Graphic illustrations of abortion and the diseases of menstruation: Consisting of Twelve Plates from Drawings Engraved on Stone, and Coloured by Mr. J. Perry, and Two Copper-plates from the Philosophical Transactions, Coloured by the Same Artist. the Whole Representing Forty-five Specimens of Aborted Ova and Adventitious Productions of the Uterus, With Preliminary Observations, Explanations of the Figures and Remarks, Anatomical and Physiological.Granville, A. B. (Augustus Bozzi)
Science
Graphic illustrations of abortion and the diseases of menstruation: Consisting of Twelve Plates from Drawings Engraved on Stone, and Coloured by Mr. J. Perry, and Two Copper-plates from the Philosophical Transactions, Coloured by the Same Artist. the Whole Representing Forty-five Specimens of Aborted Ova and Adventitious Productions of the Uterus, With Preliminary Observations, Explanations of the Figures and Remarks, Anatomical and Physiological.
Granville, A. B. (Augustus Bozzi)
Menstruation; Miscarriage
27. While the process or metamorphosis of the ovulum noticed by Boer
takes place in the ovarium, in consequence of fecundation, the cavity of
the womb does not remain idle, but forthwith sets about weaving for
itself a general lining—a sort of pseudo-textile membrane—which extends
all over the cavity, descends partly into the cervix, and is _often_,
(not necessarily always,) projected even into a great portion of the
fallopian tubes.
28. This adventitious lining of the cavity of the womb is formed quite
independently of the presence of the ovum, for it has been found in most
cases of devious gestation, where the fœtus was _extra muros uteri_
(Plate VIII. IX. X. Fig. 1 and 2, and page 35), and has been found
advanced in its progress of formation, while the ovulum was, as yet, on
its way through the fallopian tube after fecundation. (Haller, Lobstein,
Velpeau, Meckel, Pockels.)
29. To this adventitious lining described by many ancient authors, but
by none better than by Harvey, the name of decidua already mentioned
(24, 26) has been given by Hunter, because, viewed as a production of
the uterus it is caducous and not permanent like its own natural lining;
as, however, it is no more caducous than any other of the involucra of
the ovum, the denomination is not strictly correct. It is, nevertheless,
more generally adopted than that of epi-chorion, given to the same
pseudo-membrane by Chaussier.
30. Its mode of formation and its structure have been differently
explained by different authors. The explanation offered by Burns runs
counter to facts and realities. That author speaks of all the minute
steps of generation, with the same confidence as if all had been
demonstrated. His imaginings respecting primary and secondary vessels
shooting out from the inner surface of the womb to form the decidua must
be gratuitous, as no other anatomist or physiologist, either before or
after him, has been able to ascertain the reality of such a process.
31. It is probable that the decidua consists of two laminæ, inasmuch as
we always find it with one surface perfectly smooth and the other rough.
If so, they are most intimately connected. It is at least one-twentieth
of an inch in thickness during the first five or six weeks of
uterofœtation, when its tissue is found to be more knotty, coarse, and
full of short threads, (not unlike a very ordinary mat,) than a purely
membranaceous or cloth-like lining would be. It is not until a more
advanced period of gestation that the decidua becomes distinctly
membranaceous, in which state it lines the entire cavity of the uterus.
(Plate IX. and prep. 73, 75, 76, of Sir Charles Clarke’s Collection:
also Dr. Agar’s beautiful specimen of impregnated uterus, Mus. Coll.
Reg. Lond. Med., and several specimens in the College of Surgeons,
particularly Sir W. Blizard’s case.)[3]
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