File:Operative gynecology - (1906) (14780284161).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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Text Appearing Before Image:
pt in this chapter to describe the pelvic anatomy as it is laiddown in the various accessible manuals for dissectors, but shall rather take upthe anatomy of the abdominal pelvic viscera, first, as they are approached in anoperation from above, and then from below, purely from the practical stand-point. Descriptions of the relations of organs are so lifeless without satisfactorypictures that I have confined the text for the most part to the description oftopographical drawings. These are all, with two exceptions, from originaldissections. From birth down to the period of full sexual maturity of women, there is agradual progressive change in the position and relations of the pelvic viscera—in fact, in the infant the bladder and the uterus can be named pelvic viscera only by reference to what they are to become, for at this early period bothorgans lie above the superior strait among the other abdominal organs, as shownin the figure drawn from a frozen section of a mature newborn child.
Text Appearing After Image:
Fig. 15.—Infantile Pelvis, Natural size,seen in Sagittal Section. Fig. 16.—Pelvis of Adult Woman in SagittalSection, Reduced to the same size as anInfantile Pelvis for Comparison. The comparison between the infantile and the adult pelvis is well shown byplacing beside a childs pelvis of natural size that of a fully developed woman,reduced to correspond. (Figs. 15 and 16.) One of the most striking differences to be noted is the alteration in thedirection of the axis of the pelvis; in the child this is a simple straight prolon-gation of the abdominal cavity, in the woman the pelvic axis is set at a marked THE ABDOMINAL MUSCLES. 51 angle. While the uterus in the adult is seen lying in anteflexion wholly withinthe pelvis, at an acute angle with the vagina, with well-developed corpus andsmall cervix, in the infantile pelvis the uterus lies almost wholly within theabdomen, as a rule compressed between the rectum and bladder in an uprightposition, without any angle of flexion. In the exa

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