Clinical Notes On Uterine Surgery With Special Reference to the Management of T
Clinical Notes On Uterine Surgery With Special Reference to the Management of T
J Marion James Marion Sims
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66 represents the appearance of the os in Fig. 66. ^32 UTERINE SURGERY. this case, and shows the two little points a a, whence issued the menstrual flow. I saw, in consultation with Sir Joseph Olliffe in Paris, in 186 3, a lady in the higher ranks of life, who had been twice married without offspring, and whose os tincse had been thus artificially agglutinated by the pro- longed use of the nitrate of silver during her first marriage. When this mechanical obstruction to the esrress of the menses... is thus artificially produced, we may find more or less suffering and general malaise attending the flow, which becomes unusually prolonged, always very dark-coloured, often of tarry consistence, and sometimes offensive. The cessation of the flow is then followed by a dark-brownish fine coffee-grounds-like mucus, which continues for a few days, and frequently irritates the parts with which it comes in contact. The mechanical obstruction at the os preventing the easy outlet of the flow, causes a partial retention of the secretions, which thereby undergo some change, that reacts upon the tis- sues, and produces a sort of subacute endo-metritis.
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