LIST OF ILLUSTRATIONS. FIG. 1. Median Section of Frozen Pelvis of New-born Child 3. Hypospadic Male after Puberty, who had been brought up 6. 10. Two Diagrams- Perineorraphy-p. 68. Perincerraphy-Sutures in position 11. Tait's Uterine Dilator, showing method of applying it...... Alligator Ovum Forceps Fowler's Pessary ... different sized plugs PAGR 12 43 44 15. Tait's Wedge Pessary. 140 Illustrations of Sir W. Turner's first case of Cornua! 26. Diagrammatic Section of Broad Ligament ... 28. Oviduct and Parovarium from behind ... 29. Wolfhian Body and Ovary of sixth week embryo Wolffian Body (after Balfour) Developing Ovary (after Balfour).. 33. Developing Ovary (after Balfour Formation of Follicular Epithelium (Balfour) 35. Typical Epithelial Nest (Balfour) 36. Further development of process seen in Fig. 33 185 185 223 246 247 249 253 253 256 257 258 258 259 259 260 FIG. PAGE 46. Menstruating Endometrium of woman aged twenty Endometrium of woman aged sixty Fig. 1.-Sagittal lateral section (right) of pelvis, with extra-uterine gestation in right broad ligament. Fig. 2.-Sagittal mesial section of the same pelvis, showing uterus with decidua. This section demonstrates, inter alia, that what is termed clinically retro-uterine hæmatocele may be hæmatoma. INTRODUCTORY. ANATOMY OF THE ABDOMINAL AND PELVIC ORGANS. I SHOULD have been little disposed to enter upon this subject were I not satisfied that great misrepresentation of the relations. of the abdominal and pelvic organs exists in the ordinary text books of anatomy. The dissecting room method is very useful in enabling the student to use his fingers, and to become familiar with the appearance of dead tissues. But it is a most misleading method so far as conveying any impression of the mutual relations of structures and organs. To obtain a clear and accurate idea of the relations of the abdominal and pelvic organs the only trustworthy method is the study of frozen sections of the cadaver. If the physicians who write theoretical papers on the positions of the uterus, its flexions and versions, would study these sections. they would soon be persuaded that the uterus varies its positions greatly according to the state of the rectum, and to the stages of development. (See Fig. 1.) Note that the vagina is relatively very large, and that the cervical part of uterus is quite half of the organ The organ has its normal (infantile) position of marked anteversion. (Section made by Prof. Cunningham, F. R.S, and drawn for me by Mr. R Mannix, Dublin) 1 |