Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

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    diseased mucous membrane ; as the solution coagulates the mucus, it allows of its easy removal, and the direct action of the drug upon the diseased surface. A glycerine pledget should be passed immediately afterwards in both methods to protect the vaginal mucous membrane. In the event of this failing to effect a cure, the Paquelin's cautery should be applied to the cervix: the point should be buried in the cervical tissue for a quarter of an inch in five or six places so as to produce a seton effect ( ignipuncture ). In very obstinate cases, the author has found the process of erasion of the cervical glands by means of the sharp curette the only remedy of any avail. It consists in scraping away the whole diseased mucous membrane of the cervical canal, in the hope that that reproduced may be more normal. By some, excision of the mucous membrane is recommended, and adaptation of the flaps so produced to each other. As before men- tioned, in multipara where there is extreme laceration with menorrhagia and general reflex symptoms present, the opera- tion of trachelorrhaphy should be taken into consideration, and performed if necessary. If all the above modes fail, further treatment is not ad- visable. /3. Corporeal Endometritis, or inflammation of the mucous membrane of the uterine body, is extremely rare as an acute affection, and only occurs in the course of acute septic disorders after labour, abortion, or operation, and is an occasional compli- cation of the exanthemata, particularly of scarlet fever. Chronic corporeal endometritis, on the other hand, is extremely common, and although it may be a sequel of the acute form, it can be considered as a separate disease. Causation.—Repeated parturition, prolonged lactation, neur- asthenia, and in fact any conditions tending to depress the consti- tution, may be considered as predisposing causes. The chief exciting causes are— 1. Labour and incomplete or neglected abortion, especially if sepsis has supervened; 2. Traumatism, for instance, intra-uterine applications, tents, intra-uterine stem-pessaries, removal of polypi, and operations on the uterine interior generally; 3. Exposure to cold, or sexual intercourse during menstru- ation, with tempoi*ary cessation of the flow; 4. Extension from below upwards of inflammation from the cervix, or more commonly from the vagina, as in gonorrhoea, producing the condition known as gonor- rhoea! endometritis;