Minor surgical gynecology : a treatise of uterine diagnosis and the lesser technicalities of gynecological practice, including general rules for gynecological operations and the operations for lacerated cervix and perineum, and prolapsus of uterus and vagina for the use of the advanced student and general practitioner / by Paul F. Mundé.

  • Mundé, Paul F. (Paul Fortunatus), 1846-1902.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Minor surgical gynecology : a treatise of uterine diagnosis and the lesser technicalities of gynecological practice, including general rules for gynecological operations and the operations for lacerated cervix and perineum, and prolapsus of uterus and vagina for the use of the advanced student and general practitioner / by Paul F. Mundé. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    A long, conical pointed cervix, or a cervix curled up anteriorly \vith the OS pointing upward, or a minute, pinhole os, are generally signs of congenital sterility; a cicatricially contracted, rigid os of acquii-ed sterHity (caustics). A small, round, or transverse os, with, smooth h]DS, denotes nulliparity ; a gaping, fissured os, with irreg- ular, notched hps, often admit- ting the point of the finger, pluri- parity. A patulous external os is, however, met with also in nulli- parae, during chronic endotrache- litis, and after the use of cervical dilators (tents) and recent abor- tion. The excessive moisture and softness of the part will then be noticeable. On the other hand, a small, transverse os may oc- casionally be met with in women who bore one or more children many years previously, mthout '''°- IS-Retroversion of Anteflexed ITterus (P. F. U.). the orifice sustaining injury at the labor. An excessive softness, pulpiness of the whole cervix may be due to pregnancy, as indeed, may a hyperse- cretion and puffiness of the va- gina and labia ; but in a nullipara an unusually soft velvety cervix frequently indicates a catarrhal or follicular erosion of that part, which supposition is confirmed by a sanious glaiiy discharge re- moved by the examining finger. A fissure of the cervix, either unilateral or bilateral, of greater or lesser depth, merely indicates that the patient was delivered of a child, near or at term, but by no means necessarily implies that the labor was instrumental, or that the medical attendant was to blame for the laceration. The Hps of the fissui-ed cei-vix may be almost in apposition, or thev may be rolled out like the Fio. 16.-Anteversion of Uterns (P. F. M.). ^^{^^^^ ^^ ^ Celery-stalk (Good- ell), with everted and eroded cervical mucous membrane. Recently I examined a young girl of sixteen years, an undoubted virgin, who was sent 4