A contribution to the sectional anatomy of advanced extrauterine gestation / by D. Berry Hart and J.T. Carter.

  • Hart D. Berry (David Berry), 1851-1920.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: A contribution to the sectional anatomy of advanced extrauterine gestation / by D. Berry Hart and J.T. Carter. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    7/30
    SECTIONAL ANATOMY OF ADVANCED EXTRA- UTERINE GESTATION. No subject presents more points of interest to the gynaecologist than Extra-uterine Gestation. The remarkable nature of this deviation from normal pregnancy, the difficulty attending its diagnosis, the protean changes it may undergo during its develop- ment, as well as the marked risk both to mother and child, render it one of the most important subjects for his investigation. Although many observers have been in the field, and much has been added to our knowledge through their valuable investigations, the number of points on which even elementary information is needed is very great. Of these the most clamant is an anatomical one. We do not know to a demonstration what is the site of advanced gestation and what stages it has passed through prior to this, although some important links in the chain have been found by Dezeimeris, Lawson Tait, Worth, and Frankel. The authors have examined frozen sections of two specimens— the one a four and a half months' extrauterine pregnancy in situ in the bony pelvis; the other an entire cadaver with advanced ab- dominal gestation.^ One important point is in regard to the method of investigation adopted. Ordmary anatomical dissection of specimens removed from the body in the ordinary way is notoriously defective and unsatisfactory, and has led to several specimens being described erroneously as ovarian when they were really in the broad ligament. _ The only accurate way to study such is to do so by Irozen sections of the entire cadaver, or at any rate of the specimen still m relation to the bony pelvis. We thus see peritoneal relations undisturbed, and can without much displacement examine the entire sections by a method of modified dissection. Ihe first specimen had advanced to between the fourth and fifth