VFWAL
COMPLICATIONS
LiNDEMANN u.
IN
CONNECTION
WITH PELVIC AFFECTIONS.
Qyn&hologie,
(Zeitschrift fur Geburtshiilfe
Band xxii.
Heft 2) contributes
THE INDIAN MEDICAL GAZETTE.
340
elaborate paper
on this subject, its purpose to the changes in the attention being shape, sizej and condition of the bladder occasioned by pelvic inflammatory processes and new-growths, and the importance of these changes in connection with surgical operations. In an introductory sectiou on the normal auatomy of the bladder, directions are giveu for estimating the size aud relations of the viscus by introducing a catheter, and turning its point in various directions, so that it may be felt by The vesical disthe finger within the vagina. turbances which accompany peri- and parametritis are only marked when the peri-vesical connective tissue is itself affected ; the pressure of pelvic exudates alone is not usually sufficient to produce them. Traction upon the viscus by false bands causes vesical irritability, but the pressure of indurations upon the nerves supplying the bladder doubtless accounts for some of the symptoms. Neoplasms within the pelvis affect the bladder in two ways?by direct pressure, and by causing upward traction upon the cervix and vagina. The shape and relations of the organ are often greatly changed in consequence. In caucer of the cervix the bladder wall is early involved, so that in a case which seems otherwise most favorable for vaginal hysterectomy, a radical operation is contra-indicated.? The American Journal of the Medicul Sciences, July, 1890.
an
to call
[Nov.
1890.
COMPLICATIONS
LiNDEMANN u.
IN
CONNECTION
WITH PELVIC AFFECTIONS.
Qyn&hologie,
(Zeitschrift fur Geburtshiilfe
Band xxii.
Heft 2) contributes
THE INDIAN MEDICAL GAZETTE.
340
elaborate paper
on this subject, its purpose to the changes in the attention being shape, sizej and condition of the bladder occasioned by pelvic inflammatory processes and new-growths, and the importance of these changes in connection with surgical operations. In an introductory sectiou on the normal auatomy of the bladder, directions are giveu for estimating the size aud relations of the viscus by introducing a catheter, and turning its point in various directions, so that it may be felt by The vesical disthe finger within the vagina. turbances which accompany peri- and parametritis are only marked when the peri-vesical connective tissue is itself affected ; the pressure of pelvic exudates alone is not usually sufficient to produce them. Traction upon the viscus by false bands causes vesical irritability, but the pressure of indurations upon the nerves supplying the bladder doubtless accounts for some of the symptoms. Neoplasms within the pelvis affect the bladder in two ways?by direct pressure, and by causing upward traction upon the cervix and vagina. The shape and relations of the organ are often greatly changed in consequence. In caucer of the cervix the bladder wall is early involved, so that in a case which seems otherwise most favorable for vaginal hysterectomy, a radical operation is contra-indicated.? The American Journal of the Medicul Sciences, July, 1890.
an
to call
[Nov.
1890.
