Identifier: pelvicinflammati09pola (find matches)
Title: Pelvic inflammation in women
Year: 1921 (1920s)
Authors: Polak, John Osborn, 1870-1931
Subjects: Adnexitis
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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degree of security, than if ahysterectomy is done and the uterine end of the anastomosis cut off.Furthermore, the functional life of the retained ovary or ovaries is longerif menstruation is conserved than if the uterus is removed. This, I be-lieve, is due to the relief of the periodic premenstrual congestion by theuterine flow. The ovary is the analogue of the testicle, and we feel thatconsiderable risk is justified for the preservation of an ovary and its cir- SALPINGITIS 169 dilation. For it is well known that double oophorectomy, particularly ina young- woman, may convert the normal woman into a hopeless neuras-thenic. In tubal disease the ovary is usually involved only because ofits association with the infected tube. The lesion is a peri-ovaritis,rather than an ovaritis. It is an ovary in bad company, rather than adiseased ovary, and its function can be preserved, provided its circulationis not interfered zvith. Menstruation exercises a therapeutic effect on health, which is not
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Fig. 67,—Uterus Removed, Round Ligaments Sewn into Stump—A RunningSuture is Being Passed Around the Hemostat. only psychic, but actual, for the whole system in the female is plannedfor this periodic outflow. The uterine mucosa undergoes definite his-tologic changes throughout a definite cycle, which culminates in the men-strual flow. These cyclic changes are subconscious when proper corre-lation exists between the several governing internal secretions of thebody; but when this correlation is disturbed by cystic changes in theovary, which always result when its circulation is interfered with, defi-nite symptoms are produced in the breasts, the tonsils, the thyroid gland,the genital spot in the nasal mucous membrane, and in the circulatoryand nervous systems of the individual. Consequently, there can beno question as to the desirability of the conservation of the ovarian func- 170 PELVIC INFLAMMATION IN WOMEN tion, provided it is associated with the periodic overflow of menstrualblo

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