21

CHAPTER II.

METHODS OF EXAMINATION

Examination of the Abdomen, 21.-Examination of the External

Genitals and Pelvic Structures, 24.–Vaginal and Bimanual Examina-
tion, 25.-Examination of the Rectum, 35.—Examination of the Blad-

der, 36.

CHAPTER III.

DISEASES OF THE EXTERNAL GENITALS.

Vulvitis, 38.— Inflammation of the Vulvo-vaginal Glands, 40.-Sup-

puration of the Vulvo-vaginal Gland, 41.–Cysts of the Vulvo-vaginal

Glands, 42.—Pruritus Vulvæ, 44.—Kraurosis Vulvæ, 46.- Varicose

Tumors of the Vulva, 48.- Hematoma of the Vulva, 48.—Papilloma,

48. — Elephantiasis, 49.- Adhesions of the Clitoris, 49.

38

CHAPTER IV.

51

DISEASES OF THE VAGINA

Inflammation of the Vagina, 51.- Tumors of the Vagina, 53.

CHAPTER V.

ANATOMY AND MECHANISM OF THE PERINEUM

55

60

CHAPTER VI.

INJURIES TO THE PERINEUM

Slight Median Laceration of the Perineum, 65.—Median Tear in-

volving the Sphincter Ani, 66.—Laceration through the Sphincter Ani,

involving the Recto-vaginal Septum, 71.—Laceration in One or Both

Vaginal Sulci, 73.–Subcutaneous Laceration of the Muscles and Fas-

cia, 83.

CHAPTER VII.

PAGE

RESULTS OF LACERATION OF THE PERINEUM

85

Rectocele, 85.-Cystocele, 86.- Enterocele, 90.–Subinvolution of

the Vagina, 90.

CHAPTER VIII.

THE POSITION OF THE UTERUS AND THE MECHANISM OF ITS

SUPPORT .

92

CHAPTER IX.

PROLAPSE OF THE UTERUS .

99

CHAPTER X.

ANTEFLEXION of the UTERUS .

107

CHAPTER XI.

RETROFLEXION AND RETROVERSION OF THE UTERUS .

125

CHAPTER XII.

LACERATION OF THE CERVIX UTERI

146

CHAPTER XIII.

INFLAMMATION OF THE CERVICAL MUCOUS MEMBRANE (CER-

VICAL CATARRH). .

164

CHAPTER XIV.

CONGENITAL, EROSION AND SPLIT OF THE CERVIX

172

THE

176

CHAPTER XV.

CERVICAL POLYPI ; HYPERTROPHIC ELONGATION OF

CERVIX ; CHANCRE OF THE CERVIX ; TUBERCULOSIS OF

THE CERVIX.

Cervical Polypi, 176.—Hypertrophic Elongation of the Vaginal Cer-

vix, 177.-Chancre of the Cervix, 178.— Tuberculosis of the Cervix,

178.

CHAPTER XVI.

CANCER OF THE CFRVIX UTERI .

179

CHAPTER XVII.

DISEASES OF THE BODY OF THE UTERUS

· 196

Acute Corporeal Endometritis, 196.—Chronic Corporeal Endome.

tritis, 198.-Exfoliative Endometritis, or Membranous Dysmenorrhea,

CHAPTER XVIII.

PAGE

SUBINVOLUTION OF THE UTERUS; SUPERINVOLUTION OF THE

UTERUS

2II

CHAPTER XIX.

CANCER AND SARCOMA OF THE UTERUS . .

• 214

Cancer of the Body of the Uterus, 214.–Malignant Adenoma, 217.

- Sarcoma of the Uterus, 221.–Diffuse Sarcoma of the Mucous Mem-

brane, 221.-Sarcoma of the Uterine Parenchyma, 222.

-

265

DISEASES OF the FALLOPIAN TUBES .

Inflammation of the Fallopian Tubes, or Salpingitis, 269.—Acute

Salpingitis, 270.—Chronic Salpingitis, 272.-Suppuration of the Pelvic

Cellular Tissue, 296.

CHAPTER XXV.

DISEASES Of The FALLOPIAN TUBES (Continued). . 297

Tuberculosis, 299. — Adenoma, Myoma, Cancer, Actinomycosis, and

Syphilitic Gummata of the Fallopian Tubes, 306.

CHAPTER XXVIII.

PAGE

• 326

DISEASES OF THE OVARIES (Continued)

Hernia of the Ovary, 326.-- Prolapse of the Ovary, 327.—Inflam-

mation of the Ovary; Oöphoritis, or Ovaritis, 331.-Acute Oophoritis,

331.-Chronic Oöphoritis, 333.—Apoplexy of the Ovary, 338.-Ova-

rian Hydrocele, 338.

CHAPTER XXIX.

341

Cystic TUMORS OF THE OVARY

Oöphoritic Cysts, 342.—- Follicular Cysts, 342.-Glandular Cysts,

345.--Dermoid Cysts, 350.—Paroöphoritic Cysts, or Papillomatous

Ovarian Cysts, 353,

CHAPTER XXX.

CysTS OF THE PAROVARIUM

· 358

Comparison of Oöphoritic, Paroöphoritic, and Parovarian Cysts, 362.

-Glandular Oöphoritic Cyst, 362.—Paroöphoritic Cyst, 363.–Cysts

of the Parovarium, 363.

CHAPTER XXXI.

NATURAL History AND TREATMENT OF OVARIAN Cysts - 364

Secondary Changes or Accidents of Ovarian Cysts, 364.-Inflam-

mation and Suppuration, 364.- Torsion of the Pedicle, or Axial Ro-

tation, 365.- Rupture of Ovarian Cysts, 367.—The Clinical History

of Ovarian Cysts, 368.— Examination, 373.—Treatment of Ovarian

Cysts, 377

CHAPTER XXXII.

· 380

SOLID TUMORS OF THE OVARY

Fibromata, 380.-Sarcomata, 381.-Carcinomata, 382.-Ovarian

Papillomata, 382.- Tuberculosis of the Ovary, 383.— Tumors of the

Ovarian Ligament, 383.

CHAPTER XXXIII.

MALFORMATIONS OF THE GENITAL ORGANS

· 384

Uterus Unicoris, 385.-Uterus Didelphys, 385.-Uterus Bicornis

Duplex, 385.—Uterus Bicornis Unicollis, 386.-Uterus Cordiformis,

386.–Uterus Septus, 386.- Malformation of the Vagina, 386.—Her-

maphroditism, 388.

CHAPTER XXXIV.

DISORDERS OF MENSTRUATION ..

· 390

Amenorrhea, 391.—Acute Suppression of Menstruation, 393.-

Scanty Menstruation, 393.–Vicarious Menstruation, 394.

CHAPTER XXXV.

PAGE

THE MENOPAUSE

· 395

CHAPTER XXXVI.

GENITAL FISTULÆ

· 397
Vesico-vaginal Fistula, 397.—Urethro-vaginal Fistula, 405.—Vesico-

uterine Fistula, 406.—Uretero-vaginal Fistula, 406.-Recto-vaginal

Fistula, 406.

CHAPTER XXXVII.

DISEASES OF THE URETHRA AND BLADDER

• 409

Diseases of the Urethra, 412.-Urethritis, 413.- Prolapse of the

Mucous Membrane of the Crethra, 417.–Vesico-urethral Fissure, 417.

-Urethral Neoplasms, 419.—Urethral Caruncle, 419.—Urethral Cysts,

420.- Polypus, 420.–Sarcoma and Cancer of the Urethra, 421.-

Diseases of the Bladder, 421.-Cystitis, 422.—Vesical Calculus, 431.

CHAPTER XXXVIII.

GONORRHEA IN WOMEN

433

CHAPTER XXXIX.

THE TECHNIQUE OF GYNECOLOGICAL OPERATIONS

442

Apparatus, 447.–Operator, Assistants, Nurses, 448.—Sterilization

of Dressings, Towels, etc., 450.—Sterilization of Instruments, 451.—

The Water, 452.-Sponges, 453.—Discipline of the Operating-room,

454.-Anesthesia, 455.- Preparation of the Patient, 455.—Instruments,

460.–The Dressing, 463.

CHAPTER XL.

THE TECHNIQUE OF GYNECOLOGICAL OPERATIONS (Con-

tinued)...