File:Operative gynecology - (1906) (14596843579).jpg

Identifier: operativegynecol001kell (find matches)
Title: Operative gynecology :
Year: 1906 (1900s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943
Subjects: Gynecology Gynecology Gynecologic Surgical Procedures
Publisher: New York and London : D. Appleton and company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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d a few polymorpho-nuclear leucocytes. The treatment of growths of the labia minora is simple, consisting in theexcision of the affected labium or such portion of it as is involved in the disease,followed by interrupted or continuous subcutaneous catgut sutures. CLITORIS. 237 CLITORIS. With a single exception, diseases affecting the clitoris alone are exceedinglyrare. In elephantiasis of the external genitals the clitoris is prone to bethe organ most extensively involved. Adhesions and Concretions.—The commonest affection of the clitoris is adhe-sions between the glans and the hood covering it. These adhesions are almostuniversally found, and never give rise to trouble unless an accumulation ofretained smegma causes increased vascularity and irritation. In children thesechanges are apt to be followed by constant handling and friction. In any irritation or ill-defined discomfort, manifested by a tendency tohandle or rub the genitals, the clitoris should always be carefully inspected.
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Fk 12.5.—Preputial Adhesions in a Child One Year Old. In the first picture the glans is completely covered in by the adherent prepuce and the diminutivelabia minora. In the second picture the adhesions have been severed and the glans is exposed, encircledby little accumulations of smegma. This rule is the more stringent in the case of little girls, who can not locatethe source of the discomfort (see Fig. 125). An inspection of the glans of the clitoris should form a part of every gyne-cological examination which proceeds in a routine manner to investigate thecondition of the sexual organs. The glans is exposed by grasping the fold of mucous membrane covering itbetween the thumb and forefinger and drawing it upward, at the same timepushing in toward the symphysis and causing the glans to become extruded.

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