INDEX.

Abdomen, binder for, [479]
distention of, after celiotomy, [497]
drainage of, [480], [482]
enlargement of, [19]
examination of, [19], [21], [22], [28]
exploration of, [489]
fluctuation in, [24]
protection of contents of, during operation, [489]
retentive power of, [99]
sterilization of, for operation, [473]
Abdominal incision, closing of, [491]
irrigation, temperature of water for, [468]
myomectomy, [255]
technique, [530], [533]
operations, dressing of, [479]
instruments for, [475]
section, after-treatment of, [494]
surgery, training for, [461]
suture, layer method, [493]
sutures, removal of, [492]
wall, incision of, [487]
closing of, [491]
Abortion by uterine sound, [35]
in endometritis, [206]
Abscess, pelvic, [303]
of vulvo-vaginal glands, [38], [40]
Actinomycosis of tubes, [313]
Adeno-carcinoma of cervix, [181]
Adenoma of ovary, [354]
of tubes, [313]
of uterus, malignant, [221]
Adenomyoma of uterus, [257]
Adhesions of clitoris, [48]
pelvic, treatment, [510], [513]
Alexander’s operation, [142]
Amenorrhea, [405]
emansio mensium, [405]
in superinvolution, [217]
in tubal pregnancy, [326]
pelvic massage in, [414]
periodical disturbances in, [406]
suppressio mensium, [405]
Ampullar pregnancy, [315]
Anesthesia, [470]
Anesthetizer, duties of, [470]
Animals, disease of reproductive organs in, [17]
Anteflexion of uterus, [119]
causes, [119], [122]
menstruation in, [122]
miscarriage in, [123]
pessaries in, [123]
pregnancy in, [123]
sequelæ, [122]
sterility in, [122]
symptoms, [122]
varieties, [120]
Anterior colporrhaphy, [90]
Antisepsis, [35]
Antiseptics, action of, on peritoneum, [457]
Apoplexy of ovary, [346]
Apparatus for gynecological operations, [462]
Appendix vermiformis, palpation of, [21]
Applicator, vesical, [425]
Arnold’s sterilizer, [466]
Ascites in ovarian cyst, [366]
in solid tumors of ovary, [391]
Asepsis, importance of, in gynecology, [458]
Atresia of cervix, [17]
of vagina, [17], [52]
diagnosis, [53]
symptoms, [52]
treatment, [53]
Auscultation of abdomen, [22]
Barnes’ bag in inversion, [269]
Bartholin’s glands, [36]
Basham’s mixture, [171]
Basins, sterilization of, [463]
Bimanual examination, [23-25], [28]
in carcinoma of uterus, [224]
in endometritis, [206]
reposition of uterus, [135]
Binder, abdominal, [479]
Bivalve speculum, [29], [30]
Bladder, base of, [436]
body of, [436]
catheterization of, [439]
Bladder, cervix of, [436]
dissection of, from uterus, [519]
empty, [436]
examination of, [34], [425]
fundus of, [436]
intra-ureteral ligament of, [437]
irrigation of, [443]
irritable, [89]
meatus internus, situation of, [445]
mucous membrane of, [436]
neck of, [436]
structure of, [436]
trigone of, [436]
vascular supply of, [437]
vesical triangle of, [436]
Blaud’s pill, [170]
Boldt’s table, [462]
Bowels, treatment of, after celiotomy, [496]
Braun’s colpeurynter, [118]
Broad ligament, hematoma of, [318]
Bulbo-cavernosus, [58]
Buried sutures, [493]
Calculi in vesico-vaginal fistula, [416]
vesical, [447]
Calibrator, urethral, [423]
Canal of Gärtner, [52]
of Nuck, [42]
Carcinoma, cachexia of, [192]
of cervix, [181]
adeno-carcinoma, [181]
broad ligaments in, [185], [193], [194]
caustics in, [196]
diagnosis from lupus, [188]
from syphilitic ulceration, [188]
from uterine polyp, [188]
duration, [193]
hysterectomy for, [193], [194]
remote results, [195]
metastasis in, [185]
origin, [181]
peritoneal involvement in, [185]
septic infection in, [192]
squamous-cell, [181]
symptoms, [189]
treatment, [193], [195]
ulceration in, [182]
ureteral involvement in, [185]
urinary fistulæ in, [185]
varieties, [181], [183], [184]
of Fallopian tubes, [220]
of ovaries, [220]
of peritoneum, [220]
of ureters, [185]
of uterus, body of, [218]
age, [220]
causes, [221]
curette in, [224]
Carcinoma of uterus in lower animals, [15]
influence of fibroids in, [221]
leucorrhea in, [223]
metastasis in, [220], [223], [224]
operation in, [224], [225]
symptoms, [222]
of vagina, [52]
urethral, [436]
Carrier for perineal sutures, [66]
Caruncle, urethral, [434]
results, [435]
symptoms, [435]
treatment, [435]
Catarrh of cervix, [166]
Catgut, sterilization of, [477], [478]
cumol method, [478]
iodin method, [478]
Catheter, Skene’s, [429]
Catheterization after celiotomy, [495]
as cause of cystitis, [438]
before operation, [474]
of bladder, [439]
Celibacy a cause of disease, [18]
fibroids in, [18]
Celiotomy, [305], [308]
abdominal distention after, [497]
after-treatment, [494]
of bowels, [495]
catheterization after, [495]
death after, [500]
dressings after, [478]
food after, [496]
hemorrhage after, [500]
micturition after, [495]
mortality after, [501]
opium after, [495]
pain after, [495], [497]
peritonitis after, [500]
pulse after, [498]
purgation after, [496]
shock after, [498]
temperature after, [498]
thirst after, [494]
urinary secretion after, [496]
vomiting after, [497]
water after, [494]
Cellulitis, pelvic, [303]
Cervical catarrh, [153], [166]
erosion in, [167]
in displacements, [167]
in laceration of cervix, [152]
sclerosis in, [167]
Cervix, amputation of, [162], [163]
conception after, [165]
in subinvolution of uterus, [216]
in uterine prolapse, [117]
applications to, [172]
artery of, [504]
atresia of, [17]
carcinoma of, [181].
See also Carcinoma.
chancre of, [180]
congenital erosion of, [174]
split of, [177]
cystic degeneration of, [152], [155]
dilatation of, [124]
results of, [126]
direction of, [95]
distance of, from coccyx, [95]
ectropion of, [150], [152], [159]
endometritis of, [166]
erosion of, after laceration, [176]
erosions of, [152], [155]
eversion in laceration of, [150]
examination of discharge from, [452]
gonorrhea of, [451]
hypertrophic elongation of, [178]
in infancy, [119]
laceration of, [148]
diagnosis of, [154]
from congenital ectropion, [176]
Nabothian cysts in, [152], [184]
reflex symptoms, [154]
sclerosis in, [152]
subinvolution in, [152]
symptoms, [153]
trachelorrhaphy in, [156]
treatment, [156]
ulceration in, [152]
varieties, [150]
with endometritis, [153]
of bladder, [436]
patulous canal, [206]
polypi, [178]
polypoid growths, [182]
sensation of, [27]
splitting posterior lip of, for inversion of uterus, [271]
supra-vaginal elongation of, [104]
tuberculosis of, [180]
ulceration of, [182]
vegetating growths of, [182]
Chancre of cervix, [180]
Chorio-epithelioma, [228]
symptoms, [229]
treatment, [229]
Circular artery, ligation of, [196]
Claudius’ method for sterilization of catgut, [478]
Clitoris, adhesions of, [48]
Clothing as cause of disease, [17]
Coccygodynia, [54]
Colpeurynter, Braun’s, [118]
Colporrhaphy, anterior, [82]
Conception after amputation of cervix, [165]
after salpingo-oöphorectomy, [512]
Corpora fibrosa, [390]
Corpus-luteum cyst, [352]
Cumol method for sterilization of catgut, [478]
Curette in endometritis, [207], [208], [299]
in uterine cancer, [224]
Martin’s [209]
perforation by, [210]
reparative process after use of, [212]
Sims’, [209]
Cyst, intra-ligamentous, removal of, [514]
Nabothian, [152]
of hernial sac, [42]
of Morgagni, [369]
of ovary, [15].
See also Ovary.
of round ligament, [42]
of vagina, [51]
of vulvo-vaginal gland, [40]
trocar, [477]
urethral, [435]
Cystitis, [89]
chronic, [438]
causes, [438], [439]
cystotomy in, [444]
diagnosis, [439]
effect on system, [29]
hypertrophy of bladder-wall in, [438]
use of endoscope in, [440], [442], [444]
obstruction of vesical orifice, [438]
result of lacerated perineum, [440]
of uterine displacement, [440]
symptoms, [439]
treatment, [440], [444]
ureter and kidney involvement, [438]
urinary changes, [438]
Cystocele, [88], [107]
Dudley’s operation for, [91]
Sims’ operation for, [90]
Cystoscope, [424]
Cystotomy, [444], [445]
Death after celiotomy, [500]
Depressor for vagina, [29]
Dermoid cysts, [359]
of ovary, [512]
age of occurrence, [359]
Developmental errors a cause of disease, [17]
Diarrhea, vicarious, [408]
Dilatation of cervix, [124]
of urethra, [433]
Dilator, cervical, [123]
vaginal, [416]
Diseases of women, causes of, [16]
Dorsal position, [31]
Drainage, abdominal, by gauze, [482]
by tube, [480]
Drainage, abdominal, ill effects of, [485]
indications for, [484]
object of, [485]
vaginal, [480], [487]
Drainage-tube, [480], [482]
cleansing of, [481]
syringe for, [481]
Dressings for abdominal operations, [478]
sterilization of, [466]
Duck-bill speculum, [29]
Dudley’s operation for cystocele, [91]
Dysmenorrhea in anteflexion of uterus [121]
in salpingitis, [291]
membranous, [212]
menstruation in, [210]
Ectropion, cervical, [152]
Edebohls’ stirrups, [22]
Elephantiasis Arabum, [47]
of vulva, [47]
syphilitic, [47]
Emansio mensium, [405]
Emmet’s operation for lacerated perineum, [80]
perineal needles, [65]
scissors, [64]
treatment for inversion of uterus, [269], [270]
Endometritis, abortion in, [206]
acute, [199]
cervical, [166]
chronic, [201], [207]
causes of, [207]
curette in, [208]
examination in, [206]
exfoliative, [212]
fungous, [203]
gonorrheal, [199]
in exanthemata, [199]
in lacerated cervix, [153], [204]
in subinvolution, [204]
in tubal disease, [204]
influence on menstruation, [204]
with metritis, [199]
ovarian disease in, [204]
pain in, [205]
post-climacteric, [213]
puerperal, [199], [200]
senile, [213]
sterility in, [206]
structural changes in, [203]
with uterine displacement, [131], [204]
Endoscope, [432]
in cystitis, [440], [442], [444]
Enterocele, [91]
Erosion of cervix, [152], [174], [176]
Eruptive fever as cause of disease, [344]
Exanthemata as cause of chronic pelvic disease, [200]
of cystitis, [439]
of sexual ill-development, [200]
vaginitis in, [49]
External genitalia, examination of, [22], [26]
Extra-uterine pregnancy, [314].
See also Tubal pregnancy.
Facies ovariana, [381]
Fallopian tubes, [272]
actinomycosis of, [28]
adenoma of, [313]
anatomy of, [272]
cancer of, [313]
cysts of Morgagni, [276]
development of, [395]
examination of, [25]
gummata of, [313]
inflammation of, [276].
See also Salpingitis.
miliary tuberculosis of, [308]
myoma of, [313]
pregnancy in, [314].
See also Tubal pregnancy.
sarcoma of, [313]
tubercle of, [307]
tuberculosis of, [306], [309], [312]
unsuspected, [308]
Fibroid tumors, anatomic changes, [235]
hysterectomy in, [526]
in Africans, [16]
in animals, [15]
in celibacy, [18]
of uterus, [230]
and ovarian cyst, [248]
and pregnancy, [247], [256]
appearance of, [232]
circulatory abnormalities in, [245]
degenerations of, [237], [238]
diagnosis of, [246], [248]
duration of life in, [236]
frequency of, [241]
gangrene in, [239]
hemorrhage in, [242]
hypertrophy in, [242]
hysterectomy in, [254]
in menopause, [242]
interstitial, [232]
intra-ligamentous, [232], [235], [526]
intra-uterine polyp, [234], [256]
ligation of uterine arteries in, [252]
lymphangiectatic, [238]
menstruation, in, [241], [242], [249]
myomectomy in, [255]
necrobiosis of, [239]
polypoid, [256]
pressure-symptoms of, [245]
procreative abnormalities in, [240], [250]
prognosis in, [248]
salpingo-oöphorectomy in, [252]
sarcoma of, [239]
submucous, [232], [234]
subperitoneal, [232]
telangiectatic, [238]
treatment of, [249], [251]
of vagina, [52]
recurrent, [227]
inversion of, [227]
metastasis in, [227]
tubal changes in, [237]
sterility in, [18]
with cancer, [227]
Fibroma, ovarian, [390]
Fibro-myoma of uterus, [227]
Fibro-sarcoma of uterus, [227]
Fissure, vesico-urethral, [431]
Fistula in salpingitis, [290]
needles for, [418]
of vulvo-vaginal glands, [39]
recto-vaginal, [421]
uretero-vaginal, [421]
urethro-vaginal, [420]
vesico-uterine, [420]
vesico-vaginal, [412]
Flatus after abdominal section, [497]
Floating kidney, [21]
Fluctuation, abdominal, [20]
Follicular vulvitis, [36]
Food after celiotomy, [496]
Forceps, bladder, [423]
Four chlorides, [171]
Fungous endometritis, [203]
Gärtner’s canal, [52]
duct, [368]
Gauze sponges, preparation of, [468]
Genital fistulæ, [412]
tract, septic infection of, [17]
Genitalia, development, [395]
examination, [22]
inflammation of glands of external, [454]
malformations of, [395]
preparations of, for operation, [472]
Genu-pectoral position, [32]
Glands of Bartholin, [36]
of Skene, [426]
Gloves, rubber, [465]
Gonococci in gonorrhea, [450]
Gonococcus, resistance to, [451]
of vagina, [453]
Gonorrhea, [448]
a cause of disease, [17], [37], [450]
auto-infection, [453]
best time for examination, [455]
carbolic acid in, [456]
curettement in, [456]
epidemics of, [450]
gonococci in, [450]
in children, [450]
liability to, [451]
of cervix uteri, [451], [453]
examination, [452]
of discharge, [452]
of rectum, [450]
of urethra, [451]
of vagina, [453]
symptoms of, [454]
of vulva, [454]
persistence of, [451]
results of, [17]
Gonorrheal endometritis, [453]
macula, [39]
vaginitis, [453]
Green soap, [26]
Gummata of Fallopian tubes, [313]
Gynecological operations, apparatus for, [462]
performance of, [460]
personal sterilization in, [463]
rubber gloves in, [465]
water in, [467]
Gynecology, definition of, [15]
Hands, sterilization of, [465]
Headache in endometritis, [205]
in lacerated cervix, [153]
Hematocele, pelvic, [325]
Hematocolpos, [53], [399]
Hematoma between suture planes, [493]
of broad ligament, [318]
of vulva, [46]
pelvic, [326]
Hematometra, [259]
Hematosalpinx, [282], [286], [287]
after celiotomy, [500]
in cervical carcinoma, [190]
with hematometra, [260]
Hemorrhage after rupture of tubal pregnancy, [317]
in carcinoma of fundus uteri, [223]
in uterine fibroid, [242]
Hemostatic forceps, Tait’s, [470]
Hermaphroditism, [309]
hypospadia in, [400]
Hernia, entero-vaginal, [91]
Hernial-sac cyst, [42]
Hodge pessary, [134]
Hydrocele of canal of Nuck, [42]
ovarian, [346]
Hydrometra, [259]
Hydrosalpinx, [282], [285], [289]
with hematometra, [260]
Hydrostatics of pelvic contents, [98]
Hypertrophic cervical elongation, [178]
Hypospadia, [400]
Hysterectomy, abdominal, [517], [523]
supra-vaginal amputation, [518], [521]
combined abdominal and vaginal, [531]
advantages of author’s method, [533]
Werder’s, [532]
for cervical carcinoma, [193], [194]
complete, [523]
dangers, [523]
incisions of vaginal fornix in, [524]
indications for, [523]
remote results, [195]
transplantation of cancer-cells during, [525]
for fibroid, [526] ·
for inversion, [271]
for prolapse, [117]
for salpingitis, [302]
for uterine fibroid, [254]
preservation of ovaries in, [523]
vaginal, [517], [518]
removal of tubes and ovaries, [531]
Incision of abdominal wall, [487]
Infundibular pregnancy, [315].
See also Tubal pregnancy.
Inguinal adenitis, [36]
hernia, [42]
Instillation-tube, [173]
Instruments for abdominal operations, [475]
sterilization of, [466]
Interstitial pregnancy, [315].
See also Tubal pregnancy.
Intestinal tract, evacuation before operation, [471]
Intestines and omentum, protection of, during operations, [489]
Intra-ligamentous cyst, marsupialization, [516]
removal, [514]
Intra-ureteral ligament, [437]
Intra-vesical pressure, [437]
Inversion of uterus, [264]
Barnes’ bag in, [269]
continuous pressure in, [270]
diagnosis of, [267]
Emmet’s method for, [269], [270]
hysterectomy in, [271]
splitting posterior lip of cervix for, [271]
symptoms and sequelæ of, [266]
treatment of, [268]
White’s repositor for, [270]
with uterine polyp, [271]
with vaginal prolapse, [265]
Irrigation after curettement, [210]
of abdominal cavity, water for, [467]
Kelly’s instruments for examination of bladder, [423]
Kidney, floating, [21]
movable, [21]
Knee-chest position, [32]
for rectal examination, [33]
Kobelt’s tubes, [368]
Kolpokleisis, [420]
Kraurosis vulvæ, [44]
Labor after amputation of cervix, [165]
spurious, [321]
Laceration of cervix, [148]
concealed, [150]
incomplete, [150]
of perineum, [62]
Latero-abdominal position, [31]
Le Fort’s operation for prolapse, [112]
Leucorrhea, [153]
in carcinoma of fundus uteri, [223]
vicarious, [408]
Levator ani, [53]
Ligament, intra-ureteral, [437]
of uterus, [95], [96]
utero-sacral, [27]
Ligation of circular artery, [196]
of uterine arteries, [196]
Ligatures, [476], [477]
Lineæ albicantes, [19]
Link ligature, [506], [508]
Lupus ulceration, diagnosis from carcinoma of cervix, [188]
Lymphadenitis in lacerated cervix, [154]
Lymphangitis in lacerated cervix, [154]
Malformations of genital organs, [395]
Malignant adenoma, [221]
Mammary changes in tubal pregnancy, [322]
secretion, periodical, [408]
Manometer, [437]
Marsupialization, [516]
Mass suture, [491]
Massage, pelvic, [299]
Meatus internus, position of, [445]
Mechanism of perineum, [56]
of uterine support, [95]
Median perineal laceration, repair of, [70]
Membranous dysmenorrhea, [212]
Menopause, [405], [409]
due to salpingo-oöphorectomy, [535]
in chronic oöphoritis, [344]
in ovarian cysts, [380]
in salpingitis, [294]
in uterine fibroid, [242]
operative, [511]
Menorrhagia in chronic endometritis, [204]
oöphoritis, [344]
Menstruation after curettement, [212]
after salpingo-oöphorectomy, [535]
amount of flow in, [404]
and ovulation, coincidence of, [402]
arrest of, by operation, [511]
cessation of, [405]
constituents of fluid of, [404]
disorders of, [402]
duration of flow, [404]
during pregnancy, [247]
establishment of, [402]
frequency of, [404]
in anteflexion, [95]
in chronic endometritis, [204]
in lacerated cervix, [153]
in retro-displacement, [133]
in tubal pregnancy, [322]
neglect during, [18]
precocious, [404]
regimen during, [18]
scanty, [407]
suppression of, acute, [407]
systemic effect of, [18]
vicarious, [408]
Metastasis in carcinoma of cervix, [185]
Metritis in subinvolution, [215]
with endometritis, [199]
Metrorrhagia in chronic endometritis, [204]
Micturition after celiotomy, [495]
Miliary tubal tuberculosis, [298]
Milk as a diagnostic agent in fistulæ, [414], [421]
Miscarriage in anteflexion, [123]
Morgagni, cysts of, [276], [369]
Mortality after celiotomy, [501]
Movable kidney, [21]
Müller, ducts of, [395]
Muscles of perineum, [58]
Myo-fibroma, uterine, [230]
Myoma of Fallopian tubes, [313]
uterine, [230]
Myomectomy, abdominal, [255]
technique of, [530], [533]
Myxoma, ovarian, [390]
peritoneal, [378]
Nabothian cysts, [152]
Necrobiosis in uterine fibroid, [239]
Needle for cervix, [156]
for fistula, [418]
for perineum, [65]
Needle-holder, Emmet’s, [65]
Reiner’s, [477]
Neoplasms of vulva, [46], [49]
Normal salt solution, [468]
Nuck, canal of, [42]
Nurse’s duties in operating-room, [470]
Obturator, [33]
Oöphoritis, [339].
See also Ovary, inflammation of.
Operating-room, [461]
discipline of, [470]
preparation of, [462]
temperature of, [462]
Operating-table, [462]
Opium after celiotomy, [495]
Ostium vaginæ, [57]
Ovarian abscess, [283]
adenomata, [354]
artery, [502]
ligation of, [520], [526]
carcinomata, [392]
cyst, [15]
axial rotation in, [375]
dermoid, [512]
duration of, [382]
examination of, [383]
inflammation of, [374], [382]
malignant degeneration of, [380]
marsupialization of, [515]
necrosis of, [377]
operation for, [389]
pregnancy, [329]
pressure results of, [379]
rapidity of growth, [381], [382]
removal of, [512]
rupture of, [377], [382]
causes of, [383]
symptoms of, [383]
treatment of pedicle, [514]
suppuration of, [375]
symptoms of, [378], [382]
tapping of, [387], [512], [513]
thrombosis, [377]
torsion of pedicle in, [375]
symptoms of, [382]
treatment of, [387], [380]
fibroid uterus, changes in, [237]
fibromata, [390]
Ovarian fibro-myomata, [288]
ligament, bimanual examination of, [25]
tumors of, [394]
myomata, [390]
papillomata, [393]
sac, [348]
sarcomata, [391]
tuberculosis, [393]
Ovaritis, [339].
See also Ovary, inflammation of.
Ovary, accessory, [333]
after menopause, [330]
anatomy of, [330]
apoplexy of, [346]
blood-vessels of, [332]
chronic inflammation, treatment of, [344]
contents of glandular cyst of, [356]
corpus luteum, cyst of, [352]
cystic, [342]
cystic, tumors of, [349]
dermoid cysts of, [350], [359]
follicular cysts of, [350]
hemorrhage in, [346]
glandular cysts of, [354], [372]
hernia of, [334]
conception in, [334]
dangers in, [334]
menstruation in, [334]
ovulation in, [334]
treatment of, [335]
hydrocele of, [346]
in multiparæ, [330]
in new-born, [330]
inflammation of, acute, [339]
causes of, [340]
symptoms of, [340]
treatment of, [341]
chronic, [341]
reflex disturbance in, [344]
from salpingitis, [283]
ligaments of, [331]
maintenance of position of, [332]
multilocular cyst of, [354]
of virgin, [330]
of Wolffian body, [333]
oöphoritic cysts of, [350], [372]
oöphoron, [335]
papillomatous cyst of, [362]
contents of, [364]
in ascites, [366]
peritoneal involvement in, [365]
rupture of, [365]
paroöphoritic cysts of, [362], [373]
ascites in, [366], [380]
contents, [364]
dangers, [365]
wall of, [362]
paroöphoron, [333]
pedicle of glandular cyst of, [358]
preservation of, in hysterectomy, [523]
prolapse of, [335]
causes, [335]
diagnosis from retroflexion, [337]
pessary in, [339]
reflex symptoms, [337]
secondary changes, [336]
treatment of, [337], [339]
tuberculosis of, [393]
veins of, [332]
Ovulation and menstruation, coincidence of, [402]
Oxyuris, [37]
Pain after celiotomy, [495], [497]
in carcinoma of fundus uteri, [223]
in cervical carcinoma, [191]
in salpingitis, [292]
in uterine fibroid, [244]
Palpation of abdomen, [20]
Papilloma of ovary, [393]
of vulva, [46]
Papillomatous ovarian cysts, [362]
Parenchyma body, [359]
Paroöphoritic cysts, [262], [373]
Paroöphoron, [333]
Parovarium, [52], [368]
cysts of, [368], [370], [373]
Gärtner’s duct, [368]
Kobelt’s tubes, [368]
papillomatous cysts of, [370]
Parturition as cause of retro-displacements, [130]
results of injuries during, [16]
Patient, preparation of, for operation, [471]
Pedicle-needle, [476]
Pelvic abscess, [303]
after rupture of tubal pregnancy, [317]
celiotomy for, [305]
vaginal evacuation of, [304]
contents, hydrostatics of, [98]
massage, [299]
in amenorrhea, [407]
structures, rectal examination of, [28]
Pelvis, local washing of, [489]
suppuration of cellular tissue in, [302]
Percussion of abdomen, [22]
in ascites, [22]
Perineal laceration involving one or both vaginal sulci, [75], [79], [80]
recto-vaginal septum, [73], [74]
loss of support in, [69], [75], [130]
repair, [70]
sphincter-tear, suture-introduction, [68], [71], [72]
removal of sutures, [73]
subcutaneous, [79], [85]
needle, Emmet’s, [65]
needle-carrier, [66]
scissors, Emmet’s, [64]
Perineorrhaphy, [62], [63], [80]
after-treatment of, [66]
intermediate, [63]
passage of sutures in, [67], [68]
primary, [62]
secondary, [64]
Perineum, anatomy and mechanism of, [56]
characteristics after sulci-tear, [78], [79]
of uninjured, [74]
fasciæ of, [57]
injuries to, [62]
lacerations, classification of, [80]
Emmet’s operation for, [80]
ligaments, [57]
median laceration of, [67]
involving sphincter, [68]
muscles, [57]
Peri-oöphoritis, in inflammation of ovary, [339]
Peritoneum, action of antiseptics on, [457]
causes of infection of, [485]
cleansing before operation, [490]
infection in minor gynecology, [458]
toilet of, [490]
Peritonitis after celiotomy, [500]
Pessary, contraindications to use, [141]
Hodge, [134]
in anteflexion, [123]
in retro-displacement, [133], [146]
Smith, [133]
stem, [123]
Thomas, [134]
vaginal, [133], [138], [140]
Pflüger, tubes of, [354]
Phantom tumor, [386]
Polypi of cervix, [178], [182]
tubal pregnancy and, [314]
urethral, [435]
uterine, [234], [256]
with endometritis, [203]
Position, dorsal, [31]
genu-pectoral, [31], [32]
knee-chest, [31], [33]
latero-abdominal, [31]
of uterus, [94]
Sims’, [31], [32]
Trendelenburg, [462], [510]
Post-climacteric endometritis, [213]
Pregnancy after amputation of cervix, [165]
after celiotomy, [389]
after curettement, [212]
as cause of prolapse, [108]
extra-uterine, [314].
See also Tubal pregnancy.
in anteflexion, [123]
influence on anteflexion, [123]
ovarian, [329]
tubal, [314].
See also Tubal pregnancy.
with uterine fibroid, [247], [256]
Probe, vesical, [425]
Prolapse of ovary, [335].
See also Ovary.
of urethra, [431]
of uterus, [75], [101]
amputation of cervix in, [117]
causes, [102], [108]
colpeurynter in, [118]
cystocele and rectocele in, [107]
diagnosis, [110]
hysterectomy for, [117]
LeFort’s operation, [112]
pessaries, [118]
sequelæ, [111]
structural changes, [106]
subjective symptoms, [108]
treatment, [110]
ventro-fixation in, [113]
of vagina, [75]
Pruritus vulvæ, [42]
diabetes as cause, [43]
etiology, [42], [43]
excision of mucous membrane, [44]
treatment, [43]
Pseudo-hermaphroditism, [400]
Pseudomucin, [356]
Pulse after celiotomy, [498]
Purgation after celiotomy, [496]
Pus, sterile, [284], [486]
Pyelitis, result of cystitis, [438]
Pyocolpos, [53]
Pyometra, [259]
Pyosalpinx, [260], [282], [284], [287], [509]
cholesterin deposits in, [285]
conversion into hydrosalpinx, [285]
micro-organisms in, [284]
reinfection, [285]
rupture of, [289]
spontaneous evacuation, [284]
sterile pus, [284]
Rectal examination of pelvic structures, [28]
of uterus, [27]
specula, [33]
tube in abdominal distention, [498]
Rectocele, [77], [87], [107]
Recto-vaginal fistulæ, [421]
septum, laceration of, [73]
Rectum examination, [33]
knee-chest position for, [33]
Recurrent fibroid, [227]
metastasis in, [227]
origin of, [227]
uterine inversion in, [227]
Reflux tube in uterine irrigation, [210]
Reiner’s needle-holder, [477]
Replacement of uterus, [135]
Reposition, bimanual, [135]
instrumental, [136]
Repositor, White’s, [270]
Retractor for vagina, [528]
Retro-displacement, Alexander’s operation, [142]
diagnosis of, [133]
menstruation in, [133]
operation for, [142]
pessaries in, [133]
pregnancy and, [130]
Retro-displacements, results of, [131]
symptoms of, [132]
treatment of, [133], [145]
ventro-fixation for, [133]
Retroflexion of uterus, [127]
causes of, [129]
Retroversion of uterus, [127]
causes of, [129]
degrees of, [128]
Rheumatism cause of ovarian disease, [340]
Robb’s formulæ for celloidin, [479]
Room for gynecological operations, [461]
Round ligament, ligation of, [520]
Round-ligament cysts, [42]
Rubber dam, [480]
gloves, [465]
Salpingitis, [276], [287]
abdominal ostium, closure of, [280]
acute, [277], [288]
adhesions due to, [279], [280]
after endometritis, [288], [299]
catarrhal, [279]
causes of, [276], [279], [287]
celiotomy for, [296], [299], [300]
chronic, [279]
catarrhal, [279]
interstitial, [280]
cystic distention in, [282]
dangers of, [289], [291]
diagnosis of, [295]
fistula in, [290]
hematosalpinx with, [282]
hydrosalpinx with, [282]
hypertrophy in, [281]
hysterectomy for, [302]
ovarian abscess and, [283]
ovaritis and, [283]
pelvic abscess in, [297]
massage in, [299]
pyosalpinx, [282]
salpingo-oöphorectomy for, [302]
septic, [277], [288]
symptoms of, [291]
treatment of, [296], [300]
tubal pregnancy from, [314]
with tubal abscess, [279], [283]
Salpingo-oöphorectomy, [504]
adhesions after, [510]
for chronic ovaritis, [344]
for salpingitis, [302]
for uterine fibroid, [252]
link-ligature in, [506]
menopause due to, [535]
menstruation after, [535]
secondary effects of, [535]
sexual emotion after, [536]
Tait knot, [506]
Sarcoma of Fallopian tubes, [313]
of ovary, [391]
of uterus, [15], [225]
age of occurrence, [228]
duration of, [228]
symptoms of, [226]
treatment of, [228]
urethral, [436]
Scissors, Emmet’s perineal, [64]
Senile endometritis, [213]
Septic foci, dangers of, [37]
infection of genital tract, [17]
Shock after celiotomy, [498]
Shot-compressor, [66]
Silk, [476]
Sims’ curette, [209]
depressor, [29]
position, [31]
topographical changes in, [32]
speculum, [29]
as anal retractor, [33]
vaginal dilator, [416]
Skene’s endoscope, [432]
glands, [426]
inflammation of, [429]
installation tube, [173]
reflux catheter, [429]
Smith’s pessary, [134]
Sound, urethral, [430]
uterine, [34]
asepsis in use in, [35]
diagnosis between inversion and polyp by use of, [268]
precautions in use of, [35]
Speculum, rectal, [33]
vaginal, [28]
bivalve, Goodell’s, [29]
duck-bill, Sims’, [29]
introduction, [29], [33]
uses, [28], [30], [31]
vesical, [424]
Spencer Wells’ forceps, [474]
Sphincter ani, [58]
atrophy and laceration of, [69]
dimple over ends of, [70]
laceration, repair of, [69]
vaginæ, [58]
Split cervix, [177]
Sponge-holder, [65]
Sponges in abdominal operations, [474]
sterilization of, [468]
Sprague’s sterilizer, [466]
Spurious labor, [321]
Squamous-cell carcinoma of cervix, [181]
Stem-pessary in anteflexion, [123]
Sterility as result of gonorrhea, [17]
in anteflexion, [122]
in chronic endometritis, [206]
in lacerated cervix, [154]
in salpingitis, [294]
Sterilization, discontinuous, [466]
fractional, [466]
of dressings, [466]
of hands, [465]
of instruments, [466]
of sponges, [468]
of tables, [463]
of water, [467]
personal, for operations, [463]
Sterilizer, Arnold’s, [466]
Sprague’s, [466]
Stricture, urethral, [430]
Subinvolution as cause of ovarian prolapse, [336]
of uterus, [215]
endometritis in, [215]
metritis in, [215]
symptoms and treatment of, [216]
of vagina, [92]
Superinvolution of uterus, [217]
amenorrhea in, [217]
Suppressio mensium, [405]
Supra-vaginal cervix, elongation of, [104]
Sutures, [476], [477]
Syncytioma malignum, [228]
symptoms, [229]
treatment, [229]
Syphilis acquired during examination, [26]
elephantiasis in, [47]
primary sore on finger of physician, [26]
Syphilitic ulceration, diagnosis from carcinoma of cervix, [188]
Syringe for cleansing drainage-tube, [481]
Table for operating, [462]
sterilization of, [463]
Tait knot, [506], [508]
Tait’s hemostatic forceps, [474]
Tapping of ovarian cyst, [387], [512], [513]
dangers of, [388]
Temperature after celiotomy, [498]
Tenacula, [27], [64]
Teratoma, [361]
Thomas’s pessary, [134]
Through-and-through suture, [491]
Tissue-forceps, [65]
Trachelorrhaphy, [156]
contraindications to, [289]
curetting in, [160]
preparation for, [160]
scissors for, [157]
Transplantation of cancer-cells during hysterectomy, [525]
Trendelenburg position, [462], [510]
Trigone, [436]
mucous membrane of, [437]
Trocar, [476]
Tubal changes in fibroids, [237]
pregnancy, [314]
abdominal enlargement in, [323]
abortion, [316], [318]
amenorrhea in, [326]
ballottement in, [323]
causes of, [314]
classification of, [315]
curettage for diagnosis in, [315]
decidual transformation of endometrium in, [320]
diagnosis of, [325]
Fallopian tube, changes in, [315]
fetal movements in, [323]
heart-sounds in, [323]
hematoma in, [324]
hemorrhage in, [317]
mammary changes in, [322]
menstruation in, [322]
pain in, [322], [324]
placental hemorrhage during celiotomy for, [329]
polypi as cause of, [314]
rupture in, [316], [317], [324], [327]
secondary rupture, [317]
skin-changes in, [322]
spurious labor in, [321]
symptoms of, [321]
termination of, [316], [328]
treatment of, [327]
tubal changes in, [315]
uterine changes in, [316], [320]
vaginal changes in, [322]
varieties of, [314]
Tuberculosis of cervix, [180]
of Fallopian tubes, [306]
chronic diffuse, [309]
fibroid, [309]
diagnosis of, [311]
infection of, [310]
miliary, [308]
primary, [309]
prognosis in, [311]
secondary, [310]
symptoms, [310]
treatment of, [312]
unsuspected, [308]
of ovary, [393]
of uterus, [261]
Tubo-ovarian abscess, [283], [287]
pregnancy, [314].
See also Tubal pregnancy.
Ureter, bimanual examination of, [25]
carcinoma of, [185]
introduction of bougies in hysterectomy, [523]
relations of, [445], [521], [526]
to uterine artery, [504]
vesical orifice of, [437]
Ureteritis, result of cystitis in, [438]
Uretero-vaginal fistula, [421]
Urethra, anatomy of, [426]
cancer of, [436]
caruncle of, [434]
course of, [445]
cysts of, [435]
dilatation of, [433]
prolapse of, [431]
sarcoma of, [436]
Urethral polyp, [435]
sound, [430]
stricture, [430]
Urethritis, [427], [449]
Urethrocele, [434]
Urinary excretion after celiotomy, [436]
Uterine appendages, removal of, [504]
artery, [503]
ligation of, [196], [520], [526]
relations to ureter, [504]
cavity, length of, [34]
cornua, bimanual examination of, [25]
fibroid, [230]
fibro-myoma, [230]
forceps, [138]
inversion in recurrent fibroid, [227]
involvement in cervical carcinoma, [185]
Uterine ligaments, action of, [96]
structure of, [96]
myo-fibroma, [230]
myoma, [230]
polyp, [234]
diagnosis from carcinoma of cervix, [188]
with inversion, [271]
retro-displacements, parturition as cause, [130]
retroflexion, causes of, [129]
sound, [34]
abortion by use of, [35]
asepsis in use of, [35]
dangers of, [35]
in diagnosis between inversion and uterine polyp, [268]
precautions in use, [35]
Utero-sacral ligaments, [27], [119]
Uterus, absence of, [396]
adenomyoma of, [257]
anteflexion, [119]
causes of normal, [119]
classification of, [120]
menstruation in, [122]
miscarriage in, [123]
pathological, [120]
pessary in, [123]
pregnancy in, [123]
sterility in, [122]
symptoms of, [122]
treatment of, [123]
axis of, [95]
bicornis duplex, [396]
unicollis, [397]
bimanual reposition, [135]
carcinoma of, [218]
age of occurrence, [220]
bimanual examination of, [224]
curette, [224]
leucorrhea, [223]
metastasis, [223], [224]
operation for, [224], [225]
pain, [223]
symptoms, [222]
cordiformis, [397]
development, [395]
didelphys, [396]
fibroid tumors of, [236]
intraligamentous, [235]
submucous, [234]
subperitoneal, [233]
fibro-sarcoma of, [227]
instrumental reposition, [136]
inversion of, [264]
diagnosis from uterine polyp, [268]
reposition in, [268]
White’s repositor for, [269]
irrigation after curettement, [210]
ligaments of, [95]
mechanism of support, [95], [96]
perforation of, by curette, [210]
position, [94], [119]
prolapse of, [101]
amputation of cervix in, [117]
causes of, [97], [98], [102], [108]
colpeurynter in, [118]
cystocele and rectocele in, [107]
diagnosis of, [110]
Emmet’s operation for, [112]
hysterectomy for, [117]
LeFort’s operation, [112]
pessaries in, [118]
pregnancy as cause of, [108]
sequelæ of, [111]
Sims’ operation for, [115]
structural changes in, [106]
symptoms, [108]
treatment, [110]
ventro-fixation for, [113]
rectal examination of, [27]
relations of, [119]
to bladder, [94]
removal, [515].
See also Hysterectomy.
replacement, [135], [136]
contraindications to, [289]
retention in position, [142]
retro-displacement, congenital, [129], [146]
retroflexion of, [127]
retroversion of, [127]
causes, [129]
degrees, [128]
sarcoma of, [225]
age of occurrence, [228]
duration of life, [228]
symptoms, [225], [226]
treatment, [225]
varieties, [225]
septus, [397]
Skene’s glands, [426]
stitching to abdominal wall, [142]
subinvolution of, [215]
superinvolution after amputation of cervix, [217]
supra-vaginal amputation, [518], [521]
closure of cervical canal in, [522]
sterilization of cervical canal in, [522]
tuberculosis of, [261]
unicornis, [396]
vascular supply of, [437]
Vagina, absence of, [398]
angle of, [60]
anterior wall, length, [60]
atresia, [17], [52]
carcinoma of, [52]
cysts of, [51]
development of, [395]
dilator for, Sims’, [416]
fibroid tumors of, [52]
furrows of, [61]
incision of, in hysterectomy, [524]
inflammation of, [49]
long axis of, [60]
malformations of, [397]
normal condition of, [96]
ostium of, [57]
posterior wall, length of, [60]
preparation of, for operation, [472]
prolapse of, [75]
sarcoma of, [52]
shape of, [60]
subinvolution of, [92]
sulci of, [60]
unilateral, [398]
Vaginal arteries, [504]
cervix, elongation, [104], [178]
drainage, [480], [487]
examination, [23]
cleansing for, [26]
contraindications to, [28]
hematocolpos, [53], [399]
hysterectomy, [527]
removal of tubes and ovaries, [531]
pessaries, [133], [138], [140]
retractor, [528]
speculum, [28]
bivalve, Goodell’s, [29]
duck-bill, Sims’, [29]
uses, [28], [30], [31]
sulci, laceration of, [75]
tumor, [51]
treatment, [52]
wall-depressor, [29], [31], [32]
Vaginismus, [53]
Vaginitis, [49]
adhesive, [51]
dangers of, [50]
emphysematous, [49]
epidemics of, [39]
etiology, [49]
gonorrheal, [453]
granular, [49]
in children, [49]
in exanthemata, [49]
senile, [49]
simple, [49]
symptoms, [50]
treatment, [50], [51]
Ventral hernia, [492]
Ventro-fixation, [142], [143]
in uterine prolapse, [113]
Ventro-suspension, [142], [143]
incision for, [487]
Vermiform appendix, [21]
Vesical applicator, [425]
calculus, [447]
in vesico-vaginal fistula, [416]
probe, [425]
speculum, [424]
triangle, [436]
mucous membrane of, [437]
nerves of, [437]
Vesico-urethral fissure, [431]
Vesico-uterine fistula, [420]
Vesico-vaginal fistula, [412]
and calculus, [416]
kolpokleisis in, [420]
operation for, [417]
treatment, [415]
Vicarious diarrhea, [408]
leucorrhea, [408]
menstruation, [408]
Vomiting after celiotomy, [497]
Vulva, elephantiasis of, [47]
gonorrhea of, [454]
hematoma of, [46]
neoplasms of, [46], [47]
papilloma of, [46]
pruritus of, [42]
etiology, [42], [43]
excision of mucous membranes, [44]
treatment, [43]
varicose tumors of, [46]
Vulvitis, [36]
causes of, [36], [37]
epidemics of, [37]
follicular, [36]
gonorrhea as cause of, [36]
in children, [37]
late manifestations of, [37], [38]
medico-legal examination in, [37]
secondary, [36], [37]
symptoms of, [36]
treatment of, [37]
Vulvo-vaginal glands, cysts of, [40]
inflammation of, [38], [39]
Water after celiotomy, [494]
in gynecological operations, [467]
sterilization of, [467]
Werder’s combined hysterectomy, [532]
White’s repositor, [270]
Wolffian canal, [52]