"In making sections of the uterus while it retained its natural muscular
contraction, I have been much struck in observing how entirely the
blood-vessels were closed and invisible, and how open and distinct the
mouths of the cut blood-vessels became when the same portions of the
uterus were distended or relaxed. This fact of the natural contraction of
the substance of the uterus closing the smallest pore of the vessels, so
that no vessels are to be seen, where we nevertheless know that they are
large and numerous, demonstrates that a very principal effect of the
muscular action of the womb is the constringing of the numerous vessels
which supply the placenta, and which must be ruptured when the placenta is
separated from the womb."
"Upon inverting the uterus, and brushing off the decidua, the muscular
structure is very distinctly seen: the inner surface of the fundus
consists of two sets of fibres, running in concentric circles round the
orifices of the Fallopian tubes; these circles at their circumference
unite and mingle, making an intricate tissue. Ruysch, I am inclined to
believe, saw the circular fibres of one side only; and not adverting to
the circumstance of the Fallopian tube opening in the centre of these
fibres, which would have proved their lateral position, he described the
muscle as seated in the centre of the fundus uteri. This structure of the
inner surface of the fundus of the uterus is still adapted to the
explanation of Ruysch, which was that they produced contraction and
corrugation of the surface of the uterus, which, the placenta, not
partaking of, the cohesion of the surface was necessarily broken. Farther,
I have observed a set of fibres on the inner surface of the uterus, which
are not described: they commence at the centre of the last described
muscle, and having a course in some degree vortiginous, they descend in a
broad irregular band towards the orifice of the uterus: these fibres
co-operating with the external muscle of the uterus, and with the general
mass of fibres in the substance of it, must tend to draw down the fundus
in the expulsion of the foetus, and to draw the orifice and lower segment
of the uterus over the child's head." (C. Bell, _op. cit._)
There are other circumstances which prove the muscularity of the uterus,
beyond the mere evidence of its fibres, as seen during pregnancy. "In the
quadruped," as Dr. Hunter observes, "the cat particularly and the rabbit,
the muscular action or peristaltic motion of the uterus is as evidently
seen as that of the intestines, when the animal is opened immediately
after death." It is also proved by the powerful contraction which it
exerts during labour, and "by the thickness of the fibres corresponding
with their degree of contraction." (_Ibid._)
The inner surface of the uterus is lined by a smooth or somewhat
flocculent membrane of a reddish colour, which is continued superiorly
into the Fallopian tubes; inferiorly it becomes the lining membrane of the
vagina.
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