File:Pelvic inflammation in women (1921) (14579633170).jpg

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Identifier: pelvicinflammati09pola (find matches)
Title: Pelvic inflammation in women
Year: 1921 (1920s)
Authors: Polak, John Osborn, 1870-1931
Subjects: Adnexitis
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 65.—Conserving the Ovarian Circulation by Pushing the Utero-OvarianAnastomosis off into the Folds of the Cross Ligament. 167 168 PELVIC INFLAMMATION IN WOMEN women suffering from chronic endocervical and tubal infection, it hasbeen our custom to cure the leukorrhea by the radical excision of theinfected area in the cervix, and follow this plastic procedure by theablation of both tubes, with the resection of the infected fundus of theuterus, using a modified Bell-Beuttner technic. This leaves a sufficientamount of healthy uterine body, with its contained mucosa, to conservethe menstrual function and one or both ovaries to continue ovulation;for the ovaries are seldom erossb diseased if their tunica is intact. UTERINE y^RTEPyLIGATED
Text Appearing After Image:
Fig. 66.- -Uterine Artery Ligated—Mesosalpinx and Ovarian Ligament in GraspOF A Hemostat Forceps. Removal of the tubes and resection of the upper segment of the uteruscan be done without interfering with the ovarian circulation. Hence,the ovary may be retained with a greater degree of security, than if ahysterectomy is done and the uterine end of the anastomosis cut off.Furthermore, the functional life of the retained ovary or ovaries is longerif menstruation is conserved than if the uterus is removed. This, I be-lieve, is due to the relief of the periodic premenstrual congestion by theuterine flow. The ovary is the analogue of the testicle, and we feel thatconsiderable risk is justified for the preservation of an ovary and its cir- SALPINGITIS 169 dilation. For it is well known that double oophorectomy, particularly ina young- woman, may convert the normal woman into a hopeless neuras-thenic. In tubal disease the ovary is usually involved only because ofits association with the inf

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Volume
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v.9
Flickr tags
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  • bookid:pelvicinflammati09pola
  • bookyear:1921
  • bookdecade:1920
  • bookcentury:1900
  • bookauthor:Polak__John_Osborn__1870_1931
  • booksubject:Adnexitis
  • bookpublisher:New_York___Appleton
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:189
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
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28 July 2014

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