The Journal of Surgery, Gynecology and Obstetrics, Volume 31

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A. L. Chatterton Company, 1909 - Gynecology
 

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Page 345 - Medical Gynecology. By S. WYLLIS HANDLER, MD, Adjunct Professor of Diseases of Women, New York Post-Graduate Medical School and Hospital. Octavo of 790 pages, with 150 original illustrations.
Page 331 - Fallopian tube (5 a, b, c, d, c), tube (very rare) or into a bicornuate uterus. Watkins (5 b), after opening the abdomen, found that what he had diagnosed the passage of the curette into the peritoneal cavity was the passing of the curette into the Fallopian tube. In Hind's case the uterine sound was introduced in the uterus before incising the abdominal wall; after opening the abdominal cavity it was seen that the sound had threaded the whole length of the Fallopian tube. It was presenting at the...
Page 336 - Douglas' cul-de-sac. In Talmey's case (icf), the perforating bougie was found lying in front of the proximal edge of the right kidney. In Bullard's case (38), the crochet hook was discharged through the anterior abdominal wall. It did not interfere with the continuance of gestation. In Perl's case (24), the needle or trocar that had perforated the uterus was removed...
Page 333 - ... have been perforated, and most disastrous results have ensued. Wounds of the uterus, like wounds of other organs or tissues, are solutions of continuity of tissue. They are always of sudden occurrence, and are always due to the direct application of mechanical violence. To avoid misunderstandings a distinction must be made between penetrating and perforating wounds of the uterus.
Page 51 - I must work the works of Him that sent Me while it is day, for the night cometh when no man can work d ." Two doctrines, both of them distinctly Christian, throw their guardian shadows over the lesson.
Page 423 - ... menstruating, in pregnant, in puerperal and in postabortum uteri. Perforation is favored by the peculiar state of the muscular tissue of the puerperal uterus. In curetting congested, softened uteri, such as are met after abortion and after childbirth, no attempt should be made to elicit the uterine "dry...
Page 276 - If the uterus is non-septic, if the perforating instrument be aseptic and if it can also be reasonably assumed that there is an absence of omental or intestinal or important vascular lesions, the treatment to be followed is one of "armed expectancy.
Page 425 - Uterine abscesses may be acute, sub-acute, or chronic; may be primary or secondary ; in the primary form, the pus collection has its starting point as such in the uterine tissues; in the secondary form, the suppurative process starts in neighboring tissues and invades the uterus by extension through continguity of tissues.
Page 338 - I have found reported seventeen cases in which the uterine wall has been perforated from within. In some of these cases the uterus had been perforated at more than one point. All these patients made uneventful recoveries, in none were any measures taken either before or after the accident to prevent the development of complications.
Page 430 - ... 11. If the perforated wound has been inflicted upon a nonseptic uterus during the course of an aseptic intra-uterine maneuver, in the absence of complicating abdominal lesions, recovery is the rule. 12. The treatment of perforating wounds of the uterus is determined largely by the following conditions: 1.

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