Arteria Uterina Ovarica: The Utero-ovarian Artery, Or, the Genital Vascular Circle, Anatomy and Physiology, with Their Application in Diagnosis and Surgical Intervention

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E. H. Colegrove, 1903 - Arteries - 182 pages
 

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Page 179 - It shows the proximal (11), middle (iliac) and distal (17) arterio-ureteral crossing. The spindle shape and curves of the ureters are shown. In this drawing a suggestion from Holl is employed. The genital circle and the ureter are shown in their relation: 1, kidney; 3 and 7, ureteral pelvis; 4 and 8, proximal ureteral isthmus; 5 and 9, proximal ureteral spindle; 6, ureteral calices; 10 and 11, proximal arterio-ureteral crossing; 12, middle...
Page 28 - ... oviductus and rami laterales avarii being still intact. The genital circle left undivided will allow the ovaries — organs of progressive function from before birth until the ovarian tissue is worn out — to functionate normally until their tissue stroma yields to senile processes in the sixties. The universal rule of surgery is to sacrifice no healthy organs or tissue. The suggestions brought about by a study of the genital vascular circle will aid to prevent sacrificing genital organs or...
Page 28 - ... is an x-ray taken for me by Dr. Harry Pratt. 1, 3, 4, pelvic floor segment; 5, 6, uterine segment; 6. 7, 9 and 6, 8, 9, the oviducal segment; 9, 10, 11, the ovarian segment. The genital vascular circle or circle of author is the same in all mammals. motion to the uterus, proximally to the diaphram, laterally to the lateral abdominal walls, and its chief utility in surgery is that this tortuous segment can be drawn distally sufficiently to enable the surgeon to ligate both uterine and ovarian...
Page 30 - ... circle. value to gynecologic surgery, especially per vaginam. With the traction forceps one can draw the uterus distalward sufficiently to ligate all its vessels at leisure outside the body. The future route for pelvic surgery is per vaginam, and the facility of its accomplishment rests chiefly on the fact that the tortuous segment of the utero-ovarian vascular circle will elongate extensively without suffering loss of integrity or fatal damage. AGE RELATIONS. Age relations of the utero-ovarian...
Page 26 - ... severing, but may be arrested by small pressure forceps, without a ligature. Mobility and distensibility of the spiral segment of the uteroovarian vascular circle enables the gynecologist to draw the uterus oviduct and ovary into the vagina with traction forceps, where the organs may be inspected, palpated and ligatures may be applied at leisure. One of the great principles of vaginal extirpation of the genitals rests on the anatomic fact that the spiral segment of the utero-ovarian vascular...
Page 12 - ... arterio-ureteral crossing; 12, middle arterio-ureteral crossing; 13, ovarian segment; 14 and 15, external iliac vessels; 16, pelvic ureteral spindle; 17, distal arterio-ureteral crossing; 18, left oviduct; 19, uterus; 20, pelvic segment of uterine artery divided by the ureter; 22, vagina; 23, ureteral orificial slit opening into bladder; 24, posterior branch of internal iliac; 25, renal vein receiving the ovarian vein 26; 9, 26, 25, 7, uretero-venous triangle.
Page 56 - ... ureter of the middle arterioureteral crossing is quite variable. It is larger in woman than in man. Schwalbe estimates that in man it is usually one hundred thirty to one hundred thirty-five degrees.
Page 56 - Illustrates the relation of the ureters to veins. I is where the left ovarian vein crosses the ureter; 2, where the right ovarian vein crosses the ureter, 1 and 2 stand at the apex of the uretero-venous triangles or the triangles of the author. 3, origin of left and 4, origin of right ovarian veins ; 5, uterus ; 6, bladder ; 7 is the pelvic segment of the ureter passing through the great venous plexuses. The...
Page iii - Tliis monograph is presented to the medical profession in the hope that it may serve in its way to instruct some and to awaken all to a greater realization of the supreme importance of the subject of Gonorrhoea in Women. Nowhere in the English and American medical literature is the subject presented in its entirety.
Page 26 - ... may be extirpated per vaginum without severing any segment of the utero-ovarian vascular circle, as advocated by Dr. EH Pratt, of Chicago (and the author also). The rami laterales to uterus and oviduct and ovary will need severing, but may be arrested by small pressure forceps, without a ligature. Mobility and distensibility of the spiral segment of the uteroovarian vascular circle enables the gynecologist to draw the uterus oviduct and ovary into the vagina with traction forceps, where the organs...

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