File:Cyclopædia of obstetrics and gynecology (1887) (14767992574).jpg

Identifier: cyclopdiaofobs02gran (find matches)
Title: Cyclopædia of obstetrics and gynecology
Year: 1887 (1880s)
Authors: Grandin, Egbert H. (Egbert Henry), b. 1855, ed Bandl, Ludwig Billroth, Theodor, 1829-1894 Börner, Ernst, 1843-1914 Breisky, A Charpentier, Arthur Louis Alphonse, 1836-1899 Chrobak, Rudolf Gusserow, A Hegar, A. (Alfred), 1830-1914 Kaltenbach, Rudolph, 1842-1896 Müller, Peter, 1836-1922 Olshausen, Robert Michaelis von, 1836-1915 Winckel, F Zweifel, Paul
Subjects: Obstetrics Women Gynecology Obstetrics
Publisher: New York, W. Wood & Company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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anteflexion. It is, usually, during labor that thisresult is brought about by the influence of the pains. At the same timethat it inclines forward, the uterus undergoes a torsion upon its transverseaxis. As a result, the anterior vaginal wall is distended by the uterusand pushed forward. The posterior v/all does not look directly toward 204 A TREATISE OlS OBSTETRICS. the rectum but becomes oblique and almost horizontal. The uterus com-presses both the rectum and the bladder, causing difficulty in micturition,in defecation and in the introduction of the sound. Causes,—Lohmeier, Kiwisch and Scanzoni do not believe in primaryanteversion. Hiiter shows that, the uterus being already normally ante-verted, if the pelvis is wide and larger than usual, and if the pelvic axis ismore inclined, the posterior surface of the uterus has a greater and greatertendency to become superior. It follows that the pressure exerted by theintestines becomes more considerable and thus tends to produce and to
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Fig. 13.—Anteversion of the Uterus. (After Legendre^—A^ Bladder. B, Rectum. C, Body ofuterus. D, Vaginal orifice. E, Symphysis pubis. F, Anus. 6r, Sacrum. H, Left labium minus,/, Clitoris, root of corpus cavernosum, cut across. J, Left labium majus. K, Meatus urinarius.i, Pyramidalis muscle. 3f, Rectus abdominis. iV, Anterior peritoneal cul-de-sac. O, Vesico-uterinecul-de-sac. P, Retro-uterine cul-de-sac. R, Levator ani. 8, External sphincter. T. Internal sphinc-ter. U, Anterior lip of cervix. F, Posterior lip. X, Coccyx. Y, Venous plexus of Santorini. Z,Venous plexus of vagina, a, Muscular tunic of bladder and urethra, b. Muscles of rectum, d,Fibro-cellular vaginal tunic, e, Fifth lumbar vertebra. /, Uterine cavity, g, Section of uterineveins, h, Rachidian canal. increase the anteversion. Ovarian or other tumois^ ascites and peritonealadhesions act in the same way. If there be superadded to this a relaxa-tion of the vaginal wall and of the uterine ligaments, particularly of thero

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