Kolpokleisis, ii. 313 Lymphatics of vagina, i. 73 in treatment of fibroids, ii. 104 Kuchenmeister's scissors for dividing the MALFORMATION of uterus, i. 241 cervix, i. 259 LABIA MAJORA, anatomy, i. 3 development, ii. 212 rectal examination in, i. 250 Marck wald's amputation of cervix, i. 269, Marriages, average productivity of, ii. 257 Labour, atony of uterus in third stage of, Marriage and syphilis, ii. 333 due to chronic metritis, ii. 10 Laceration of cervix, i. 277 and cellulitis, i. 170 and subinvolution, ii. 8, 9 of perineum, ii. 223 Lactation, effect on uterus if protracted, i. 262 for fibroid tumours, ii. 108 Leeches, application of, to cervix, i. 298 Leucorrhoea, as a symptom, ii. 344 in cervical catarrh, i. 290, 293, 294 in chronic metritis, ii. 9 in endometritis, i. 301, 305 in hypertrophied cervix, i. 267 in vaginal cysts, ii. 207 Levator ani, i. 12 Ligature in ovariotomy, i. 231 Lineæ albicantes, i. 95 Massage, i. 169 general, in uterine disease, ii. 14 Medullary cancer, ii. 132 Menopause and Battey's operation, i. 206 changes in cervix after, i. 252 changes in uterus after, i. 261, 303 changes in vagina after, ii. 200 influence on fibroid tumours, ii. 90, 101 premature, ii. 247 in anteflexion, ii. 24, 26 in lacerated cervix, i. 281 in inversion, ii. 66 in ovaritis, i. 195 in peritonitis, i. 163 in uterine polypi, ii. 124 in retroflexion, ii. 44 in retroversion, ii. 38 in treatment by Battey's operation. i. Menstruation, i. 85 et seq. and Battey's operation, i. 206 irregular, in cervical catarrh, i. 293, diminished in chronic cellulitis, i. 170 periodicity and duration, i. 86 Menstrual blood, composition, i. 86 quantity, i. 87 character of retained, ii. 188 Mercury in syphilis, ii. 312 dilatation of, in fibroid tumours, ii. 116 Metritis, i. 300 relation to septicemia, i. 73 of uterus, i. 73 dilatation of, in metritis, ii. 7 acute, ii. 3 chronic, ii. 5 Metrotome, various forms, i. 257 Metrotome, Sir Jas. Simpson's, i. 257 in sarcoma-uteri, ii. 180 difficult, in advanced extra-uterine difficult in fibroid tumour, ii. 94 Opiates in dysmenorrhoea, ii. 252 examination of, i. 99 position, i. 14, 20 Os internum and utero-vesical fold of peri- Os uteri, form in nulliparæ and multiparæ, difficult in retroflexion of gravid Ovarian artery, course, i. 69 uterus, ii. 260 frequent, i. 291 frequent in cystitis, ii. 287 frequent in fixation of uterus, ii. 33 Morcellement in fibroid tumours, ii. 112 caution as to use in dysmenorrhoea, Mucoid degeneration, in fibroid tumour, ii. 117 Ovum, structure, i. 25 passage into uterus, i. 87 PAIN, in endometritis, i. 305, 306 in carcinoma of body of uterus, ii. 172 in inversion, ii. 66 in retention of menses in atresia, ii. in ovaritis, i. 195 in acute and chronic peritonitis, i. 163 in prolapsed ovary, i. 197 in retroflexion, ii. 42, 43 in extirpation of uterus, ii. 168 chronica atrophicans, i. 170 Paravesical pouch of peritoneum, i. 57 development, i. 75 Parovarian fluids, nature of, i. 215 Parturition, repeated, and carcinoma, ii. 141 and endometritis, i. 304 and ovaritis, i. 194 Pelvic floor projection, i. 65 effect of pregnancy on, i. 68 as affected by genupectoral posture, i. in parturition, i. 61 Pelvic inflammation producing displace- after stem pessary, i. 265 producing anteflexion, ii. 22 section in genupectoral posture, i. 81 lateral sagittal section, i. 45 nervous supply, i. 74 venons plexuses, i. 70 Perchloride of iron to check hemorrhage, i. 154 caution as to use, i. 154 Percussion, method of, i. 98 ovarian tumour and ascites, i. 220 Perimetritis, i. 160 Péan's method of laparotomy for fibroids, Perineal body, i. 9, 37 ii. 111 needle for pedicle, ii. 112 Pedicle, changes in, after ligature, i. 231 treatment in fibroid tumours, ii. 109 of ovarian tumour, i. 211 examination, i. 221 torsion, i. 234 treatment in ovariotomy, i. 230 Pedunculation of fibroid tumours, ii. 86 Pelveo peritonitis, i. 160 Pelvic abscess, i. 170, 172 bursting of, i. 173 Pelvic cellulitis, i. 169 Pelvic connective tissue, i. 44 Pelvic floor, general anatomy, i. 7 affected by genu pectoral posture, i. 77 measurements on external surface, i. 6 opening up of, in genupectoral pos- opening up of, in parturition, i. 63 structure, i. 37 measurements, i. 37 Perineum, arterial supply, i. 70 central rupture, ii. 223, 224 Peritoneum, anatomy of, i. 37 of bladder in parturition, i. 62 in carcinoma, ii. 138 in amputation of cervix, i. 276 in prolapsus, ii 232 in fistula, ii. 296 in inversion, ii. 63, 64 method of opening into, i. 204 on sides of pelvis, i. 42 local divisions on pelvic floor, i. 56 in retroflexion, ii. 41 of uterus, i. 17, 39 on posterior vaginal wall, i. 40 Peritonitis, pelvic, i. 159 Peritonitis and carcinoma, ii. 151 relation to cellulitis, i. 160 after uterine injections, i. 189 intra-uterine in retroflexion, ii. 60 vaginal, effect on position of uterus, i. vaginal, in fibroid tumour, ii. 104 vaginal, medicated, composition of, ii. 202 vaginal, in pregnancy, ii. 59 Pregnancy, early, from fibroid tumour, ii. early, characters of uterus, ii. 10 course in an extra-uterine gestation, complicated by large fibroid tumours, + ovarian tumour, i. 223, 236 and syphilis, ii. 334 anteversion of uterus in, ii. 33 Prognosis in gynecological cases, ii. 345 vaginal (Mundé's), for prolapsed ova- Prolapse of ovary, i. 197 ries, i. 199 vaginal ring, ii, 236 vaginal, Zwanck's, ii. 238 Pflüger's ducts, a source of ovarian tu- mours, i. 208 Phthisis, amenorrhoea in, ii. 247 uterus in, i. 261 Physics of abdomen and pelvis, i. 76 Placenta, in extra-uterine gestation, ii. 265 portions retained, and carcinoma, ii. relation to inversion, ii. 61, 62, 66 Prolapsus uteri, i. 77, ii. 231 due to fibroid, ii. 90 + inversion, ii. 69, 71 Pruritus vulvæ, ii. 215 in carcinoma, ii. 145 Pseudocyesis and ovarian tumour, i. 221, Puberty, changes at, i. 86 symptoms of atresia at, ii, 188 in bimanual examination, i. 102, 105 inversion, frequency of, ii. 65 Polypes à apparitions intermittentes, ii. Puerperium, rapid development of carcin- 122 Polypi of uterus, ii. 119 and endometritis, i. 304 producing Fallopian-tube gestation, diagnosis from inversion, ii. 68 mucous and fibrous contrasted, ii. 125 Polyptome, Sir J. Y. Simpson's, ii. 130 Posterior fornix, effect of pressure on, ii. 59 Posture, relation to examination and treat- of patient in cellulitis and peritonitis, i. 172 Pouch of Douglas, i. 40, 57 oma in, ii. 148, 149, 173 and retroversion, ii. 37 Pyosalpinx, i. 190 RAKE for removing sutures, i. 273 in atresia, i. 189 in carcinoma, ii. 146 in hypertrophied cervix, i. 268 in pathological anteflexion, ii. 26 in retroflexion, ii. 46 in superinvolution, i. 264 in uterine malformations, i. 249 Pregnancy, advanced, and fibroid tumour, Recto-abdominal examination, i. 105, 106, intestines in, i. 59 Rectum, anatomy, i. 34 diseases of, ii, 318 examination, ii. 319 Sarcoma of uterus, ii. 174 of uterus and carcinoma, ii. 148, 149 of vagina, ii. 208 Sarcomatous degeneration in polypus, ii. pressure on, by fibroid tumour, ii. 94 Scarification of cervix, i. 298 lymphatics of, i. 74 physiology, ii. 317 position, i. 34 in retroflexion, i. 41 structure, i. 35 ulceration in carcinoma, ii. 136 connection with the vagina, i. 35, 63 Renal calculi, ii. 289 tumours and ovarian, i. 221, 223 producing cystitis, ii. 260, 287 due to extra-uterine gestation-sac, ii. due to retroflexed gravid uterus, ii. Retroflexion, ii. 17, 18, 19, 39 and cervical catarrh, i. 293 and small fibroid tumour, ii. 91 Retro-pubic fat deposit, i. 44, 61 caused by peritonitis, i. 169 passage of sound in, i. 125 action of pessary on, ii. 58, 59 37 Schroeder's operation for cervical catarrh, Schultze's dilator, i. 256 Bozeman's, i. 142 for division of cervix, i. 258 after operation for atresia, ii. 192 in laparotomy for fibroids, ii. 109 after ovariotomy, i. 234 Septic peritonitis, i. 161, 166 in laparotomy for fibroids, ii, 110, 112 Serous peritonitis, i. 163, 168 265, Serum, collection in Fallopian tubes, i. 190 Sickness after chloroform, i. 152 Silk-worm gut, i. 144 Silver-wire sutures, i. 144 Simon and Marckwald's amputation of Simon's sharp spoon, ii. 158 physiological and pathological, ii. 17, Simpson's (A. R.) amputation of cervix, i. dilator, i. 256 enucleator, ii. 106 speculum, i. 117, 295 operation for vaginismus, ii. 204 Sarcoma of ovary, cells found in fluid Skene Goodman catheter, ii. 288 from, i. 215 Smith (Albert) pessary, ii. 52, 54 |