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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 Vulva, 44.-Kraurosis Vulvæ, 46.-Varicose
Tumors of the Vulva, 48.—Hematoma of the Vulva, 48.—Papilloma,
48.-Elephantiasis, 49.-Adhesions of the Clitoris, 49.
.
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21
38
CHAPTER IV.
DISEASES OF THE VAGINA
Inflammation of the Vagina, 51.-Tumors of the Vagina, 53.
CHAPTER V.
ANATOMY AND MECHANISM OF THE PERINEUM
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.
51
55
60
CHAPTER VII.
RESULTS OF LACERATION OF THE Perineum .
Rectocele, 85.-Cystocele, 86.—Enterocele, 90.—Subinvolution of
the Vagina, 90.
CHAPTER VIII.
THE POSITION OF THE UTERUS AND THE MECHANISM OF ITS
PAGE
85
INFLAMMATION OF THE CERVICAL MUCOUS MEMBRANE (Cer-
VICAL CATARRH). .
CHAPTER XIV.
146
. 164
CONGENITAL EROSION AND SPLIT OF THE CERVIX.
CHAPTER XV.
CERVICAL POLYPI; HYPERTROPHIC ELONGATION OF THE
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 CERVIX UTERI.
172
176
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.
SUBINVOLUTION of the Uterus; SuperinVOLUTION OF the
UTERUS
211
CHAPTER XIX.
CANCER AND SARCOMA OF THE UTERUS
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.
CHAPTER XX.
214
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.
265
Diseases of the Fallopian TUBES (Continued)
297
Tuberculosis, 299.-Adenoma, Myoma, Cancer, Actinomycosis, and
CHAPTER XXVIII.
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 Oōphoritis,
331.-Chronic Oöphoritis, 333.-Apoplexy of the Ovary, 338.-Ova-
rian Hydrocele, 338.
· 326
CHAPTER XXIX.
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.
341
CYSTS OF THE PAROVARIUM
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
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-
358
· 364
CHAPTER XXXII.
SOLID TUMORS OF THE OVARY
380
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
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
Amenorrhea, 391.-Acute Suppression of Menstruation, 393.-
Scanty Menstruation, 393.-Vicarious Menstruation, 394.
384
390
THE MENOPAUSE
CHAPTER XXXV.
GENITAL FISTULÆ
CHAPTER XXXVI.
Vesico-vaginal Fistula, 397.-Urethro-vaginal Fistula, 405.-Vesico-
uterine Fistula, 406.—Uretero-vaginal Fistula, 406.-Recto-vaginal
Fistula, 406.
15
. 395
· 397
CHAPTER XXXVII.
DISEASES OF THE URETHRA AND BLADDER
Diseases of the Urethra, 412.-Urethritis, 413.-Prolapse of the
Mucous Membrane of the Urethra, 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
CHAPTER XXXIX.
THE TECHNIQUE OF GYNECOLOGICAL OPERATIONS
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.
409
433
442
THE TECHNIQUE OF GYNECOLOGICAL OPERATIONS (Con-
tinued). . .
Abdominal Drainage, 465.—Gauze-drainage, 468.-Indications for
Drainage, 469.-The Incision of the Abdominal Wall, 472.-Explora-
tion of the Abdomen, 473.-Protection of the Intestines and Omen-
tum, 474.-Toilet of the Peritoneum, 474.-Closing the Abdominal
Incision, 476.
465
CHAPTER XLI.
TREATMENT AFTER CELIOTOMY