File:The practice of surgery (1910) (14798930293).jpg

Identifier: practiceofsurger00mumf (find matches)
Title: The practice of surgery
Year: 1910 (1910s)
Authors: Mumford, James Gregory, 1863-1914
Subjects: Surgery
Publisher: Philadelphia and London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 175.—Large submucous myoma (H. A. Kelly). Adapted to removal byabdominal section by splitting open the uterus and enucleating the tumor, and thensewing up the uterine incision.
Text Appearing After Image:
Fig. 176.—Myomata. The symptoms of pressure, traction, pain, and discomfort are next inimportance to hemorrhage. The causes and nature of these symptomsare obvious when one considers the position of the uterus and its rela- TUMORS OF THE UTERUS 295 tions to other orp;ans. In most cases the uterus itself becomes somewhatenlarged, although an actual increase in the uterine body is not invari-able. With its associated tumors it may press downward or upward,backward or forward. It may drag or press upon the rectum, the blad-der, the urethra, the vagina, and may interfere with the functions of theintestines and other abdominal organs, for it may become inflamedand set up adhesions. As a result of all these derangements there maybe obstinate constipation, frequent micturition, leukorrhea,—dysmen-orrhea is common,—pain in the region of the coccyx or sacrum, colickystomachache, dyspepsia, headache, nausea, blurring of vision, and manyother indefinite abdominal and general nervous sympto

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