A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Science
A system of practical medicine. By American authors. Vol. 4 : $b Diseases of the genito-urinary and cutaneous systems. Medical ophthalmology, and otology
Medicine -- Practice
If it were not for the padding of the pelvic connective tissue, which
allows a free range of movement to the pelvic contents, the ordinary
sudden jars from walking, coughing, etc. could not be sustained without
pain, nor could the functions of the rectum and bladder be fulfilled
properly; much less could the functions of coition and gestation be
performed. This cellular tissue most abounds where it is most
needed--in the locality or spaces where the vessels and nerves are
found in greatest number; viz. at the sides of the uterus and upper
portion of the vagina, extending outward between the folds of the broad
ligaments toward the pelvic wall and the under surface of the Fallopian
tubes and ovaries; next, within the folds of the utero-sacral ligaments
and the vesico-uterine space beneath the peritoneum. There is little
between the peritoneum and posterior vaginal wall, between the bladder
and its peritoneal investment, as well as between the rectum and
peritoneum; and there is none between the latter membrane and the
posterior, superior, and anterior surfaces of the body of the uterus.
This areolar tissue is the seat of the disease under consideration, and
from a priori reasoning it would be inferred that the inflammatory
process would be found most frequently and in greatest severity in the
locality where this tissue and the vessels most abound; and this is
true, for parametritis almost always has its starting-point immediately
at the sides of the uterus, in the lower inner edge of the broad
ligaments.
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