligament-the-same-technic-is-observed-in-resecting-the-tube-of-the-other-side-and-theabdomen-closed-in-the-usual-manner-operations-on-the-ovaries-resection-of-the-ovary-this-operation-does-not-at-present-hold-the-prominent-place-in-gynecologicsurgery-that-it-did-in-the-days-before-it-was-learned-t-image340268386.htmlRM2ANGFPA–Gynecology . f the Fallopian tube inthe broad ligament. The third step in the operation consists of sewing the round ligament byone or more sutures to the upper posterior surface of the uterus, thus closingover the point of the tubal insertion and the small open space in the peritoneumof the broad ligament. The same technic is observed in resecting the tube of the other side, and theabdomen closed in the usual manner. OPERATIONS ON THE OVARIES RESECTION OF THE OVARY This operation does not at present hold the prominent place in gynecologicsurgery that it did in the days before it was learned t
Operative gynecology : . vix, hold the mass up, theabdominal fingers are able to discover the little sulcus between the fundus and the tumor, and to appreci-ate the slight but distinct mobility of the myoma as separate from the fundus. H. op. Oct. 24, 1896. placed out of the pelvis into the abdomen. This may happen in the case ofa broad ligament tumor, or of an ovarian tumor adherent to its posteriorsurface and drawing it into the abdomen. (b) Fixation and Adhesions affecting Mobility.—If the uterus isfound fixed in a certain position, and does not move easily upward in makingslight pressure o Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-vix-hold-the-mass-up-theabdominal-fingers-are-able-to-discover-the-little-sulcus-between-the-fundus-and-the-tumor-and-to-appreci-ate-the-slight-but-distinct-mobility-of-the-myoma-as-separate-from-the-fundus-h-op-oct-24-1896-placed-out-of-the-pelvis-into-the-abdomen-this-may-happen-in-the-case-ofa-broad-ligament-tumor-or-of-an-ovarian-tumor-adherent-to-its-posteriorsurface-and-drawing-it-into-the-abdomen-b-fixation-and-adhesions-affecting-mobilityif-the-uterus-isfound-fixed-in-a-certain-position-and-does-not-move-easily-upward-in-makingslight-pressure-o-image338280810.htmlRM2AJA0HE–Operative gynecology : . vix, hold the mass up, theabdominal fingers are able to discover the little sulcus between the fundus and the tumor, and to appreci-ate the slight but distinct mobility of the myoma as separate from the fundus. H. op. Oct. 24, 1896. placed out of the pelvis into the abdomen. This may happen in the case ofa broad ligament tumor, or of an ovarian tumor adherent to its posteriorsurface and drawing it into the abdomen. (b) Fixation and Adhesions affecting Mobility.—If the uterus isfound fixed in a certain position, and does not move easily upward in makingslight pressure o
Gynecology . f the Fallopian tube inthe broad ligament. The third step in the operation consists of sewing the round ligament byone or more sutures to the upper posterior surface of the uterus, thus closingover the point of the tubal insertion and the small open space in the peritoneumof the broad ligament. The same technic is observed in resecting the tube of the other side, and theabdomen closed in the usual manner. OPERATIONS ON THE OVARIES RESECTION OF THE OVARY This operation does not at present hold the prominent place in gynecologicsurgery that it did in the days before it was learned t Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-f-the-fallopian-tube-inthe-broad-ligament-the-third-step-in-the-operation-consists-of-sewing-the-round-ligament-byone-or-more-sutures-to-the-upper-posterior-surface-of-the-uterus-thus-closingover-the-point-of-the-tubal-insertion-and-the-small-open-space-in-the-peritoneumof-the-broad-ligament-the-same-technic-is-observed-in-resecting-the-tube-of-the-other-side-and-theabdomen-closed-in-the-usual-manner-operations-on-the-ovaries-resection-of-the-ovary-this-operation-does-not-at-present-hold-the-prominent-place-in-gynecologicsurgery-that-it-did-in-the-days-before-it-was-learned-t-image340267429.htmlRM2ANGEG5–Gynecology . f the Fallopian tube inthe broad ligament. The third step in the operation consists of sewing the round ligament byone or more sutures to the upper posterior surface of the uterus, thus closingover the point of the tubal insertion and the small open space in the peritoneumof the broad ligament. The same technic is observed in resecting the tube of the other side, and theabdomen closed in the usual manner. OPERATIONS ON THE OVARIES RESECTION OF THE OVARY This operation does not at present hold the prominent place in gynecologicsurgery that it did in the days before it was learned t
A textbook of obstetrics . rvation. Hematoceles and hematomata in the abdomen, pelvis, and pelvicconnective tissue in one-third or more of the cases are due to thehemorrhage from a ruptured gestation sac. The blood maycollect in front of the uterus (ante-uterine hematocele), more 1 Lusk has collected three such cases. The fetus survived the rupture of thetube, or the extrusion mav have been gradual by a separation of the fibers in the tube wall. IS 74 PREGNANCY. commonly behind the uterus (retro-uterine hematocele), may beencapsulated in the neighborhood of either broad ligament, ormay be cont Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-textbook-of-obstetrics-rvation-hematoceles-and-hematomata-in-the-abdomen-pelvis-and-pelvicconnective-tissue-in-one-third-or-more-of-the-cases-are-due-to-thehemorrhage-from-a-ruptured-gestation-sac-the-blood-maycollect-in-front-of-the-uterus-ante-uterine-hematocele-more-1-lusk-has-collected-three-such-cases-the-fetus-survived-the-rupture-of-thetube-or-the-extrusion-mav-have-been-gradual-by-a-separation-of-the-fibers-in-the-tube-wall-is-74-pregnancy-commonly-behind-the-uterus-retro-uterine-hematocele-may-beencapsulated-in-the-neighborhood-of-either-broad-ligament-ormay-be-cont-image343027590.htmlRM2AX275A–A textbook of obstetrics . rvation. Hematoceles and hematomata in the abdomen, pelvis, and pelvicconnective tissue in one-third or more of the cases are due to thehemorrhage from a ruptured gestation sac. The blood maycollect in front of the uterus (ante-uterine hematocele), more 1 Lusk has collected three such cases. The fetus survived the rupture of thetube, or the extrusion mav have been gradual by a separation of the fibers in the tube wall. IS 74 PREGNANCY. commonly behind the uterus (retro-uterine hematocele), may beencapsulated in the neighborhood of either broad ligament, ormay be cont
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . 114 GROSS LESIONS OF APPENDAGES chap. Broad-Ligament Cysts.—Figure 125 shows an intra-ligamentary cystoma which arose on the right side, and by. Fir;. 125.—Showing a broad-ligament cyst of the right side, lying at a lower level thanthe myomatous uterus to which it was adherent. burrowing pushed up a myomatous uterus and came to hebelow the latter. The walls of the cyst were stained byyellow-ochreous patches indicative of old blood-extravasa-tions. The anterior wall of the uterus has Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/fibroids-and-allied-tumours-myoma-and-adenomyoma-their-pathology-clinical-features-and-surgical-treatment-114-gross-lesions-of-appendages-chap-broad-ligament-cystsfigure-125-shows-an-intra-ligamentary-cystoma-which-arose-on-the-right-side-and-by-fir-125showing-a-broad-ligament-cyst-of-the-right-side-lying-at-a-lower-level-thanthe-myomatous-uterus-to-which-it-was-adherent-burrowing-pushed-up-a-myomatous-uterus-and-came-to-hebelow-the-latter-the-walls-of-the-cyst-were-stained-byyellow-ochreous-patches-indicative-of-old-blood-extravasa-tions-the-anterior-wall-of-the-uterus-has-image340203194.htmlRM2ANDGJ2–Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . 114 GROSS LESIONS OF APPENDAGES chap. Broad-Ligament Cysts.—Figure 125 shows an intra-ligamentary cystoma which arose on the right side, and by. Fir;. 125.—Showing a broad-ligament cyst of the right side, lying at a lower level thanthe myomatous uterus to which it was adherent. burrowing pushed up a myomatous uterus and came to hebelow the latter. The walls of the cyst were stained byyellow-ochreous patches indicative of old blood-extravasa-tions. The anterior wall of the uterus has
Diseases of women and abdominal surgery . the uterus, p-.. or chjse to it, between the ?• ,- layers of the broad ligament. I: They open into the uro- I) genital sinus on either side // of the meatus urinarius. In /,/ exceptional cases they are // found in women, and even during life their openings in the position indicated may be clearly seen. I have seen two casesof hydrorrhoea of a mostextraordinary kind,in which,after great trouble, I dis-covered that the dischargewas from Gartners canals.These are narrated at page101. When, in the humanembryo, the coalescence oftwo tubes has so far advance Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/diseases-of-women-and-abdominal-surgery-the-uterus-p-or-chjse-to-it-between-the-layers-of-the-broad-ligament-i-they-open-into-the-uro-i-genital-sinus-on-either-side-of-the-meatus-urinarius-in-exceptional-cases-they-are-found-in-women-and-even-during-life-their-openings-in-the-position-indicated-may-be-clearly-seen-i-have-seen-two-casesof-hydrorrhoea-of-a-mostextraordinary-kindin-whichafter-great-trouble-i-dis-covered-that-the-dischargewas-from-gartners-canalsthese-are-narrated-at-page101-when-in-the-humanembryo-the-coalescence-oftwo-tubes-has-so-far-advance-image339040129.htmlRM2AKGH41–Diseases of women and abdominal surgery . the uterus, p-.. or chjse to it, between the ?• ,- layers of the broad ligament. I: They open into the uro- I) genital sinus on either side // of the meatus urinarius. In /,/ exceptional cases they are // found in women, and even during life their openings in the position indicated may be clearly seen. I have seen two casesof hydrorrhoea of a mostextraordinary kind,in which,after great trouble, I dis-covered that the dischargewas from Gartners canals.These are narrated at page101. When, in the humanembryo, the coalescence oftwo tubes has so far advance
. Operative gynecology. insert the bou£ie as far as possible, as theposition of the point serves to locate the ureter. OPEEATIOiq FOR ABDOMINAL HYSXBRECTOMT FOR CANCER. 325 on account of the possibility of cancerous elements being contained in the lym-phatics of the upper broad ligament or in the round ligaments. Such a con-dition is well shown m Fig. 458. After opening the broad ligament in this way the incision should then becontinued on around in front of the uterus to the opposite round ligament, sepa-rating the vesical peritoneum from its uterine attachment. The operator then in a similar Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-insert-the-bouie-as-far-as-possible-as-theposition-of-the-point-serves-to-locate-the-ureter-opeeatioiq-for-abdominal-hysxbrectomt-for-cancer-325-on-account-of-the-possibility-of-cancerous-elements-being-contained-in-the-lym-phatics-of-the-upper-broad-ligament-or-in-the-round-ligaments-such-a-con-dition-is-well-shown-m-fig-458-after-opening-the-broad-ligament-in-this-way-the-incision-should-then-becontinued-on-around-in-front-of-the-uterus-to-the-opposite-round-ligament-sepa-rating-the-vesical-peritoneum-from-its-uterine-attachment-the-operator-then-in-a-similar-image336850432.htmlRM2AG0T4G–. Operative gynecology. insert the bou£ie as far as possible, as theposition of the point serves to locate the ureter. OPEEATIOiq FOR ABDOMINAL HYSXBRECTOMT FOR CANCER. 325 on account of the possibility of cancerous elements being contained in the lym-phatics of the upper broad ligament or in the round ligaments. Such a con-dition is well shown m Fig. 458. After opening the broad ligament in this way the incision should then becontinued on around in front of the uterus to the opposite round ligament, sepa-rating the vesical peritoneum from its uterine attachment. The operator then in a similar
Gynecology . VA&fer:. ^InSurtdb uo • peWio Li i o <vwe xvCT-* Fig. 363.—Salpingo-oophorectomy.Closure of the wound in the broad ligament by approximating the stump of the infundibulopelvic ligament to the stump of the tube. After performing a salpingo-oophorectomy the uterus should always besuspended by a round ligament operation, even if its position at the time ofoperation is perfectly good, for if this is not done a later retroversion is almostinevitable. SALPINGECTOMY Exsection of the tube without removal of the ovary is an operation used inthe conservative surgery of pelvic inflamma Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-vafer-insurtdb-uo-pewio-li-i-o-ltvwe-xvct-fig-363salpingo-oophorectomyclosure-of-the-wound-in-the-broad-ligament-by-approximating-the-stump-of-the-infundibulopelvic-ligament-to-the-stump-of-the-tube-after-performing-a-salpingo-oophorectomy-the-uterus-should-always-besuspended-by-a-round-ligament-operation-even-if-its-position-at-the-time-ofoperation-is-perfectly-good-for-if-this-is-not-done-a-later-retroversion-is-almostinevitable-salpingectomy-exsection-of-the-tube-without-removal-of-the-ovary-is-an-operation-used-inthe-conservative-surgery-of-pelvic-inflamma-image340273082.htmlRM2ANGNP2–Gynecology . VA&fer:. ^InSurtdb uo • peWio Li i o <vwe xvCT-* Fig. 363.—Salpingo-oophorectomy.Closure of the wound in the broad ligament by approximating the stump of the infundibulopelvic ligament to the stump of the tube. After performing a salpingo-oophorectomy the uterus should always besuspended by a round ligament operation, even if its position at the time ofoperation is perfectly good, for if this is not done a later retroversion is almostinevitable. SALPINGECTOMY Exsection of the tube without removal of the ovary is an operation used inthe conservative surgery of pelvic inflamma
Gynecology . Fig. 362.—Salpingo-oophorectomy.Showing method of clamping and cutting the broad-ligament pedicle of an ovarian cyst. clamps are then applied, meeting each other at an angle near the base of thebroad ligament. One clamp near the uterus includes the tube and ovarianligament, while the other includes the infundibulopelvic ligament, which con-tains the ovarian vessels. The tumor mass over which the tube is usually spreadis then removed by cutting the broad ligament pedicle in a V shape, and in sucha manner as to leave a margin of tissue beyond the clamps. If the tumorpossesses a larg Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-fig-362salpingo-oophorectomyshowing-method-of-clamping-and-cutting-the-broad-ligament-pedicle-of-an-ovarian-cyst-clamps-are-then-applied-meeting-each-other-at-an-angle-near-the-base-of-thebroad-ligament-one-clamp-near-the-uterus-includes-the-tube-and-ovarianligament-while-the-other-includes-the-infundibulopelvic-ligament-which-con-tains-the-ovarian-vessels-the-tumor-mass-over-which-the-tube-is-usually-spreadis-then-removed-by-cutting-the-broad-ligament-pedicle-in-a-v-shape-and-in-sucha-manner-as-to-leave-a-margin-of-tissue-beyond-the-clamps-if-the-tumorpossesses-a-larg-image340273616.htmlRM2ANGPD4–Gynecology . Fig. 362.—Salpingo-oophorectomy.Showing method of clamping and cutting the broad-ligament pedicle of an ovarian cyst. clamps are then applied, meeting each other at an angle near the base of thebroad ligament. One clamp near the uterus includes the tube and ovarianligament, while the other includes the infundibulopelvic ligament, which con-tains the ovarian vessels. The tumor mass over which the tube is usually spreadis then removed by cutting the broad ligament pedicle in a V shape, and in sucha manner as to leave a margin of tissue beyond the clamps. If the tumorpossesses a larg
The practice of obstetrics, designed for the use of students and practitioners of medicine . i.v., internal iliacvein; u.l.l., umbilical lateral ligament; u.a., uterine artery; b., bladder; ur., urethra.—(Tandler and Halban.) full term, the base of the triangle corresponding to the pectineal line, and itsapex to the horn of the uterus (Fig. 159). After delivery the ligaments slowlyregain their position in the pelvis. Hence the ureters have no fixed relationto the broad ligaments in the latter part of pregnancy, because the ureters do PROPERTIES OF THE UTERUS. Ill not undergo the same displacem Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-practice-of-obstetrics-designed-for-the-use-of-students-and-practitioners-of-medicine-iv-internal-iliacvein-ull-umbilical-lateral-ligament-ua-uterine-artery-b-bladder-ur-urethratandler-and-halban-full-term-the-base-of-the-triangle-corresponding-to-the-pectineal-line-and-itsapex-to-the-horn-of-the-uterus-fig-159-after-delivery-the-ligaments-slowlyregain-their-position-in-the-pelvis-hence-the-ureters-have-no-fixed-relationto-the-broad-ligaments-in-the-latter-part-of-pregnancy-because-the-ureters-do-properties-of-the-uterus-ill-not-undergo-the-same-displacem-image343340995.htmlRM2AXGEXB–The practice of obstetrics, designed for the use of students and practitioners of medicine . i.v., internal iliacvein; u.l.l., umbilical lateral ligament; u.a., uterine artery; b., bladder; ur., urethra.—(Tandler and Halban.) full term, the base of the triangle corresponding to the pectineal line, and itsapex to the horn of the uterus (Fig. 159). After delivery the ligaments slowlyregain their position in the pelvis. Hence the ureters have no fixed relationto the broad ligaments in the latter part of pregnancy, because the ureters do PROPERTIES OF THE UTERUS. Ill not undergo the same displacem
A manual of anatomy . ^ ounces (75 grams). It consists oifundus, body, cervix andlateral border.. Fig. 243.- -Dorsal view of the uterus and left half of thebroad ligament. Fig. 244.—Frontal sectionthrough the uterus showing itscavity (diagrammatic). C,PlicEe palmatae. The fundus (Jundus uteri) is the upper, broad and convex extrem-ity above the level of the openings of the oviducts and representsabout }i inch of the length. The body {corpus uteri) is somewhattriangular in shape, broad above and narrower below. Its ventralsurface {fades vesicalis) is flattened while the dorsal surface {fadesint Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-manual-of-anatomy-ounces-75-grams-it-consists-oifundus-body-cervix-andlateral-border-fig-243-dorsal-view-of-the-uterus-and-left-half-of-thebroad-ligament-fig-244frontal-sectionthrough-the-uterus-showing-itscavity-diagrammatic-cplicee-palmatae-the-fundus-jundus-uteri-is-the-upper-broad-and-convex-extrem-ity-above-the-level-of-the-openings-of-the-oviducts-and-representsabout-i-inch-of-the-length-the-body-corpus-uteri-is-somewhattriangular-in-shape-broad-above-and-narrower-below-its-ventralsurface-fades-vesicalis-is-flattened-while-the-dorsal-surface-fadesint-image343340186.htmlRM2AXGDWE–A manual of anatomy . ^ ounces (75 grams). It consists oifundus, body, cervix andlateral border.. Fig. 243.- -Dorsal view of the uterus and left half of thebroad ligament. Fig. 244.—Frontal sectionthrough the uterus showing itscavity (diagrammatic). C,PlicEe palmatae. The fundus (Jundus uteri) is the upper, broad and convex extrem-ity above the level of the openings of the oviducts and representsabout }i inch of the length. The body {corpus uteri) is somewhattriangular in shape, broad above and narrower below. Its ventralsurface {fades vesicalis) is flattened while the dorsal surface {fadesint
Manual of gynecology . ondrosis.In this way we get two laminae of peritoneum nearly in apposition, whichbecome more separated at their junction with the pelvic floor and sides ofthe pelvis. These are the broad ligaments of the uterus. Just within their upper free margin the Fallopian tubes are placed. 42 MANUAL OF GYNECOLOGY. That part of the free margin not occupied by the Fallopian tube formsthe infundibulo-pelvic ligament of the ovary (Figs. 22 and 53). Project-ing through the posterior lamina of the broad ligament is the ovary, cov-ered by its germ-epithelium. The ovarian ligament and paro Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/manual-of-gynecology-ondrosisin-this-way-we-get-two-laminae-of-peritoneum-nearly-in-apposition-whichbecome-more-separated-at-their-junction-with-the-pelvic-floor-and-sides-ofthe-pelvis-these-are-the-broad-ligaments-of-the-uterus-just-within-their-upper-free-margin-the-fallopian-tubes-are-placed-42-manual-of-gynecology-that-part-of-the-free-margin-not-occupied-by-the-fallopian-tube-formsthe-infundibulo-pelvic-ligament-of-the-ovary-figs-22-and-53-project-ing-through-the-posterior-lamina-of-the-broad-ligament-is-the-ovary-cov-ered-by-its-germ-epithelium-the-ovarian-ligament-and-paro-image340162895.htmlRM2ANBN6R–Manual of gynecology . ondrosis.In this way we get two laminae of peritoneum nearly in apposition, whichbecome more separated at their junction with the pelvic floor and sides ofthe pelvis. These are the broad ligaments of the uterus. Just within their upper free margin the Fallopian tubes are placed. 42 MANUAL OF GYNECOLOGY. That part of the free margin not occupied by the Fallopian tube formsthe infundibulo-pelvic ligament of the ovary (Figs. 22 and 53). Project-ing through the posterior lamina of the broad ligament is the ovary, cov-ered by its germ-epithelium. The ovarian ligament and paro
A treatise on the science and practice of midwifery . of the broad ligament, where it may be felt as a hard cord. Itcommences at the uterus by a narrow opening, admitting only thepassage of a bristle, known as the ostium uterinum. As it passesthrough the muscular walls of the uterus the tube takes a somewhatcurved, course, and opens into the uterine cavity by a dilated aper-ture. From its uterine attachment the tube expands gradually untilit terminates in its trumpet-shaped extremity; just before its distalend, however, it again contracts slightly. The ovarian end of thetube is surrounded by a Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-treatise-on-the-science-and-practice-of-midwifery-of-the-broad-ligament-where-it-may-be-felt-as-a-hard-cord-itcommences-at-the-uterus-by-a-narrow-opening-admitting-only-thepassage-of-a-bristle-known-as-the-ostium-uterinum-as-it-passesthrough-the-muscular-walls-of-the-uterus-the-tube-takes-a-somewhatcurved-course-and-opens-into-the-uterine-cavity-by-a-dilated-aper-ture-from-its-uterine-attachment-the-tube-expands-gradually-untilit-terminates-in-its-trumpet-shaped-extremity-just-before-its-distalend-however-it-again-contracts-slightly-the-ovarian-end-of-thetube-is-surrounded-by-a-image338429574.htmlRM2AJGPAE–A treatise on the science and practice of midwifery . of the broad ligament, where it may be felt as a hard cord. Itcommences at the uterus by a narrow opening, admitting only thepassage of a bristle, known as the ostium uterinum. As it passesthrough the muscular walls of the uterus the tube takes a somewhatcurved, course, and opens into the uterine cavity by a dilated aper-ture. From its uterine attachment the tube expands gradually untilit terminates in its trumpet-shaped extremity; just before its distalend, however, it again contracts slightly. The ovarian end of thetube is surrounded by a
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . Fig- 1.—The tumor in gross. The uterus is seen as a small body lying at one side -of thetumor and connected with it by the tube and broad ligament.. Fig. 2.—Low power; showing infiltration of Fig. 3.—High power; showing newly formed lymphocytes, indicating beginning degeneration. connective tissue and occasional smooth muscle fibers. temperature, 98.6° F.; pulse, 05; respirations, 15; systolic blood pressure, 120;diastolic, 84. Operation February 28, 1920. Under ether anesthesia, Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/transactions-of-the-american-association-of-obstetricians-gynecologists-and-abdominal-surgeons-for-the-year-fig-1the-tumor-in-gross-the-uterus-is-seen-as-a-small-body-lying-at-one-side-of-thetumor-and-connected-with-it-by-the-tube-and-broad-ligament-fig-2low-power-showing-infiltration-of-fig-3high-power-showing-newly-formed-lymphocytes-indicating-beginning-degeneration-connective-tissue-and-occasional-smooth-muscle-fibers-temperature-986-f-pulse-05-respirations-15-systolic-blood-pressure-120diastolic-84-operation-february-28-1920-under-ether-anesthesia-image340269986.htmlRM2ANGHRE–Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . Fig- 1.—The tumor in gross. The uterus is seen as a small body lying at one side -of thetumor and connected with it by the tube and broad ligament.. Fig. 2.—Low power; showing infiltration of Fig. 3.—High power; showing newly formed lymphocytes, indicating beginning degeneration. connective tissue and occasional smooth muscle fibers. temperature, 98.6° F.; pulse, 05; respirations, 15; systolic blood pressure, 120;diastolic, 84. Operation February 28, 1920. Under ether anesthesia,
Clinical memoirs on the diseases of women . telvi-peritonitis. uterus, broad ligaments and sigmoid flexure were all bound together bjold firm adhesions, as is represented in the annexed sketch, Fig. 2. Fig. 2.. The posterior surface of the bladder, v., was united to theuterus, u., by two bands of adhesions—one of which passed on to thesigmoid flexure, S., the other united also the Tallopian tube, t., to thesigmoid flexure. Between these two vesical bands, the vesico-uterineperitoneal cul-de-sac was healthy. The right broad ligament, D.,covered by the membrane from the bladder, formed, as it pa Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/clinical-memoirs-on-the-diseases-of-women-telvi-peritonitis-uterus-broad-ligaments-and-sigmoid-flexure-were-all-bound-together-bjold-firm-adhesions-as-is-represented-in-the-annexed-sketch-fig-2-fig-2-the-posterior-surface-of-the-bladder-v-was-united-to-theuterus-u-by-two-bands-of-adhesionsone-of-which-passed-on-to-thesigmoid-flexure-s-the-other-united-also-the-tallopian-tube-t-to-thesigmoid-flexure-between-these-two-vesical-bands-the-vesico-uterineperitoneal-cul-de-sac-was-healthy-the-right-broad-ligament-dcovered-by-the-membrane-from-the-bladder-formed-as-it-pa-image338073120.htmlRM2AJ0FM0–Clinical memoirs on the diseases of women . telvi-peritonitis. uterus, broad ligaments and sigmoid flexure were all bound together bjold firm adhesions, as is represented in the annexed sketch, Fig. 2. Fig. 2.. The posterior surface of the bladder, v., was united to theuterus, u., by two bands of adhesions—one of which passed on to thesigmoid flexure, S., the other united also the Tallopian tube, t., to thesigmoid flexure. Between these two vesical bands, the vesico-uterineperitoneal cul-de-sac was healthy. The right broad ligament, D.,covered by the membrane from the bladder, formed, as it pa
. Operative gynecology. it, as it were, from its peritoneal covering.After doing this and then cutting through the peritoneum reflected from thebowel onto the tumor, it may be from beneath instead of from above, the rec-tum at once drops into its normal position in the pelvis. The operation maythen be completed in the ordinary way. 29. Myoma in the Upper Part of Broad Ligament, and 30. Myoma in the Broad Ligament Proper.—When the tumordevelops on either side of the uterus, within the layers of the broad ligament, asit grows it separates the anterior from the posterior layer, raises thera up in Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-it-as-it-were-from-its-peritoneal-coveringafter-doing-this-and-then-cutting-through-the-peritoneum-reflected-from-thebowel-onto-the-tumor-it-may-be-from-beneath-instead-of-from-above-the-rec-tum-at-once-drops-into-its-normal-position-in-the-pelvis-the-operation-maythen-be-completed-in-the-ordinary-way-29-myoma-in-the-upper-part-of-broad-ligament-and-30-myoma-in-the-broad-ligament-properwhen-the-tumordevelops-on-either-side-of-the-uterus-within-the-layers-of-the-broad-ligament-asit-grows-it-separates-the-anterior-from-the-posterior-layer-raises-thera-up-in-image336837616.htmlRM2AG07PT–. Operative gynecology. it, as it were, from its peritoneal covering.After doing this and then cutting through the peritoneum reflected from thebowel onto the tumor, it may be from beneath instead of from above, the rec-tum at once drops into its normal position in the pelvis. The operation maythen be completed in the ordinary way. 29. Myoma in the Upper Part of Broad Ligament, and 30. Myoma in the Broad Ligament Proper.—When the tumordevelops on either side of the uterus, within the layers of the broad ligament, asit grows it separates the anterior from the posterior layer, raises thera up in
An atlas of human anatomy for students and physicians . Corpus luteum Graafian follicle I 111 I phori vesiculos Graafian follicle Follicuho5phorne iculosi (Graafi) Mesovarium^ Mesometnum Fig. 876.—Lig omentum Latum Uteri, the Broad Liga-ment OF the Uterus, with the Mesovarium theMesosalpinx, the Ovary, and the Fallopian Tube,IN Transverse Section. Fibrous capsuleof the follicle Theca folliculi Primitive Graafian Stroma of the ovary follicle—FoUiculus Stroma ovarii / .?: oophori primarin .Jli/iiaiifV ?? ???./. Stroma of the ovary Ligament of the ovary Ligamentum ovarii proprium Fig. 877-- -Lon Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/an-atlas-of-human-anatomy-for-students-and-physicians-corpus-luteum-graafian-follicle-i-111-i-phori-vesiculos-graafian-follicle-follicuho5phorne-iculosi-graafi-mesovarium-mesometnum-fig-876lig-omentum-latum-uteri-the-broad-liga-ment-of-the-uterus-with-the-mesovarium-themesosalpinx-the-ovary-and-the-fallopian-tubein-transverse-section-fibrous-capsuleof-the-follicle-theca-folliculi-primitive-graafian-stroma-of-the-ovary-folliclefouiculus-stroma-ovarii-oophori-primarin-jliiiaiifv-stroma-of-the-ovary-ligament-of-the-ovary-ligamentum-ovarii-proprium-fig-877-lon-image338288635.htmlRM2AJAAGY–An atlas of human anatomy for students and physicians . Corpus luteum Graafian follicle I 111 I phori vesiculos Graafian follicle Follicuho5phorne iculosi (Graafi) Mesovarium^ Mesometnum Fig. 876.—Lig omentum Latum Uteri, the Broad Liga-ment OF the Uterus, with the Mesovarium theMesosalpinx, the Ovary, and the Fallopian Tube,IN Transverse Section. Fibrous capsuleof the follicle Theca folliculi Primitive Graafian Stroma of the ovary follicle—FoUiculus Stroma ovarii / .?: oophori primarin .Jli/iiaiifV ?? ???./. Stroma of the ovary Ligament of the ovary Ligamentum ovarii proprium Fig. 877-- -Lon
. Clinical gyncology, medical and surgical. Small spindle-celled sarcoma of uterus, X 500.—L, L, longitudinal bundles of spindles; T, T, transversesections of bundles; 0, 0, oblique sections of bundles; A, artery collapsed; C, C, capillaries. Spindle myeloma is comparatively rare, and is composed of spindle-shaped protoplasmic bodies with irregular, coarsely granular nuclei, freelyinterlacing and somewhat resembling fibro-myoma. I observed a case ofthis variety of tumor which started from the body of the uterus and ex-tended to the broad ligament, the tubes, and one of the ovaries. All thetiss Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/clinical-gyncology-medical-and-surgical-small-spindle-celled-sarcoma-of-uterus-x-500l-l-longitudinal-bundles-of-spindles-t-t-transversesections-of-bundles-0-0-oblique-sections-of-bundles-a-artery-collapsed-c-c-capillaries-spindle-myeloma-is-comparatively-rare-and-is-composed-of-spindle-shaped-protoplasmic-bodies-with-irregular-coarsely-granular-nuclei-freelyinterlacing-and-somewhat-resembling-fibro-myoma-i-observed-a-case-ofthis-variety-of-tumor-which-started-from-the-body-of-the-uterus-and-ex-tended-to-the-broad-ligament-the-tubes-and-one-of-the-ovaries-all-thetiss-image336723510.htmlRM2AFR27J–. Clinical gyncology, medical and surgical. Small spindle-celled sarcoma of uterus, X 500.—L, L, longitudinal bundles of spindles; T, T, transversesections of bundles; 0, 0, oblique sections of bundles; A, artery collapsed; C, C, capillaries. Spindle myeloma is comparatively rare, and is composed of spindle-shaped protoplasmic bodies with irregular, coarsely granular nuclei, freelyinterlacing and somewhat resembling fibro-myoma. I observed a case ofthis variety of tumor which started from the body of the uterus and ex-tended to the broad ligament, the tubes, and one of the ovaries. All thetiss
. The diagnosis and treatment of diseases of women. Fig. 549. The Distribution of ttie Lympliatics of the Uterus to tlie various Groups of Glands. (DiJder-leln and Kronlg—Operative Gynakologie.) POINTS IN ANATOMY 535 uterus around the rectum to the sacrum (Figs. 4 and 550). They contain alsosome fibrous tissue and a few muscular fibers, hence they are stronger. The round ligament of each side is a fibro-muscular cord which arises from thetop 01 the uterus just in front of the Fallopian tube and extends outward andforward in the upper part of the broad ligament to the internal inguinal ring (Fi Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-diagnosis-and-treatment-of-diseases-of-women-fig-549-the-distribution-of-ttie-lympliatics-of-the-uterus-to-tlie-various-groups-of-glands-dijder-leln-and-kronlgoperative-gynakologie-points-in-anatomy-535-uterus-around-the-rectum-to-the-sacrum-figs-4-and-550-they-contain-alsosome-fibrous-tissue-and-a-few-muscular-fibers-hence-they-are-stronger-the-round-ligament-of-each-side-is-a-fibro-muscular-cord-which-arises-from-thetop-01-the-uterus-just-in-front-of-the-fallopian-tube-and-extends-outward-andforward-in-the-upper-part-of-the-broad-ligament-to-the-internal-inguinal-ring-fi-image336789251.htmlRM2AFX23F–. The diagnosis and treatment of diseases of women. Fig. 549. The Distribution of ttie Lympliatics of the Uterus to tlie various Groups of Glands. (DiJder-leln and Kronlg—Operative Gynakologie.) POINTS IN ANATOMY 535 uterus around the rectum to the sacrum (Figs. 4 and 550). They contain alsosome fibrous tissue and a few muscular fibers, hence they are stronger. The round ligament of each side is a fibro-muscular cord which arises from thetop 01 the uterus just in front of the Fallopian tube and extends outward andforward in the upper part of the broad ligament to the internal inguinal ring (Fi
The pathology and surgical treatment of tumors . Fig. 347.—Multiple myofibromata of the uterus and broad ligament (after Winckel) : a, right ovary ;b, right Fallopian tube; c, interstitial myoma; d, submucous myoma ; e, subserous myoma; f, orifice ofuterus ; g, interstitial myoma ; h, intraligamentous myoma. Interstitial—or, as they are also called, intraparietal—tumors maystart in any part of the uterine wall. A frequent location is near thecervix (Fig. 344). Another favorite locality is at the fundus (Fig. 345). 488 PATHOLOGY AND TREATMENT OF TUMORS.. Not infrequently subperitoneal and submu Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-pathology-and-surgical-treatment-of-tumors-fig-347multiple-myofibromata-of-the-uterus-and-broad-ligament-after-winckel-a-right-ovary-b-right-fallopian-tube-c-interstitial-myoma-d-submucous-myoma-e-subserous-myoma-f-orifice-ofuterus-g-interstitial-myoma-h-intraligamentous-myoma-interstitialor-as-they-are-also-called-intraparietaltumors-maystart-in-any-part-of-the-uterine-wall-a-frequent-location-is-near-thecervix-fig-344-another-favorite-locality-is-at-the-fundus-fig-345-488-pathology-and-treatment-of-tumors-not-infrequently-subperitoneal-and-submu-image343039699.htmlRM2AX2PHR–The pathology and surgical treatment of tumors . Fig. 347.—Multiple myofibromata of the uterus and broad ligament (after Winckel) : a, right ovary ;b, right Fallopian tube; c, interstitial myoma; d, submucous myoma ; e, subserous myoma; f, orifice ofuterus ; g, interstitial myoma ; h, intraligamentous myoma. Interstitial—or, as they are also called, intraparietal—tumors maystart in any part of the uterine wall. A frequent location is near thecervix (Fig. 344). Another favorite locality is at the fundus (Fig. 345). 488 PATHOLOGY AND TREATMENT OF TUMORS.. Not infrequently subperitoneal and submu
. Clinical gyncology, medical and surgical. Hi IP ?• (.-1.. Small spindle-celled sarcoma of uterus, X 500.—L, L, longitudinal bundles of spindles; T, T, transversesections of bundles; 0, 0, oblique sections of bundles; A, artery collapsed; C, C, capillaries. Spindle myeloma is comparatively rare, and is composed of spindle-shaped protoplasmic bodies with irregular, coarsely granular nuclei, freelyinterlacing and somewhat resembling fibro-myoma. I observed a case ofthis variety of tumor which started from the body of the uterus and ex-tended to the broad ligament, the tubes, and one of the ovar Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/clinical-gyncology-medical-and-surgical-hi-ip-1-small-spindle-celled-sarcoma-of-uterus-x-500l-l-longitudinal-bundles-of-spindles-t-t-transversesections-of-bundles-0-0-oblique-sections-of-bundles-a-artery-collapsed-c-c-capillaries-spindle-myeloma-is-comparatively-rare-and-is-composed-of-spindle-shaped-protoplasmic-bodies-with-irregular-coarsely-granular-nuclei-freelyinterlacing-and-somewhat-resembling-fibro-myoma-i-observed-a-case-ofthis-variety-of-tumor-which-started-from-the-body-of-the-uterus-and-ex-tended-to-the-broad-ligament-the-tubes-and-one-of-the-ovar-image336723714.htmlRM2AFR2EX–. Clinical gyncology, medical and surgical. Hi IP ?• (.-1.. Small spindle-celled sarcoma of uterus, X 500.—L, L, longitudinal bundles of spindles; T, T, transversesections of bundles; 0, 0, oblique sections of bundles; A, artery collapsed; C, C, capillaries. Spindle myeloma is comparatively rare, and is composed of spindle-shaped protoplasmic bodies with irregular, coarsely granular nuclei, freelyinterlacing and somewhat resembling fibro-myoma. I observed a case ofthis variety of tumor which started from the body of the uterus and ex-tended to the broad ligament, the tubes, and one of the ovar
British medical journal . , I found one of hiskidneys in the hollow of the sacrum (Fig. 5); it receivedits blood supply from the right and the left common iliaoarteries. 1 have seen a kidney in this situation in a^^?oman; it ^Yas regarded before operation as a distendedFallopian tube. ^Vhen the pelvic organs were exposediu the course of the operation a curious set of anomaliesappeared. The uterus was of the unicorn variety and hada right ovary, tube, and broad ligament. The left sidewas smooth and round, and lacked appeuda.gcs of everykind, including the round ligament. The right kidneViwas no Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/british-medical-journal-i-found-one-of-hiskidneys-in-the-hollow-of-the-sacrum-fig-5-it-receivedits-blood-supply-from-the-right-and-the-left-common-iliaoarteries-1-have-seen-a-kidney-in-this-situation-in-aoman-it-yas-regarded-before-operation-as-a-distendedfallopian-tube-vhen-the-pelvic-organs-were-exposediu-the-course-of-the-operation-a-curious-set-of-anomaliesappeared-the-uterus-was-of-the-unicorn-variety-and-hada-right-ovary-tube-and-broad-ligament-the-left-sidewas-smooth-and-round-and-lacked-appeudagcs-of-everykind-including-the-round-ligament-the-right-kidneviwas-no-image340012271.htmlRM2AN4W3B–British medical journal . , I found one of hiskidneys in the hollow of the sacrum (Fig. 5); it receivedits blood supply from the right and the left common iliaoarteries. 1 have seen a kidney in this situation in a^^?oman; it ^Yas regarded before operation as a distendedFallopian tube. ^Vhen the pelvic organs were exposediu the course of the operation a curious set of anomaliesappeared. The uterus was of the unicorn variety and hada right ovary, tube, and broad ligament. The left sidewas smooth and round, and lacked appeuda.gcs of everykind, including the round ligament. The right kidneViwas no
The obstetric memoirs and contributions of James YSimpson; . ovary (Fig. 19, a withouta distinct broad ligament, and a Fallopian tube, b, which commu-nicated with the superior and left portion of a uterus, c. The leftside of the scrotum (Fig. 18, a) was empty ; the right, 6, containeda testicle (Fig. 19, d) furnished with an epididymis, e, and tortuousvas deferens, /. Below the uterus there was a hard flattened ovoidbody (Fig. 19, g, and Fig. 20, b), which, when divided, was foundto consist of a cavity with thick parietes, and was considered byRudolphi as the prostate gland in a rudimentary s Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-obstetric-memoirs-and-contributions-of-james-ysimpson-ovary-fig-19-a-withouta-distinct-broad-ligament-and-a-fallopian-tube-b-which-commu-nicated-with-the-superior-and-left-portion-of-a-uterus-c-the-leftside-of-the-scrotum-fig-18-a-was-empty-the-right-6-containeda-testicle-fig-19-d-furnished-with-an-epididymis-e-and-tortuousvas-deferens-below-the-uterus-there-was-a-hard-flattened-ovoidbody-fig-19-g-and-fig-20-b-which-when-divided-was-foundto-consist-of-a-cavity-with-thick-parietes-and-was-considered-byrudolphi-as-the-prostate-gland-in-a-rudimentary-s-image338949976.htmlRM2AKCE48–The obstetric memoirs and contributions of James YSimpson; . ovary (Fig. 19, a withouta distinct broad ligament, and a Fallopian tube, b, which commu-nicated with the superior and left portion of a uterus, c. The leftside of the scrotum (Fig. 18, a) was empty ; the right, 6, containeda testicle (Fig. 19, d) furnished with an epididymis, e, and tortuousvas deferens, /. Below the uterus there was a hard flattened ovoidbody (Fig. 19, g, and Fig. 20, b), which, when divided, was foundto consist of a cavity with thick parietes, and was considered byRudolphi as the prostate gland in a rudimentary s
The pathology and surgical treatment of tumors . Fig. 346.—Subserous and submucous myomata (after Winckel) : a, cavity of the uterus; b, submucoustumor ; c, subserous tumor. interstitial may eventually grow in the direction of the mucous or seroussurface, and become a submucous or subserous tumor (Figs. 342, 343). d. Fig. 347.—Multiple myofibromata of the uterus and broad ligament (after Winckel) : a, right ovary ;b, right Fallopian tube; c, interstitial myoma; d, submucous myoma ; e, subserous myoma; f, orifice ofuterus ; g, interstitial myoma ; h, intraligamentous myoma. Interstitial—or, as Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-pathology-and-surgical-treatment-of-tumors-fig-346subserous-and-submucous-myomata-after-winckel-a-cavity-of-the-uterus-b-submucoustumor-c-subserous-tumor-interstitial-may-eventually-grow-in-the-direction-of-the-mucous-or-seroussurface-and-become-a-submucous-or-subserous-tumor-figs-342-343-d-fig-347multiple-myofibromata-of-the-uterus-and-broad-ligament-after-winckel-a-right-ovary-b-right-fallopian-tube-c-interstitial-myoma-d-submucous-myoma-e-subserous-myoma-f-orifice-ofuterus-g-interstitial-myoma-h-intraligamentous-myoma-interstitialor-as-image343039995.htmlRM2AX2R0B–The pathology and surgical treatment of tumors . Fig. 346.—Subserous and submucous myomata (after Winckel) : a, cavity of the uterus; b, submucoustumor ; c, subserous tumor. interstitial may eventually grow in the direction of the mucous or seroussurface, and become a submucous or subserous tumor (Figs. 342, 343). d. Fig. 347.—Multiple myofibromata of the uterus and broad ligament (after Winckel) : a, right ovary ;b, right Fallopian tube; c, interstitial myoma; d, submucous myoma ; e, subserous myoma; f, orifice ofuterus ; g, interstitial myoma ; h, intraligamentous myoma. Interstitial—or, as
. Operative gynecology. th suppura-tion. 2. Tubal mole. 3. Tubal abortion.i. Extrusion into the uterus (in the interstitial form), anddevelopment to term. 6. Hupture within the foldsof the broad ligament, usuallywith the death of the fetus, inrare instances advancing toterm. 6. Hupture into the perito-neal cavity. (a) Followed by continuedgrowth of the fetus. (b) Death of fetus andmother. (c) Death of fetus alone with absorption (Leopold, Arohivf. Gyn., xviii, p.63 ; experiments on rabbits). (d) Death of fetus with a succession of hemorrhages ending in (1) supjiura-tion, peritonitis, and mater Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-th-suppura-tion-2-tubal-mole-3-tubal-abortioni-extrusion-into-the-uterus-in-the-interstitial-form-anddevelopment-to-term-6-hupture-within-the-foldsof-the-broad-ligament-usuallywith-the-death-of-the-fetus-inrare-instances-advancing-toterm-6-hupture-into-the-perito-neal-cavity-a-followed-by-continuedgrowth-of-the-fetus-b-death-of-fetus-andmother-c-death-of-fetus-alone-with-absorption-leopold-arohivf-gyn-xviii-p63-experiments-on-rabbits-d-death-of-fetus-with-a-succession-of-hemorrhages-ending-in-1-supjiura-tion-peritonitis-and-mater-image336833874.htmlRM2AG0316–. Operative gynecology. th suppura-tion. 2. Tubal mole. 3. Tubal abortion.i. Extrusion into the uterus (in the interstitial form), anddevelopment to term. 6. Hupture within the foldsof the broad ligament, usuallywith the death of the fetus, inrare instances advancing toterm. 6. Hupture into the perito-neal cavity. (a) Followed by continuedgrowth of the fetus. (b) Death of fetus andmother. (c) Death of fetus alone with absorption (Leopold, Arohivf. Gyn., xviii, p.63 ; experiments on rabbits). (d) Death of fetus with a succession of hemorrhages ending in (1) supjiura-tion, peritonitis, and mater
Veterinary obstetrics, including the diseases of breeding animals and of the new-born . Fig. 114. The Mechanism of Torsion of the Uterus in the Cow.Gravid Uterus in Normal Position at about the 7Thmonth of Pregnancy, Seen from Below. P, Pubis. B, Bladder. L, Broad ligament.L, Point of attachment of broad ligament to abdominal wall.O, O, Ovaries. C, Right cornu. Q., Left (non-gravid) cornu.A, Corpus luteum. 696 Veterinary Obstetrics The causes of torsion have not been fully determined. Any-thing which may violently disturb the uterus may cause it toturn upon its long axis. We have noted the pec Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/veterinary-obstetrics-including-the-diseases-of-breeding-animals-and-of-the-new-born-fig-114-the-mechanism-of-torsion-of-the-uterus-in-the-cowgravid-uterus-in-normal-position-at-about-the-7thmonth-of-pregnancy-seen-from-below-p-pubis-b-bladder-l-broad-ligamentl-point-of-attachment-of-broad-ligament-to-abdominal-wallo-o-ovaries-c-right-cornu-q-left-non-gravid-cornua-corpus-luteum-696-veterinary-obstetrics-the-causes-of-torsion-have-not-been-fully-determined-any-thing-which-may-violently-disturb-the-uterus-may-cause-it-toturn-upon-its-long-axis-we-have-noted-the-pec-image340296613.htmlRM2ANHRPD–Veterinary obstetrics, including the diseases of breeding animals and of the new-born . Fig. 114. The Mechanism of Torsion of the Uterus in the Cow.Gravid Uterus in Normal Position at about the 7Thmonth of Pregnancy, Seen from Below. P, Pubis. B, Bladder. L, Broad ligament.L, Point of attachment of broad ligament to abdominal wall.O, O, Ovaries. C, Right cornu. Q., Left (non-gravid) cornu.A, Corpus luteum. 696 Veterinary Obstetrics The causes of torsion have not been fully determined. Any-thing which may violently disturb the uterus may cause it toturn upon its long axis. We have noted the pec
. Operative gynecology. ^ ought always to be in-spected and a note as to its condition entered in the history. If it is evidently. Fig. 4;49.^FiRitoM.v of TriE Left Ovary (MO)^ with Lakge Myo-iiATA {M^ M) OF THE Uterus ( &). Note the smooth surface and coarse exafrgeration of the form of theovary, the larfte vessels and the dense band of adhesion (/) stretch-ing down under its hilum, attaching it to tlie broad ligament. Jan.30, 1895. % natural size. 304 OVARIOTOMY. diseased it slioiild be removed, too; in a young woman conservatism shouldalways be the ruling principle, and whenever it may be s Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-ought-always-to-be-in-spected-and-a-note-as-to-its-condition-entered-in-the-history-if-it-is-evidently-fig-449firitomv-of-trie-left-ovary-mo-with-lakge-myo-iiata-m-m-of-the-uterus-note-the-smooth-surface-and-coarse-exafrgeration-of-the-form-of-theovary-the-larfte-vessels-and-the-dense-band-of-adhesion-stretch-ing-down-under-its-hilum-attaching-it-to-tlie-broad-ligament-jan30-1895-natural-size-304-ovariotomy-diseased-it-slioiild-be-removed-too-in-a-young-woman-conservatism-shouldalways-be-the-ruling-principle-and-whenever-it-may-be-s-image336857605.htmlRM2AG158N–. Operative gynecology. ^ ought always to be in-spected and a note as to its condition entered in the history. If it is evidently. Fig. 4;49.^FiRitoM.v of TriE Left Ovary (MO)^ with Lakge Myo-iiATA {M^ M) OF THE Uterus ( &). Note the smooth surface and coarse exafrgeration of the form of theovary, the larfte vessels and the dense band of adhesion (/) stretch-ing down under its hilum, attaching it to tlie broad ligament. Jan.30, 1895. % natural size. 304 OVARIOTOMY. diseased it slioiild be removed, too; in a young woman conservatism shouldalways be the ruling principle, and whenever it may be s
Veterinary obstetrics, including the diseases of breeding animals and of the new-born . /. Fig. 114. The Mechanism of Torsion of the Uterus in the Cow.Gravid Uterus in Normal Position at about the 7Thmonth of Pregnancy, Seen from Below. P, Pubis. B, Bladder. L, Broad ligament.L, Point of attachment of broad ligament to abdominal wall.O, O, Ovaries. C, Right cornu. Q., Left (non-gravid) cornu.A, Corpus luteum. 696 Veterinary Obstetrics The causes of torsion have not been fully determined. Any-thing which may violently disturb the uterus may cause it toturn upon its long axis. We have noted the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/veterinary-obstetrics-including-the-diseases-of-breeding-animals-and-of-the-new-born-fig-114-the-mechanism-of-torsion-of-the-uterus-in-the-cowgravid-uterus-in-normal-position-at-about-the-7thmonth-of-pregnancy-seen-from-below-p-pubis-b-bladder-l-broad-ligamentl-point-of-attachment-of-broad-ligament-to-abdominal-wallo-o-ovaries-c-right-cornu-q-left-non-gravid-cornua-corpus-luteum-696-veterinary-obstetrics-the-causes-of-torsion-have-not-been-fully-determined-any-thing-which-may-violently-disturb-the-uterus-may-cause-it-toturn-upon-its-long-axis-we-have-noted-the-image340296939.htmlRM2ANHT63–Veterinary obstetrics, including the diseases of breeding animals and of the new-born . /. Fig. 114. The Mechanism of Torsion of the Uterus in the Cow.Gravid Uterus in Normal Position at about the 7Thmonth of Pregnancy, Seen from Below. P, Pubis. B, Bladder. L, Broad ligament.L, Point of attachment of broad ligament to abdominal wall.O, O, Ovaries. C, Right cornu. Q., Left (non-gravid) cornu.A, Corpus luteum. 696 Veterinary Obstetrics The causes of torsion have not been fully determined. Any-thing which may violently disturb the uterus may cause it toturn upon its long axis. We have noted the
![. An introduction to the practice of midwifery. V o Platel7. Francis Case of Ovarian 7)ropsy.. D A J PLATE XVII. ILLUSTRATION OF A DISEASED OVARIUM. [See Note in this Introduction, page 200 ; also, the New-York Medical and Physical Journal, vol. ii. 1823. F.] A The uterus in its natural state. B The broad ligament of the left side, and its appen-dages. C The tumour, immediately attached to the broad liga-ment, dense and sarcomatous, and which occu-pied the pelvic cavity. It is raised up by the knife. D The attachment to the broad ligament, by whichthe whole mass was principally cherished. E Th Stock Photo](https://c8.alamy.com/comp/2AG7NFD/an-introduction-to-the-practice-of-midwifery-v-o-platel7-francis-case-of-ovarian-7ropsy-d-a-j-plate-xvii-illustration-of-a-diseased-ovarium-see-note-in-this-introduction-page-200-also-the-new-york-medical-and-physical-journal-vol-ii-1823-f-a-the-uterus-in-its-natural-state-b-the-broad-ligament-of-the-left-side-and-its-appen-dages-c-the-tumour-immediately-attached-to-the-broad-liga-ment-dense-and-sarcomatous-and-which-occu-pied-the-pelvic-cavity-it-is-raised-up-by-the-knife-d-the-attachment-to-the-broad-ligament-by-whichthe-whole-mass-was-principally-cherished-e-th-2AG7NFD.jpg ". An introduction to the practice of midwifery. V o Platel7. Francis Case of Ovarian 7)ropsy.. D A J PLATE XVII. ILLUSTRATION OF A DISEASED OVARIUM. [See Note in this Introduction, page 200 ; also, the New-York Medical and Physical Journal, vol. ii. 1823. F.] A The uterus in its natural state. B The broad ligament of the left side, and its appen-dages. C The tumour, immediately attached to the broad liga-ment, dense and sarcomatous, and which occu-pied the pelvic cavity. It is raised up by the knife. D The attachment to the broad ligament, by whichthe whole mass was principally cherished. E Th Stock Photo")
. An introduction to the practice of midwifery. V o Platel7. Francis Case of Ovarian 7)ropsy.. D A J PLATE XVII. ILLUSTRATION OF A DISEASED OVARIUM. [See Note in this Introduction, page 200 ; also, the New-York Medical and Physical Journal, vol. ii. 1823. F.] A The uterus in its natural state. B The broad ligament of the left side, and its appen-dages. C The tumour, immediately attached to the broad liga-ment, dense and sarcomatous, and which occu-pied the pelvic cavity. It is raised up by the knife. D The attachment to the broad ligament, by whichthe whole mass was principally cherished. E Th Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/an-introduction-to-the-practice-of-midwifery-v-o-platel7-francis-case-of-ovarian-7ropsy-d-a-j-plate-xvii-illustration-of-a-diseased-ovarium-see-note-in-this-introduction-page-200-also-the-new-york-medical-and-physical-journal-vol-ii-1823-f-a-the-uterus-in-its-natural-state-b-the-broad-ligament-of-the-left-side-and-its-appen-dages-c-the-tumour-immediately-attached-to-the-broad-liga-ment-dense-and-sarcomatous-and-which-occu-pied-the-pelvic-cavity-it-is-raised-up-by-the-knife-d-the-attachment-to-the-broad-ligament-by-whichthe-whole-mass-was-principally-cherished-e-th-image337002049.htmlRM2AG7NFD–. An introduction to the practice of midwifery. V o Platel7. Francis Case of Ovarian 7)ropsy.. D A J PLATE XVII. ILLUSTRATION OF A DISEASED OVARIUM. [See Note in this Introduction, page 200 ; also, the New-York Medical and Physical Journal, vol. ii. 1823. F.] A The uterus in its natural state. B The broad ligament of the left side, and its appen-dages. C The tumour, immediately attached to the broad liga-ment, dense and sarcomatous, and which occu-pied the pelvic cavity. It is raised up by the knife. D The attachment to the broad ligament, by whichthe whole mass was principally cherished. E Th
. The diagnosis and treatment of diseases of women. nnective tis-sue, though it is limited anteriorly andposteriorly by the separated peritoneallayers of the broad ligament. It is largely fluid and there is distinctfluctuation over a considerable area, as ina cyst. Also, there is not so much sur-rounding induration as in an abscess,though usually considerably more than ina C5^st. The tenderness is not nearly so f^s- ^^e. Mass beside uterus, lonuea by Ab- , , . 11 , • (> 1 1 1 ? ,1 cess in broad ligament. (Montgomery—/rat ^i- marked as in a collection of blood m the cai Gynecoiogn.) peritone Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-diagnosis-and-treatment-of-diseases-of-women-nnective-tis-sue-though-it-is-limited-anteriorly-andposteriorly-by-the-separated-peritoneallayers-of-the-broad-ligament-it-is-largely-fluid-and-there-is-distinctfluctuation-over-a-considerable-area-as-ina-cyst-also-there-is-not-so-much-sur-rounding-induration-as-in-an-abscessthough-usually-considerably-more-than-ina-c5st-the-tenderness-is-not-nearly-so-fs-e-mass-beside-uterus-lonuea-by-ab-11-gt-1-1-1-1-cess-in-broad-ligament-montgomeryrat-i-marked-as-in-a-collection-of-blood-m-the-cai-gynecoiogn-peritone-image336846747.htmlRM2AG0KCY–. The diagnosis and treatment of diseases of women. nnective tis-sue, though it is limited anteriorly andposteriorly by the separated peritoneallayers of the broad ligament. It is largely fluid and there is distinctfluctuation over a considerable area, as ina cyst. Also, there is not so much sur-rounding induration as in an abscess,though usually considerably more than ina C5^st. The tenderness is not nearly so f^s- ^^e. Mass beside uterus, lonuea by Ab- , , . 11 , • (> 1 1 1 ? ,1 cess in broad ligament. (Montgomery—/rat ^i- marked as in a collection of blood m the cai Gynecoiogn.) peritone
Elements of pathological anatomy . 246 VEINS.. a. Broad ligament of uterus , b 6,uterine veins containing plilebo-litea : c, phlebnlite sawed open, ex-hibiting iis concernric arra: gement. a currant to a pea, are occasionally found in the in-terior of these tubes. Commonly of a yellowish, brownish, or bluish color, they aiv of ;i hard andbrittle consistence, and of an oblong, oval, or sphe-rical form, with a smooth, even surface. Whendivided by the saw, lh; are found to be made up • of several thin but distinct lamella?, disposed con- I H fell centrically around a small delicate nucleus, fre- Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/elements-of-pathological-anatomy-246-veins-a-broad-ligament-of-uterus-b-6uterine-veins-containing-plilebo-litea-c-phlebnlite-sawed-open-ex-hibiting-iis-concernric-arra-gement-a-currant-to-a-pea-are-occasionally-found-in-the-in-terior-of-these-tubes-commonly-of-a-yellowish-brownish-or-bluish-color-they-aiv-of-i-hard-andbrittle-consistence-and-of-an-oblong-oval-or-sphe-rical-form-with-a-smooth-even-surface-whendivided-by-the-saw-lh-are-found-to-be-made-up-of-several-thin-but-distinct-lamella-disposed-con-i-h-fell-centrically-around-a-small-delicate-nucleus-fre-image338897300.htmlRM2AKA2Y0–Elements of pathological anatomy . 246 VEINS.. a. Broad ligament of uterus , b 6,uterine veins containing plilebo-litea : c, phlebnlite sawed open, ex-hibiting iis concernric arra: gement. a currant to a pea, are occasionally found in the in-terior of these tubes. Commonly of a yellowish, brownish, or bluish color, they aiv of ;i hard andbrittle consistence, and of an oblong, oval, or sphe-rical form, with a smooth, even surface. Whendivided by the saw, lh; are found to be made up • of several thin but distinct lamella?, disposed con- I H fell centrically around a small delicate nucleus, fre-
. Operative gynecology. Fig. 457.—Adeno-cabcinoma of the Body of the Uterus cdt theough the Anterior Wall. In spite of the fact that the whole uterine cavity is choked with the disease, it does not invade the cervix.Same as Fig. 456. July 25,1894. y, natural size. the uterus is plastic, and it is possible to reach with ease far out into the broadligaments, a feat much more difficult in the case of the non-pregnant uterus.. Fig. 458.—Adeno-cahcinoma ok tiik Utkiune B.mv, wmi Metastatic Nopules in the Lymph Chan-nels OF THE Left Broad Ligament and a Nodule in the Left Eound Ligament.Almost the e Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/operative-gynecology-fig-457adeno-cabcinoma-of-the-body-of-the-uterus-cdt-theough-the-anterior-wall-in-spite-of-the-fact-that-the-whole-uterine-cavity-is-choked-with-the-disease-it-does-not-invade-the-cervixsame-as-fig-456-july-251894-y-natural-size-the-uterus-is-plastic-and-it-is-possible-to-reach-with-ease-far-out-into-the-broadligaments-a-feat-much-more-difficult-in-the-case-of-the-non-pregnant-uterus-fig-458adeno-cahcinoma-ok-tiik-utkiune-bmv-wmi-metastatic-nopules-in-the-lymph-chan-nels-of-the-left-broad-ligament-and-a-nodule-in-the-left-eound-ligamentalmost-the-e-image336854844.htmlRM2AG11P4–. Operative gynecology. Fig. 457.—Adeno-cabcinoma of the Body of the Uterus cdt theough the Anterior Wall. In spite of the fact that the whole uterine cavity is choked with the disease, it does not invade the cervix.Same as Fig. 456. July 25,1894. y, natural size. the uterus is plastic, and it is possible to reach with ease far out into the broadligaments, a feat much more difficult in the case of the non-pregnant uterus.. Fig. 458.—Adeno-cahcinoma ok tiik Utkiune B.mv, wmi Metastatic Nopules in the Lymph Chan-nels OF THE Left Broad Ligament and a Nodule in the Left Eound Ligament.Almost the e
The pathology and surgical treatment of tumors . ?0 ^:4m^M- m NV^r i4H^^a^ Fig. 336.—Myofibroma of the broad ligament; X480 (Surgical Clinic, Rush Medical College, Chicago):a, muscle-fibres in cross-section; 6, muscle-fibres inlongitudinal section ; c, interstitial elastic fibres. MYOMA. 481. Fig. 337.—Myofibroma of the uterus ; X 75 (Surgical Clinic, Rush Medical College, Chicago): a, fibroustissue ; 6, longitudinal section of muscle-fibres; c, large blood-vessels. shaped, tapering into filamentous points, and contain near their centrethe typical hammer-shaped nucleus (Fig. 338). In tumor-s Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-pathology-and-surgical-treatment-of-tumors-0-4mm-m-nvr-i4ha-fig-336myofibroma-of-the-broad-ligament-x480-surgical-clinic-rush-medical-college-chicagoa-muscle-fibres-in-cross-section-6-muscle-fibres-inlongitudinal-section-c-interstitial-elastic-fibres-myoma-481-fig-337myofibroma-of-the-uterus-x-75-surgical-clinic-rush-medical-college-chicago-a-fibroustissue-6-longitudinal-section-of-muscle-fibres-c-large-blood-vessels-shaped-tapering-into-filamentous-points-and-contain-near-their-centrethe-typical-hammer-shaped-nucleus-fig-338-in-tumor-s-image343043142.htmlRM2AX2Y0P–The pathology and surgical treatment of tumors . ?0 ^:4m^M- m NV^r i4H^^a^ Fig. 336.—Myofibroma of the broad ligament; X480 (Surgical Clinic, Rush Medical College, Chicago):a, muscle-fibres in cross-section; 6, muscle-fibres inlongitudinal section ; c, interstitial elastic fibres. MYOMA. 481. Fig. 337.—Myofibroma of the uterus ; X 75 (Surgical Clinic, Rush Medical College, Chicago): a, fibroustissue ; 6, longitudinal section of muscle-fibres; c, large blood-vessels. shaped, tapering into filamentous points, and contain near their centrethe typical hammer-shaped nucleus (Fig. 338). In tumor-s
. Gynecology : . of the uterus has been delivered. The broad ligament of the left side is about to be tied and cut. The parametrial tissue is excised as far away from the uterus as possible,there being some bleeding from the hemorrhoidal vessels that run to theuterosacral ligaments. (5) Removal of Uterus and Adnexa.—The fundus of the uterus is deliveredthrough the opening into the uterovesical pouch. This is accomplishedby passing the forefinger of the left hand into the pouch of Douglas andanteflexing the fundus by pressure from behind. The fundus is seized withstrong volsella and drawn sharp Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-of-the-uterus-has-been-delivered-the-broad-ligament-of-the-left-side-is-about-to-be-tied-and-cut-the-parametrial-tissue-is-excised-as-far-away-from-the-uterus-as-possiblethere-being-some-bleeding-from-the-hemorrhoidal-vessels-that-run-to-theuterosacral-ligaments-5-removal-of-uterus-and-adnexathe-fundus-of-the-uterus-is-deliveredthrough-the-opening-into-the-uterovesical-pouch-this-is-accomplishedby-passing-the-forefinger-of-the-left-hand-into-the-pouch-of-douglas-andanteflexing-the-fundus-by-pressure-from-behind-the-fundus-is-seized-withstrong-volsella-and-drawn-sharp-image369776496.htmlRM2CDGNKC–. Gynecology : . of the uterus has been delivered. The broad ligament of the left side is about to be tied and cut. The parametrial tissue is excised as far away from the uterus as possible,there being some bleeding from the hemorrhoidal vessels that run to theuterosacral ligaments. (5) Removal of Uterus and Adnexa.—The fundus of the uterus is deliveredthrough the opening into the uterovesical pouch. This is accomplishedby passing the forefinger of the left hand into the pouch of Douglas andanteflexing the fundus by pressure from behind. The fundus is seized withstrong volsella and drawn sharp
. Anatomy, descriptive and surgical. nsists of fibres which pass transverselyacross the fundus, and, converging at each superior angle of the uterus, are contin-ued on the Fallopian tubes, the round ligament, and ligament of the ovary, somepassing at each side into the broad ligament, and others running backward from thecervix into the recto-uterine ligaments. The middle layer of fibres presents no regularity in its arrangement, being dis-posed longitudinally, obliquely, and transversely. The internal or deep layer consists of circular fibres arranged in the form of twohollow cones, the apices Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/anatomy-descriptive-and-surgical-nsists-of-fibres-which-pass-transverselyacross-the-fundus-and-converging-at-each-superior-angle-of-the-uterus-are-contin-ued-on-the-fallopian-tubes-the-round-ligament-and-ligament-of-the-ovary-somepassing-at-each-side-into-the-broad-ligament-and-others-running-backward-from-thecervix-into-the-recto-uterine-ligaments-the-middle-layer-of-fibres-presents-no-regularity-in-its-arrangement-being-dis-posed-longitudinally-obliquely-and-transversely-the-internal-or-deep-layer-consists-of-circular-fibres-arranged-in-the-form-of-twohollow-cones-the-apices-image370501719.htmlRM2CENPM7–. Anatomy, descriptive and surgical. nsists of fibres which pass transverselyacross the fundus, and, converging at each superior angle of the uterus, are contin-ued on the Fallopian tubes, the round ligament, and ligament of the ovary, somepassing at each side into the broad ligament, and others running backward from thecervix into the recto-uterine ligaments. The middle layer of fibres presents no regularity in its arrangement, being dis-posed longitudinally, obliquely, and transversely. The internal or deep layer consists of circular fibres arranged in the form of twohollow cones, the apices
. American journal of obstetrics and gynecology. Fig. 1.—Drawing of the posterior aspect of the uterus and its appendages of arabbit which 150 days previously had been subjected to autotransplantation ofcornual mucosa. The animal was in heat when killed. At a and b are characteristicmulticystic growths attached to and invading the fat of the broad ligament. Thegrowth at a arose probably by direct transplantation, that at b by implantation.. Fig. 2.—Drawing of the posterior aspect of the uterus and Its appendages of arabbit which had been treated as had the animal portrayed In Fig. 1. At a is a Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/american-journal-of-obstetrics-and-gynecology-fig-1drawing-of-the-posterior-aspect-of-the-uterus-and-its-appendages-of-arabbit-which-150-days-previously-had-been-subjected-to-autotransplantation-ofcornual-mucosa-the-animal-was-in-heat-when-killed-at-a-and-b-are-characteristicmulticystic-growths-attached-to-and-invading-the-fat-of-the-broad-ligament-thegrowth-at-a-arose-probably-by-direct-transplantation-that-at-b-by-implantation-fig-2drawing-of-the-posterior-aspect-of-the-uterus-and-its-appendages-of-arabbit-which-had-been-treated-as-had-the-animal-portrayed-in-fig-1-at-a-is-a-image370563917.htmlRM2CETJ1H–. American journal of obstetrics and gynecology. Fig. 1.—Drawing of the posterior aspect of the uterus and its appendages of arabbit which 150 days previously had been subjected to autotransplantation ofcornual mucosa. The animal was in heat when killed. At a and b are characteristicmulticystic growths attached to and invading the fat of the broad ligament. Thegrowth at a arose probably by direct transplantation, that at b by implantation.. Fig. 2.—Drawing of the posterior aspect of the uterus and Its appendages of arabbit which had been treated as had the animal portrayed In Fig. 1. At a is a
. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 12.—Sagittal section of multiparous uterus. {After Edgar.) known as the fundus, is convex, and corresponds to that portionof the body superior to the attachments of the uterine tubes. The lateral margins extend downward from the entrance ofthe tubes and correspond to the space between the attachmentof the two layers of the broad hgaments. The tubes, ovarianarteries, veins, nerves, and lymphatics all pass to and from thebody of the uterus at its lateral margins between the layers of thebroad ligament. 28 ANATOMY T Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-manual-of-gyncology-and-pelvic-surgery-for-students-and-practitioners-fig-12sagittal-section-of-multiparous-uterus-after-edgar-known-as-the-fundus-is-convex-and-corresponds-to-that-portionof-the-body-superior-to-the-attachments-of-the-uterine-tubes-the-lateral-margins-extend-downward-from-the-entrance-ofthe-tubes-and-correspond-to-the-space-between-the-attachmentof-the-two-layers-of-the-broad-hgaments-the-tubes-ovarianarteries-veins-nerves-and-lymphatics-all-pass-to-and-from-thebody-of-the-uterus-at-its-lateral-margins-between-the-layers-of-thebroad-ligament-28-anatomy-t-image370616060.htmlRM2CEY0FT–. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 12.—Sagittal section of multiparous uterus. {After Edgar.) known as the fundus, is convex, and corresponds to that portionof the body superior to the attachments of the uterine tubes. The lateral margins extend downward from the entrance ofthe tubes and correspond to the space between the attachmentof the two layers of the broad hgaments. The tubes, ovarianarteries, veins, nerves, and lymphatics all pass to and from thebody of the uterus at its lateral margins between the layers of thebroad ligament. 28 ANATOMY T
. A system of midwifery, including the diseases of pregnancy and the puerperal state. Anterior view of the uterus and its appendages. (Quain.) and the pouch which separates it from the womb, and the posterior bythe rectum, r, and the pouch of Douglas. It will also be observed 64 FEMALE ORGANS OF GENERATION. [CHAP. that the greater convexity, and, indeed, the bulk of the uterus, projectsinto the posterior of the two cavities. The attachment of the broadligament is in point of fact to the anterior lip of the lateral border ofthe womb. If, therefore, the uterus and the broad ligament are viewed f Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-system-of-midwifery-including-the-diseases-of-pregnancy-and-the-puerperal-state-anterior-view-of-the-uterus-and-its-appendages-quain-and-the-pouch-which-separates-it-from-the-womb-and-the-posterior-bythe-rectum-r-and-the-pouch-of-douglas-it-will-also-be-observed-64-female-organs-of-generation-chap-that-the-greater-convexity-and-indeed-the-bulk-of-the-uterus-projectsinto-the-posterior-of-the-two-cavities-the-attachment-of-the-broadligament-is-in-point-of-fact-to-the-anterior-lip-of-the-lateral-border-ofthe-womb-if-therefore-the-uterus-and-the-broad-ligament-are-viewed-f-image370413014.htmlRM2CEHNG6–. A system of midwifery, including the diseases of pregnancy and the puerperal state. Anterior view of the uterus and its appendages. (Quain.) and the pouch which separates it from the womb, and the posterior bythe rectum, r, and the pouch of Douglas. It will also be observed 64 FEMALE ORGANS OF GENERATION. [CHAP. that the greater convexity, and, indeed, the bulk of the uterus, projectsinto the posterior of the two cavities. The attachment of the broadligament is in point of fact to the anterior lip of the lateral border ofthe womb. If, therefore, the uterus and the broad ligament are viewed f
. Gynecology : . tied with one ligature and cut. After cutting the round ligament, theregion of the uterine vessels is exposed by cutting the leaves of the broad liga-ment as close to the round ligament as possible. If the division of the broadligaments is carried down too close to the uterus, several branches of the uterinevessels are inevitably wounded and require extra olamps to control the hemor- HYSTERECTOMY OPERATIONS 715 rhage. (It is important to limit the number of clamps as much as possible, forthey greatly hamper the progress and smooth technic of the operation.) Whenthe leaves of t Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/gynecology-tied-with-one-ligature-and-cut-after-cutting-the-round-ligament-theregion-of-the-uterine-vessels-is-exposed-by-cutting-the-leaves-of-the-broad-liga-ment-as-close-to-the-round-ligament-as-possible-if-the-division-of-the-broadligaments-is-carried-down-too-close-to-the-uterus-several-branches-of-the-uterinevessels-are-inevitably-wounded-and-require-extra-olamps-to-control-the-hemor-hysterectomy-operations-715-rhage-it-is-important-to-limit-the-number-of-clamps-as-much-as-possible-forthey-greatly-hamper-the-progress-and-smooth-technic-of-the-operation-whenthe-leaves-of-t-image369785171.htmlRM2CDH4N7–. Gynecology : . tied with one ligature and cut. After cutting the round ligament, theregion of the uterine vessels is exposed by cutting the leaves of the broad liga-ment as close to the round ligament as possible. If the division of the broadligaments is carried down too close to the uterus, several branches of the uterinevessels are inevitably wounded and require extra olamps to control the hemor- HYSTERECTOMY OPERATIONS 715 rhage. (It is important to limit the number of clamps as much as possible, forthey greatly hamper the progress and smooth technic of the operation.) Whenthe leaves of t
. The Principles and practice of gynecology : for students and practitioners. removal of the tube. the ligament is doubled upon itself and stitched together so as to forma line of union at right angles to the one described in Figure 127. The 19 290 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. effect is to shorten and strengthen the broad ligament, and thereby tosecure the uterus against descent and backward displacement. Ifthere is great tendency to descent or retroposition, the round liga-ments also may be drawn into the broad ligament wound and shortenedby including them in the broad lig Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-principles-and-practice-of-gynecology-for-students-and-practitioners-removal-of-the-tube-the-ligament-is-doubled-upon-itself-and-stitched-together-so-as-to-forma-line-of-union-at-right-angles-to-the-one-described-in-figure-127-the-19-290-infections-inflammations-and-allied-disorders-effect-is-to-shorten-and-strengthen-the-broad-ligament-and-thereby-tosecure-the-uterus-against-descent-and-backward-displacement-ifthere-is-great-tendency-to-descent-or-retroposition-the-round-liga-ments-also-may-be-drawn-into-the-broad-ligament-wound-and-shortenedby-including-them-in-the-broad-lig-image370577888.htmlRM2CEW7TG–. The Principles and practice of gynecology : for students and practitioners. removal of the tube. the ligament is doubled upon itself and stitched together so as to forma line of union at right angles to the one described in Figure 127. The 19 290 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. effect is to shorten and strengthen the broad ligament, and thereby tosecure the uterus against descent and backward displacement. Ifthere is great tendency to descent or retroposition, the round liga-ments also may be drawn into the broad ligament wound and shortenedby including them in the broad lig
. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 177.—Pan-hysterectomy. (Wertheim.) By dividing the posterior layerof the broad ligament the ureters are exposed up to their entrance into the para-metrium. Gloves, instruments, drapes, and gowns all should be care-fully changed before the abdominal operation is begun.The patient is elevated into the Trendelenburg position before 338 OPERATIONS UPON THE UTERUS AND ITS LIGAMENTS the abdomen is opened, and as soon as the incision is made theintestine is packed away above the pelvic brim. This packingshould be done m Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-manual-of-gyncology-and-pelvic-surgery-for-students-and-practitioners-fig-177pan-hysterectomy-wertheim-by-dividing-the-posterior-layerof-the-broad-ligament-the-ureters-are-exposed-up-to-their-entrance-into-the-para-metrium-gloves-instruments-drapes-and-gowns-all-should-be-care-fully-changed-before-the-abdominal-operation-is-begunthe-patient-is-elevated-into-the-trendelenburg-position-before-338-operations-upon-the-uterus-and-its-ligaments-the-abdomen-is-opened-and-as-soon-as-the-incision-is-made-theintestine-is-packed-away-above-the-pelvic-brim-this-packingshould-be-done-m-image370597742.htmlRM2CEX55J–. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 177.—Pan-hysterectomy. (Wertheim.) By dividing the posterior layerof the broad ligament the ureters are exposed up to their entrance into the para-metrium. Gloves, instruments, drapes, and gowns all should be care-fully changed before the abdominal operation is begun.The patient is elevated into the Trendelenburg position before 338 OPERATIONS UPON THE UTERUS AND ITS LIGAMENTS the abdomen is opened, and as soon as the incision is made theintestine is packed away above the pelvic brim. This packingshould be done m
. A manual of gynæcology and pelvic surgery, for students and practitioners. tting the broad-ligament bases, but this is not imperative and under somecircumstances is impossible. 2. Injury to the bladder can be avoided only if the dissectionanterior to the uterus is made close against the cervix. 3. The risk of clamping or tying the ureters is minimized bypushing the bladder away from the broad ligament at eitherside of the cervix, and hugging the uterus closely with clampsand ligatures. 4. Hemorrhage must positively be controlled either by clampsor ligatures before the operation is completed. Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/a-manual-of-gyncology-and-pelvic-surgery-for-students-and-practitioners-tting-the-broad-ligament-bases-but-this-is-not-imperative-and-under-somecircumstances-is-impossible-2-injury-to-the-bladder-can-be-avoided-only-if-the-dissectionanterior-to-the-uterus-is-made-close-against-the-cervix-3-the-risk-of-clamping-or-tying-the-ureters-is-minimized-bypushing-the-bladder-away-from-the-broad-ligament-at-eitherside-of-the-cervix-and-hugging-the-uterus-closely-with-clampsand-ligatures-4-hemorrhage-must-positively-be-controlled-either-by-clampsor-ligatures-before-the-operation-is-completed-image370602449.htmlRM2CEXB5N–. A manual of gynæcology and pelvic surgery, for students and practitioners. tting the broad-ligament bases, but this is not imperative and under somecircumstances is impossible. 2. Injury to the bladder can be avoided only if the dissectionanterior to the uterus is made close against the cervix. 3. The risk of clamping or tying the ureters is minimized bypushing the bladder away from the broad ligament at eitherside of the cervix, and hugging the uterus closely with clampsand ligatures. 4. Hemorrhage must positively be controlled either by clampsor ligatures before the operation is completed.
. The Principles and practice of gynecology : for students and practitioners. stretcned-out Fallopiantube which surrounds the cyst-wall. The usual parovarian cyst is unilocular, that is, it^ springs from asingle vertical tubule, and most commonly develops without a pedicle,and remains between the layers of the mesosalpinx. As it grows largerit may force its way between the layers of the broad ligament andlies in close relation with the uterus. The Fallopian tube, with its CLASSIFICA TIONS. 433 fimbriated extremity attached to the ovary and its uterine oiid to theuterus, is stretcliod over the Stock Photohttps://www.alamy.com/licenses-and-pricing/?v=1https://www.alamy.com/the-principles-and-practice-of-gynecology-for-students-and-practitioners-stretcned-out-fallopiantube-which-surrounds-the-cyst-wall-the-usual-parovarian-cyst-is-unilocular-that-is-it-springs-from-asingle-vertical-tubule-and-most-commonly-develops-without-a-pedicleand-remains-between-the-layers-of-the-mesosalpinx-as-it-grows-largerit-may-force-its-way-between-the-layers-of-the-broad-ligament-andlies-in-close-relation-with-the-uterus-the-fallopian-tube-with-its-classifica-tions-433-fimbriated-extremity-attached-to-the-ovary-and-its-uterine-oiid-to-theuterus-is-stretcliod-over-the-image370566736.htmlRM2CETNJ8–. The Principles and practice of gynecology : for students and practitioners. stretcned-out Fallopiantube which surrounds the cyst-wall. The usual parovarian cyst is unilocular, that is, it^ springs from asingle vertical tubule, and most commonly develops without a pedicle,and remains between the layers of the mesosalpinx. As it grows largerit may force its way between the layers of the broad ligament andlies in close relation with the uterus. The Fallopian tube, with its CLASSIFICA TIONS. 433 fimbriated extremity attached to the ovary and its uterine oiid to theuterus, is stretcliod over the
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