None
of vagina, 256 Myomectomy, abdominal, 650 for uterine myoma, 275 operations, 650 vaginal, 653 Myomherz, 59 Myosarcoma of Fallopian tubes, 364 of uterus, 279 Myxedema, 59 congenital, 60 infantile, 60 postoperative, 60 M}rxoma of \'Talva, 246 Myxomatoid degeneration of uterine myoma, 264 Myxomatous degeneration of uterine myoma, 263 Nabothian cysts, 150 Nasal catarrh at menopause, 71 dysmenorrhea, 453 mucous membrane, cocainizing, influence of, on dysmenorrhea, 71 treatment of dysmenorrhea, 455 Necrosis of uterine fibroids, 265 Necrospermia, 484 Necrotic tissue, absorption of products of degeneration in, leukocytosis in, 80 Nephrectomy, 691-697 for injury of ureter, 701 in pyelitis, 233 in tuberculosis of bladder, 229 incision for, 691 Kelly's frying pan incision for, 692 Nephroptosis, 126. Nephrotomy in pyelitis, 233 Nerves of peritoneum, 110 Nervous diseases, influence of menstruation on, 94 symptoms of menopause, 99, 100 system, condition of, during menstruation, 20 influence of menstruation on, 91 relation of genitalia to, 91 Neuralgia, ovarian, 98, 213, 506 Neuroma of vulva, 246 Neurosis after hysterectomy and ovariec- tomy, 99 as result of menstrual irregularities, 93 from amenorrhea, 94 from dysmenorrhea, 93 from monorrhagia, 94 genital, 95 of imagination, 95 of overvaluation, 95 treatment, 98 New growths. See Tumors. Newborn, atresia of hymen in, 464 Nodular tubercular peritonitis, 179 Nose during menopause, 70 during menstruation, 70 relation of genitalia to, 70 vicarious menstruation from, 21 Nose-bleed during menstruation, 21 Nuck, canal of, cyst of, 246 Obesity as cause of sterihty, 488 during menopause, 23 Oil of copaiba in gonococcal cystitis, 226 of sandalwood in gonococcal cystitis, 226 Ointment, Credo's, in varicose ulcer, 718 scarlet, in varicose ulcer, 718 Oligomenorrhea, functional, ovarian defi- ciency and, 48 extract in, 53 of youth, 459 Olshausen's operation for prolapse of uterus, 415 for retroversion of uterus, 409 Graves' modification, 578 Omentum, absorbing power. 111 capacity of, to slip into defects of abdom- inal wall, 111 physiology of, 109 protective power, 110 relation of genitaUa to, 109 use of, in plastic operations, 111 value of, in walling off and localization of infection, 110 Onkogenetic inversion of uterus, 423 Oophorectomy. See Ovariectomy. Oophoritis, 210 gonorrheal, 211 infectious, 210 chronic, 211 etiology, 212 symptoms, 212 treatment, 213 interstitial, 210, 211 etiology, 212 symptoms, 212 Digitized by Microsoft® INDEX 757 Oophoritis, interstitial, treatment, 213 tubercular, 211 Operations, abdominal, length of stay in bed, 730 preparation for, 723 support after, 730 suture materials, 726 technical detail, 724 treatment after, 728 on abdominal wall, 666 on bladder, 703 on cervix, 514 on Fallopian tubes, 656 on kidney, 684 major, incision for, 691 minor, 684 incision for, 684 on ovaries, 662 on rectum, 705 on ureters, 698 on vagina, 530 on vulva, 510 plastic, after-care of, 733 care of stitches, 734 coaptation of wound edges, 733 denudation in, 732 preparation for, 730 stitch abscess in, treatment, 735 suture material, 732 technic of, 730 technical details, 731 Operative gynecology, 510 Osteoma of vulva, 246 Osteomalacia and ovaries, relation between, 115 and parathyroids, relation between, 61 Ott, curve of, 92 Ova, 380 Ovarian dysmenorrhea, 453 •extract after hysterectomy, 53 dosage, 54 form used, 54 fresh, importance of, 54 in absence of ovarian secretion, 53 in amenorrhea of youth, 459, 460 in deficient circulation of genitalia, 53 in functional amenorrhea and oligo- menorrhea, 53 in kraurosis of vulva, 191 in pruritus of vulva, 194 in sclerosis and atrophy of ovary, 213 in sterihty, 54, 494 in vasomotor changes, after ovariectomy, 99 influence! of, on time coagulability of blood, 51 Ovarian extract, production of hematometra in guinea-pigs by injection of, 53 of hemorrhage in guinea-pigs by injec- tion of, 53 value of, 53 facies, 353 neuralgia, 98, 213, 506 pain, 505 secretion, 44 absence of, ovarian extract in, 53 loss of, as cause of changes during meno- pause, 23 tissue, transplantation of, 52, 663 after hysterectomy, 664 in sterihty, 492 Ovariectomy, accumulation of fat after, 49 as cause of amenorrhea, 499 changes in hypophysis due to, 46, 47 effect of, 44, 49 on hypophysis, 56 genital atrophy due to, 471 hot flushes after, 99 h3rpertrophy of adrenal gland after, 62 neuroses after, 99 psychoneuroses after, 49, 99, 100 vasomotor disturbances after, 49, 99 Ovarin, 44, 45 Ovaritis, 210. See also Oophoritis. Ovary, absence of, 386 absence of vagina and, 47 accessory, 386 albuginea of, 32 and breasts, relation between, 65 and osteomalacia, relation between, 115 atrophy of, 48, 470 as cause of changes during menopause, 23 pathologic, 48 blood-cysts of, 327 carcinoma of, 339. See also Carcinoma of ovary. colloid carcinoma, 346, 347, 348 condition of, during menstruation, 20 cystadenoma of, 328 origin, 337 pseudomucinous, 330 origin of, 338 treatment, 332 serous, 334 origin of, 337 cystic carcinoma, 339 degeneration, 324 as cause of sterility, 486 cystoma of, 328 cysts of, 212, 322. See also Cysts of ovary. defects of, developmental, 386- degeneration of, 212 Digitized by Microsoft® 758 INDEX Ovary, degeneration of, cystic, 212 dermoid cysts of, 342, 349, 350 maKgnant changes, 344 parthenogenesis, 346 descent of, 381 developing and ripening of foUicles by, 32 development of, 18 embryologic development, 380 endothelioma of, 352 fibroma of, 348 ascites from, 351 fibrosarcoma of, 351 function of, essential, 32 functional anatomy, 31 germinal epithelium of, 31 glandular ducts of, 32 hyperfunction of, 49 hypersecretion of, 49 uterine bleeding from, 50, 51 hjrpofunction of, 46 infantiUsm and, relation between, 47 hypoplasia of, infantihsm and, relation between, 47 in infantilism as cause of sterihty, 479 infantile, 479 infections, 210 inflammations, 210 lactation-atrophy of, 48 medullary layer of, 32 operations on, 662 parenchymatous layer of, 32 perithelioma of, 352 physiologic anatomy, 31 pseudomucinous cystadenoma of, 330 origin, 338 treatment, 332 relation of, to glands of internal secretion, 44 to hypophysis, 56 to thyroid, 57 resection of, 662 sarcoma of, 351 metastasis, 352 secretion of, 44 serous cystadenoma of, 334 origin, 337 small cystic degeneration, 212 stigma on, 37 struma, 345 teratoma of, 345 parthenogenesis, 346 transplantation of, 52, 663 after hysterectomy, 664 in sterility, 493 tuberculosis of, 178, 211 tumors of, 322 Ovary, tumors of, ascites associated with, 353 diagnosis, 356 exciting cause of formation, 338 facial expression, 353 menstrual function in, 355 non-prohferating, 322 ovigenous, 342 ovulogenous, 342 parenchymatous, 328 pregnancy complicating, 355 pressure symptoms, 353 prognosis, 358 proliferating, 328 removal of both ovaries, 358 stromatogenous, 348 symptoms, 353 torsion, 354 treatment, 357 tumors of kidney and, differentiation, 356 ureter symptoms, 353 Ovigenous tumors of ovary, 342 Ovitestes, 392 Ovulation and menstruation, time relation be- tween, 51 Ovulogenous tumors of ovary, 342 Ovum and spermatozoon, place of union, 24 Pain from inflammation of peritoneum, 506 from pelvic pressure, 506 from uterine fibroids, 508 in carcinoma of cervix, 293 in coccyx, 508 in dysmenorrhea, 454, 455 in ectopic pregnancy, 446, 447, 448 in legs, 509 in loins, 508 in retroversion of uterus, 404 in rupture of tubal pregnancy, 505 in side, 507 intermenstrual, 21 lumbar, 508 of menstruation, 508. See also Dysmenor- rhea. of micturition, 509 on defecation, 509 ovarian, 505 pelvic, 504 Palpation of abdomen, 719 Papillary angioma of vestibule, 247 excrescences of vulva, 185 Papilloma of bladder, 367 treatment, 369 of Fallopian tubes, 362 Paracolpitis, 198 Digitized by Microsoft® INDEX 759 Paracystic cellular tissue, 214 Paracystitis, 223 ParafRn, liquid, in enteroptosis, 123 Parametrial cellular tissue, 214 hematoma, 218 parametritis and, differentiation, 217 treatment, 219 infiltration in chorio-epithelioma maUg- num, 321 Parametritis, 213, 214 as complication of pelvic operations, 215 atrophicans, 217 cancer of cervix and, differentiation, 217 chronic, 216, 217 cystitis from, 222 diagnosis, 217 differential, 217 etiology, 215, 216 gonorrheal, 216 parametrial hematoma and, differentiation, 217 posterior, 103, 217 postoperative, 215 symptoms, .216 treatment, 217 Parametrium, hematoma of, 218 inflammation of, 213 Paraproctal cellular tissue, 214 Parasites, vaginal, 196 Parathyroid extract in tetany, 61 Parathyroids and eclampsia, relation be- tween, 61 and osteomalacia, relation between, 61 relation of, to genitalia, 61 removal of, effect of, 61 Paravaginitis, 198 Parenchymatous layer of ovary, 32 Parenterio digestion, 81 ParietocoHc fold of Joimesco and Juvara, 131 Paroophoron, 380 Parotid glands, increased activity, during menstruation, 71 Parovarium, 359, 380 adenomyoma of, 360 adenosarcoma of, 360 carcinoma of, 360 cystadenoma of, 360 cysts of, 359 treatment, 360 dermoid cysts, 360 fibro-adenoma of, 360 tumors of, 360 Patient, examination of, 719 in private house, 722 Pelvic adhesions after gonorrheal salpingitis, 160. See also Pelvic inflammation, chronic. Pelvic blood-vessels, congestion of, during menstruation, 20 cellular tissue, anatomy, 213 inflammations, 214. See also Para- metritis. paracystic, 214 parametrial, 214 paraproctal, 214 cellulitis, 213 after operations on bladder, 218 in lateral wall of abdomen, 218 connective tissue, dermoid cysts, 366 treatment, 367 fibroma of, 365 fibromyoma of, 365 lipoma of, 366 sarcoma of, 366 tumors of, 364 symptoms, 365 treatment, 367 discomfort during menstruation, 20 hematocele in ectopic pregnancy, 444 inflammation, chronic, as result of gonor- rheal salpingitis, 160, 167 disturbances of menstruation in, 168 symptoms, 167 treatment, 170 relation of, to retroversion and retro- flexion of uterus, 160 operations, Bardenheuer's incision, 666 operation for gall-stones during, 108, 109 on gall-bladder during, 108 parametrial hematoma as complication, 218 parametritis as complication, 215 performance of, during menstruation, 22 Pfannenstiel's incision, 667 transverse incisions in, 666 pain, 504 peritonitis as result of gonorrheal salpin- gitis, 159 Pelvis of kidney, inflammation, 230 retroperitoneal tumors, 364 subperitoneal tumors, 364 varicose veins of, 91 Percy's treatment of carcinoma of cervix, 301 Pericystitis, 224 Perineal body, 431 cysts, 255 sheet, Ewin, directions for making, 731 Perineoplasty, Emmet's, Graves' modifica- tion, 538 Perineum, laceration of, 431. See also Laceration of perineum. plastic surgery, 538 Digitized by Microsoft® 760 INDEX Perineum, tight, operation for enlarging, 546 Perisalpingitis, tubercular, 174, 176 Perithelioma of ovary, 352 Peritoneal adhesions, 112 from bacterial peritonitis, 112 from chemical injury, 113 from mechanical injury, 113 from surface necrosis, 114 from tuberculosis, 113 traumatic, 113 cavity, absorption of fluid material in. 111, 112 epithelium, destruction of. 111, 112 bacterial infection as cause, 112 fluid, transudation and resorption. 111 Peritoneum, inflammation of, pain from, 506 l3Tnph- vessels of, 110 nerves of, 110 physiology of, 109 relation of genitalia to, 109 reparative power of epithelium. 111 resistance of, to external infection. 111 tuberculosis of, 179 Peritonitis, bacterial, 112 gonorrheal, 112 pelvic, as result of gonorrheal salpingitis, 159 tubercular, 179 diagnosis, 180 dry adhesive, 179 nodular, 179 prognosis, 181 symptoms, 179 treatment, 180 with ascites, 179 Periurethral abscess, 220 Perivitelline space, 36 Pessaries for anteflexion of cervix, 591 of uterus, 591 in amenorrhea of youth, 460 in anteflexion of uterus, 422 in oligomenorrhea of youth, 460 in procidentia of uterus, 419 in prolapse of uterus, 413, 414 in retroversion of uterus, 407 Petit's triangle, 686 Pfannenstiel incision, 667 Pfannenstiel's operation in dysmenorrhea, 457 Phantom pregnancy, 500 Phlebectasis, 90 operations for, 716 Phlebitis, postoperative, 87, 88 pyogenic, 88 treatment, 88 Phlegmasia alba dolens, 87, 215 Physical changes during menopause, 22 Pigment hypertrophy and functions of pelvic organs, relation between, 67 PUes, 373. See also Hemorrhoids. Pineal gland, relation of, to genitalia, 63 Pituitary body. See Hypophysis. Pituitrin in gland hypertrophy of endo- metrium, 209 in menorrhagia due to uterine fibroids, 275 of youth, 460 in uterine insufSciency, 476 to stimulate uterine contractions, 57 value of, 57 with adrenaUn in dysmenorrhea, 455 Placenta, influence of, on breasts, 65 on mother during pregnancy, 63 relation of, to genitalia, 63 Placental extracts in amenorrhea, 54 in climacteric disturbances, 54 in sterihty, 54 polyp, 313 site, ohorio-epithelioma maUgnum, 311 Plastic operations, after-care, 733 care of stitches, 734 coaptation of wound edges, 733 denudation in, 732 on stump of Fallopian tube, 491 preparation for, 730 stitch abscess in, treatment, 735 suture material, 732 technic, 730 technical details, 731 Plexus, Auerbach's, 110 Plugs, dermoid, 343 Pneumococcus as cause of secondary infections in pelvis, 76 Pneimionia, ether, 74 postoperative, 74 Polypoid gland hypertrophy of endometrium, 208, 502 Polyposis, rectal, 372 Polyps, cervical, 282 bleeding in, 283 diagnosis, 284 metrorrhagia in, 504 symptoms, 283 treatment, 284 mucous, of Fallopian tubes, 362 of vestibule, 247 of endometrium, 283, 284 placental, 313 rectal, 372 Position, knee-chest, 722 of uterus, 17, 394 Sims', 722 Posthemorrhagic blood-picture, 79 Digitized by Microsoft® INDEX 761 Postmenstrual involution of uterine mucosa, 28 necrobiotic endometritis, 206 Postoperative catharsis in abdominal cases, 728, 729 in plastic cases, 734 embolism, 89 hernia, 439 diagnosis, 440 Graves' operation for, 680 transplantation of fascia for, 680 Bartlett's method, 681 treatment, 440 hyperleukocytosis, 80 infections of lungs, 74 leukocytosis, 80 myxedema, 60 neuroses after hysterectomy and ovariec- tomy, 99 parametria! hematoma, 218 parametritis, 215 phlebitis, 87, 88 pyogenic, 88 treatment, 88 pneumonia, 74 skin eruptions, 68 thrombophlebitis, 87 thrombosis, 87, 88 treatment of abdominal cases, 728 of bowels of adbominal cases, 728, 729 of plastic cases, 734 of plastic cases, 733 Pozzi's operation for anteflexion of uterus, 593 in dysmenorrhea, 457, 593 Precocious menstruation, 21 in infants, 18 Pregnancy, Abderhalden's test for, 81 appendicitis during, 105, 106 atresia of follicle during, 41 changes in hypophysis in, 56 complicating ovarian tumors, 355 corpus luteum of, macroscopic appearance, 62 ectopic, 442. See also Ectopic pregnancy. effect of removal of hypophysis on, 56 extra-uterine, 442. See also Ectopic preg- nancy. goiter during, 58 in rudimentary horn of uterus, 385 influence of placenta on mother during, 63 interstitial, 442 symptoms and course, 449 myoma of uterus and, differentiation, 274 relation, 272 persistence of corpus luteum and, 46 Pregnancy, phantom, 500 tetany in, 61 tubal, 442. See also Ectopic pregnancy. Premenstrual congestion of uterine mucosa, 24 Pressure, pelvic, pain from, 506 symptoms of ovarian tumors, 353 of tumors of pelvic connective tissue, 365 Prevesical space, 214 Primordial egg, 33 foUicle, 33 Private house, examination of patient in, 722 Procidentia of uterus, 398, 416 after hysterectomy, 418 congenital, 417 diagnosis, 418 elongation of cervix in, 418 Goffe's operation, 606 Graves' operation, 596 interposition operation, 420, 599 Mayos' operation, 609 operations for, 596 pessaries in, 419 suspension operation, 420 sjrmptoms, 419 treatment, 419 Watkins' operation, 420, 599 Wertheim's operation, 605 Prolapse of anus, 372 of rectum, 372 incomplete, 372 Marchant's operation, 705 Moschowitz's operation, 705, 706 operations for, 705 suspension operation, 705 treatment, 373 Tuttle's modification of Ekehorn's opera- tion, 705 of urethra, 248 in children, 249 of uterus, 398, 411 diagnosis, 412 Goffe's operation, 606 Graves' operation, 596 interposition operation, 420, 599 Mayos' operation, 609 Olshausen's operation, 415 operations for, 596 symptoms, 413 treatment, 413 surgical, 414 Watkins' operation, 420, 599 Wertheim's operation, 605 of vaginal wall, 398 Protargol in cystitis, 227 Digitized by Microsoft® 762 INDEX Protargol in gonorrheal inflammation of Skene's glands, 143 urethritis, 142 vulvovaginitis in children, 140 Pruritus of vulva, 192 etiology, 193 treatment, 193 Pseudohermaphrodites, 392 Pseudomuoin, 331 Pseudomucinous cystadenoma of ovary, 330 origin, 338 treatment, 332 Pseudomyxoma peritonei, 334 Pseudovaginismus, 431 treatment, 462 Psychic disturbances during menopause, 22 states, disturbed, influence of, on men- struation, 21, 94 Psychoneuroses after ovariectomy and hys- terectomy, 49, 99, 100 genital, 95 treatment, 98 of menopause, 100 Ptosis, abdominal, 117. See also Enterop- tosis. Puberty, acne at, 67 age occurring, 18 development of breasts at, 18 effect of climate on occurrence of, 18 heart at, 84 thyroid at, 57 Pubescent uterus, 482 Puborectales muscles, 431 Puerperal sepsis as cause of hemorrhage in eye, 70 of sterility, 485 Pulley stitch, 670 Pyehtis, 230 etiology, 230, 231 prognosis, 232 treatment, 233 Pyelography, 130 Pyelonephritis, 230, 232 Pyometra, 205 Pyosalpinx, gonorrheal, 153 profluens, 169, 497 rupture of, 162 Race degeneration as cause of sterility, 489 Radium in bleeding from uterine fibroids, 275 in carcinoma of cervix, 298, 303 of rectum, 371 of vagina, 252 in gland hypertrophy of endometrium, 209 in myoma, 275 in parametritis, 217 Radium in pruritus of vulva, 194 in sarcoma of uterus, 282 in uterine insufficiency, 477 physical properties, 298 Rash, ether, 68 Receptaculum seminis, 23, 482 Recti muscles, diastasis of, 436 operation for, 669-672 ovarian cyst and, differentiation, 357 treatment, 437 Rectooele, 103, 398, 412, 433 Graves' modification of Emmet's opera- tion, 538 Rectovaginal fistula, operation for, 552, 553 Rectum, adenoma of, 372 atresia of, 390 carcinoma of, 370. See also Carcinoma of rectum. effect of retro verted uterus on, 103 endothelioma of, 371 epithelioma of, 371 inflammatory stricture, 239 treatment, 241 operations on, 705 poljTJOsis of, 372 polyps of, 372 prolapse of, 372. See also Prolapse of rectum. relation of genitalia to, 101, 103 sarcoma of, 371 stricture of, inflammatory, 239 treatment, 241 tumors of, 370 Red degeneration of uterine myoma, 264, 266 Regeneration of blood after hemorrhage, 79, 80 Regressive changes in uterine myoma, 266 Reid's genitomesenteric fold, 132 Relaxation of vaginal walls as cause of sterilty, 486 Resection of ovary, 662 Respiration, organs of, relation of genitalia to, 74 Retrocession of uterus, 396, 402 Retrodisplacement of uterus. See Retrover- sion of uterus. Retroflexion of uterus, 396, 399 relation of pelvic inflammatory disease to, 160 Retrolocation of uterus, 397 Retroperitoneal appendix, 131 dermoids, 366 hpoma, 366 sarcoma, 365, 366 tumors, 364 Retroposition of uterus, 397 Digitized by Microsoft® INDEX 763 Retrorenal fascia, 687 Retroversion of uterus, 394, 399 Alexander-Adams operation, 589 Alexander's operation, 407, 588 Baldy's operation, 585 Coffey's operation, 409 diagnosis, 406 due to adhesions, 409 diagnosis, 410 symptoms, 410 treatment, 410 due to displacement by tumors, 411 due to relaxation, 400 symptoms, 404 treatment, 407 effect of, on rectum, 103 etiology, 399 first degree, 394 Gilliam's operation, 408, 580 Kelly's modification, 585 Mayos' modification, 583 Simpson's modification, 581 internal Alexander operation, 583 KeUy's operation, 585 Mayos' operation, 583 Olshausen's operation, 409 Graves' modification, 578 operations for, 578 pathologic conditions due to, 402 pessaries in, 407 relation of pelvic inflammatory disease to, 160 second degree, 395 Simpson's operation, 581 ss^mptoms, 404 third degree, 395 traumatic adhesions from, 403 treatment, 407 ventral fixation, 408 suspension, 408 Webster-Baldy operation, 409, 586 Retroversion-flexion of uterus, 396 Retzius, space of, 214 Ripening follicle, 33 Rodent ulcer of vulva, 187 Rontgen rays. See x-Bays. Round ligament, adenomyoma of, 364 fibromyoma of, 365 tumors of, 363 treatment, 364 Rovsing's operation for enteroptosis, 124 Rudimentary horn of uterus, 385 uterus, 382 Rupture of ovarian cysts, 353 of pyosalpinx, 162 of tube in ectopic pregnancy, 444 Rupture of tube in ectopic pregnancy, pain of, 505 treatment, 449 Russian oil in enteroptosis, 123 Sactobalpinx serosa, 155 Salivation, menstrual, 71 vicarious, 71 Salpingectomy, 657 Salpingitis, catarrhal, 152 chronic interstitial, 158 gonorrheal, 151 acute, appendicitis and, differentiation, 164 diagnosis, 163 differential, 164 diverticulitis of sigmoid and, differen- tiation, 165 extra-uterine pregnancy and, differen- tiation, 165 secondary, 162, 163 treatment, 166 symptoms, 161 treatment, 166 twisting of pedicle of ovarian cyst and, differentiation, 165 as cause of sterility, 484 treatment, 490 chronic pelvic inflammation as result, 160, 167. See also Pelvic inflammation, chronic. pathology, 1^52 pelvic peritonitis as result, 159 interstitial, chronic, 158 isthmica nodosa, 159 tubercular, 174 progress, 176 symptoms, 176 treatment, 176 Salpingo-oophorectomy, 656 Salpingostomy, stomatoplastie, 659 Sampson's method of ureterovesical trans- plantation, 700 Sandalwood, oil of, in gonococcal cystitis, 226 Sarcoma botryoides, 279 cystic, of uterus, 280 grape-mole, of uterus, 279 of endometrium, 279 of Fallopian tubes, 362 of ovary, 351 metastasis, 352 of pelvic connective tissue, 366 of rectum, 371 of uterus, 278 adenocarcinoma and, differentiation, 281 bleeding from uterus in, 281 Digitized by Microsoft® 764 INDEX Sarcoma of uterus, cystic, 280 diagnosis, 280 grape-mole, 279 histology, 279 metastasis, 281 treatment, 282 of vagina, 250 in children, 251 of vulva, 246 retroperitoneal, 365, 366 Sarcomatous degeneration of uterine fibroids, 267, 279, 281 Scarlet ointment in varicose ulcer, 718 Schauta's operation for carcinoma of cervix, 644-650 Schroder's operation for extirpation of endo- cervix, 526 for steriHty, 492, 526 Schubert's operation for absence of vagina, 570 Schultz's theory of etiology of dysmenorrhea, 452 Seborrhea of vulva, 183 Secretion, abnormal, symptoms due to, 496 internal, glands of, relationship of gyne- cology to, 44 of ovary to, 44 of uterus, 63 ovarian, 44 absence of, ovarian extract in, 53 loss of, as cause of changes during meno- pause, 23 Semen, escape of, from vagina, as cause of sterility, 483 Senile vaginitis, 472 Sense, organs of, relation of genitalia to, 69 Sepsis, puerperal, as cause of hemorrhage of eye, 70 of sterility, 485 Septum formation of vagina, 385 partial, of uterine cavity, 384 Serodiagnosis of pregnancy and cancer, 81 Serous cystadenoma of ovary, 334 origin, 337 Serum, antigonococcic, 173 blood, in menorrhagia of youth, 460 treatment of gonorrhea, 172 of hemophilia, 78 Sexual herpes, 66 impulse during menstruation, 21 just before menopause, 23 Shock, nervous, influence of, on menstrua- tion, 94 Side, pain in, 507 Sigmoid, diverticulitis of, acute gonorrheal salpingitis and, differentiation 165 Sigmoid, relation of genitaUa to, 103 SUver nitrate in anal fissure, 239 in chronic urethritis, 220 in cystitis, 227 in pyehtis, 233 Simpson's operation for retroversion of uterus, 581 Sims' operation for vesicovaginal fistula, 553 position, 722 Sinus, urogenital, 382 Sippel's theory of cause of ectopic pregnancy, 442 Skene's glands, gonorrheal inflammation of, .142 Skin, condition of, dm'ing menstruation, 21 edema of, associated with menstruation and climacteric, 67 eruptions, postoperative, 68 lesion from vicarious menstruation, 67 of vulva, 183 menstrual changes in, 66 relation of genitalia to, 65 Sliding hernia, 373 Social conditions, effect of, on occurrence of menstruation, 19 Sodium citrate in dysmenorrhea, 455 Somatic cells, 348 Space of Retzius, 214 perivitelline, 36 prevesical, 214 uterovesical, 160 Spasm of vagina, 461 Spermatozoon and ovary, place of union, 24 Spinelli's operation for inversion of uterus, 611 Splanchnoptosis, 117. Sponge in abdominal cavity, 725 Spongy layer of uterine mucosa, 26 Spot, genital, 71, 453 Squamous-cell carcinoma of cervix, 285 Stasis, intestinal, 117, 122 Status thymicus, 63 Steam in uterine insufficiency, 476 Stenosis, callous, of cervix, 483 of vagina, 464 treatment, 468 Sterility, 477 absolute, 477 acquired, 477 causes of, 484 adiposity as cause, 488 artificial impregnation in, 494 carcinoma as cause, 486 consanguinity as cause, 489 constitutional diseases as cause, 488 diseases of hypophysis as cause, 488 effiuvium seminis as cause, 483 Digitized by Microsoft® INDEX 765 sterility, endocervicitis as cause, 485 treatment, 492 endometritis as cause, 485 escape of semen from vagina as cause, 483 etiology, 478 fetaUsm as cause, 478 genital tuberculosis as cause, 486 gonorrheal salpingitis as cause, 484 treatment, 490 in retroversion of uterus, 405 infantilism as cause, 478 ovaries in, 479 tubes in, 481 uterus in, 481 lactation, 488 malposition of uterus as cause, 486 treatment, 489 myoma of uterus as cause, 487 obesity as cause, 488 ovarian extract in, 54, 494 implantation and transplantation in, 493 placental extracts in, 54 preventive measures as cause, 488 primary, 477 puerperal sepsis as cause, 485 race degeneration as cause, 489 relaxation of vaginal walls as cause, 486 Schroder's operation for, 492, 526 secondary, 477 treatment, 489 tumors as cause, 486 vaginismus as cause, 489 a;-ray as cause, 487 Sterilization, tubal, Taussig's operation, 661 Stigma, ovarian, 37 Stitch. See Suture. Stomach, disturbances of, and menstruation, relationship, 71, 72 Stone. See Calculus. Strain,- foot, 115 Strawberry motthng of gall-bladder, 109 Stricture, inflammatory, of rectum, 239 treatment, 241 of urethra, 220 as result of gonorrheal urethritis, 142 Stromatogenous tumors of ovary, 348 Struma ovarii, 345 Subconsciousness, 96 Subperitoneal tumors, 364 Suicide during menstruation, 94 Superior lumbar trigonum, 686 Suppurating kidney, 230 Suprapubic cystotomy, 703 KeUy's method, 703 Supravaginal hysterectomy, 613 vaginal drainage after, 623 Suspension of kidney, 684 Kelly's technie, 688 of uterus for anteflexion, 423 Graves' modification of Olshausen's operation, 578 in procidentia, 420 operation for rectal prolapse, 705 Suture abscess in plastic operations, treat- ment, 735 Brodel's, 691 care of, in plastic operations, 734 material in abdominal operations, 726 in plastic operations, 732 of abdominal wound, 727 piiUey, 670 wandertug, as cause of vesical calculus, 369 Symptomless cholelithiasis, 107 Symptoms, 496 due to abnormal secretions, 496 essential, 496 Syncytioma malignum, 311 SjTicytium, 313 Syphihs of bladder, 229 of vulva, 183 Syphilitic cystitis, 229 Tampons, vagiual, in prolapse of uterus, 413 Taussig's operation for tubal sterilization, 661 Technie, 719 Temperament, change in, after fifty, 23 Temperature, elevation of, in carcinoma of cervix, 293 Teratoma of ovary, 345 parthenogenesis, 346 of vulva, 246 Test, Abderhalden's, for pregnancy and can- cer, 81 in differential diagnosis of uterine myoma and pregnancy, 274 complement fixation, in diagnosis of gonor- rheal salpingitis, 163 Tetany in pregnancy, 61 parathyroid extract in, 61 Theca externa, 34 folhculi, 34 tunica externa of, 34 interna of, 34, 36 interna, 34, 36 Theoa-lutein cells, 328 cysts, 328 Thread-worms, vulvovaginitis in children from, 196 Thrombophlebitis, postoperative, 87 Thrombosis, postoperative, 87, 88 Thrombotic degeneration of uterine myoma, 264 Digitized by Microsoft® 766 INDEX Thrombotic pile, 374 Thymus, relation of, to genitalia, 63 Th3rreaplasia, 60 Thyroid and myoma of uterus, relation be- tween, 58, 59 at puberty, 57 enlargement of, during menstruation, 20 extract and pituitrin in menorrhagia of youth, 460 influence of menopause on, 58 relation of ovary to, 57 to genitalia, 57 Tight perineum, operation for enlarging, 546 Torsion of ovarian cysts, 354 acute gonorrheal salpingitis and, diif er- entiation, 165 tumors, 354 of uterus, 398 Tracheloplasty, 516 Enamet's operation, ,516 Transfusion, blood, in hemophilia, 78 in menorrhagia of youth, 460 Transplantation of fascia for postoperative hernia, 680 Bartlett's method, 681 of ovarian tissue, 52, 663 after hysterectomy, 664 in sterility, 493 ureterovesical, 700 Sampson's method, 700 Kronig's modification, 701 Transudation and resorption of peritoneal fluid. rupture in ectopic pregnancy, 444 treatment, 449 Tubercular cystitis, 228 treatment, 226 Tubercular endometritis, 177 endosalpingitis, 174, 175 metritis, 209 oophoritis, 211 perisalpingitis, 174, 176 peritonitis, 179 diagnosis, 180 dry adhesive, 179 nodular, 179 prognosis, 181 symptoms, 179 treatment, 180 with ascites, 179 salpiBgitis, 174 progress, 176 S3Tnptoms, 176 treatment, 176 Tuberculosis, amenorrhea and, relationship, 500 genital, 173 as cause of sterility, 486 of bladder, 228 diagnosis, 229 treatment, 229 of cervix, 178 of endometrium, 177 of Fallopian tubes, 174 of lungs, influence of menstruation on, 75 of metrium, 177, 209 of ovary, 178, 211 of peritoneum, 179 of uterus, 177, 209 of vagina, 178 of vulva, 178 Tubo-ovarian abscass, 155, 211 cysts, 157 Tubo-ovaritis, gonorrheal, 154 Tumors, abdominal, vitiligo associated with, 68. as cause of sterihty, 486 Krukenberg's, 348 of bladder, 367 symptoms, 369 treatment, 369 of clitoris, 249 of Fallopian tubes, 361 of kidney, ovarian tumors and, differen- tiation, 356 of ovary, 322. See also Ovary, tumors of. of parovarium, 360 of pelvic connective tissue, 364 symptoms, 365 treatment, 367 of rectum, 370 of round ligament, 363 treatment, 364 Digitized by Microsoft® INDEX 767 Tumors of uterus, 257 of vagma, 250 of vulva, 243 retroperitoneal, 364 subperitoneal, 364 Tunica externa of theca foUiculi, 34 interna of theca folliculi, 34, 36 Tuttle's modification of Ekehorn's operation for rectal prolapse, 705. Typhoid fever and genitalia, relation between, 116 Ulcer of bladder, 223 rodent, of vulva, 187 varicose. Credo's ointment in, 718 operations for, 718 scarlet ointment in, 718 Ulceration of cervix, 286, 426, 427 of vulva, 187 Ulcus molle of vulva, 182 Umbilical hernia, 438 Graser's operation for, 679 Graves' operation for, 673 Mayos' operation for, 679 Uremia, chronic, from pressure of tumor of pelvic connective tissue, 365 Ureter, implantation of, in bladder, 700 in colon, 702 operations on, 698 proximal end, ligation of, 701 relation of genitalia to, 101, 102 symptoms of ovarian tumors, 353 Ureteral anastomosis, 698, 699, 700 fistula, formation of, 702 Ureterocystanastomosis, 700 Ureterocystostomy, 698 Uretero-ureterostomy, 698 Ureterovesical transplantation, 700 Sampson's method, 700 Kronig's modification, 701 Urethra, atrophy of, 473 defects of, 386 prolapse of, 248 in children, 249 stricture of, 220 as result of gonorrheal urethritis, 142 Urethral canal, diverticula, 255 caruncle, 247 mucous membrane, ectropion of, 473 treatment, 475 Urethritis, 219 acute, 219 chronic, 219 treatment, 220 gonorrheal, 140 cystitis and, differentiation, 224 Urethritis, gonorrheal, stricture of urethra as result, 142 symptoms, 141 treatment, 142 Urethrocele, 429 diagnosis, 430 Urethrovaginal fistula, 434 Urine, incontinence of, functional, Kelly's operation, combined with Graves' anterior colpoplasty, 536 ' operation for, 535 leakage of, in vesicovaginal fistula, 435 Urogenital sinus, 382 Urotropin in cystitis, 226 Uterine cavity, partial septum, 384 colic, 505 contractions, pituitrin to stimulate, 57 extracts, influence of, on time coagula- bOity of blood, 51 hemorrhage. See Metrorrhagia. insufficiency, 475 diagnosis, 476 symptoms, 476 treatment, 476 mucosa, compact layer, 26 cyclic changes in, 24 glycogen production from, 30 menstrual exfoliation, 457 flow and, 28 postmenstrual involution of, 28 premenstrual congestion of, 24 spongy layer, 26 Uterovesical fistula, operation for, 559 space, 160 Uterus, absence of, 382 adenocarcinoma of, 303 sarcoma and, differentiation, 281 adenomyoma of, 277 adenomyositis of, 277 adenosarcoma of, 280 amputation of, 613. See also Hysterectomy. angiosarcoma of, 280 anteflexion of, 396, 421. See also Ante- flexion of uterus. anteposition of, 397 anteversion of, 396 atresia of, 385 atrophy of, 469 bicornis unicollis, 383 bicornuate, 383 double, with double vagina, 382 biforis, 384 carcinoma of, 303. See also Carcinoma of uterus. condition of, during lactation, 471 during menstruation, 20 Digitized by Microsoft® 768 INDEX Uterus, congenital defects, 382 curetage of, 515 cystic sarcoma, 280 defects of, congenital, 382 descent of, 398 didelphys, 382 double, 383, 384, 385 duplex bicornis, 383 cum vagina duplici, 383 separatus, 382 dwarf, 482 elongation of, 399 embryologic development, 377 examination of, 721 fibroids of, 257. See also Myoma of uterus. fibromyoma of, 257. See also Myoma of uterus. flexion of, lateral, 396 hemorrhage from. See Metrorrhagia. hyperanteflexion of, 396 hypertrophic changes in, before and after birth, 17 in infantilism as cause of sterility, 481 infantile, 481 infantilism of, 421 infections of, 209 inflammation of, 209 gonorrheal, 209 infectious, 209 tubercular, 209 internal secretion of, 63 inversion of, 399, 423. See also Inversion of uterus. leiomyoma of, 257. See also Myoma of uterus. lymphosarcoma of, 280 malpositions of, 394 as cause of sterihty, 486 treatment, 489 backache in, 507 dysmenorrhea and, relation, 453 operations for, 578 melanosarcoma of, 280 myoma of, 257. See also Myoma of uterus. myosarcoma of, 279 physiology of, 17 position of, 17, 394 procidentia of, 398, 416. See also Proci- dentia of uterus. prolapse of, 398, 411. See also Prolapse of uterus. pubescent, 482 removal of, 613. See also Hysterectomy. retrocession of, 396, 402 retrodisplaoement of. See Retroversion of uterus. Uterus, retroflexion of, 396, 399 relation of pelvic inflammatory disease to, 160 retrolocation of, 397 retroposition of, 397 retroversion of, 394, 399. See also Retro- version of uterus. retroversion-flexion, 396 rudimentary, 382 horn, 385 sarcoma of, 278. See also Sarcoma of uterus. septus duplex, 384 size and weight of, influence of child-bear- ing on, 17 subseptus uniforis, 384 suspension of, for anteflexion, 423 Graves' modification of Olshausen's operation, 578 in procidentia, 420 torsion of, 398 tuberculosis of, 177, 209 tumors of, 257 unicornis, 384 version of, lateral, 396 version-flexion of, 396 Vaccitste treatment of gonorrhea, 172 of gonorrheal vulvovaginitis in children, 140 of pyelitis, 233 of vulvovaginitis in children, 173 Vaccines, antigonoooccic, 173 Vagina, absence of, 385, 463 Baldwin's operation for, 570 Graves' operation for, 567 operations for, 567 ovaries and, 47 Schubert's operation for, 570 treatment, 468 adenomyoma of, 256 artificial, Baldwin's method of making, 570 Graves' method of making, 567 method of making, 385, 567 Schubert's method of making, 570 atresia of, 463. See also Gynatresia. atrophy of, 470 carcinoma of, 251 diagnosis, 251 prognosis, 252 treatment, 252 chorio-epithelioma of, 253 cysts of, 253 diagnosis, 254 etiology, 254 treatment, 255 Digitized by Microsoft® INDEX 769 Vagina, defects of, developmental, 385 digital examination by, 720 Distoma ha;matobium in, 196 embryologic development, 377 escape of semen from, as cause of sterility 483 expulsion of gas from, 197 fibromyoma of, 256 fungus of, 196 inflammation of, 194 myoma of, 256 operations on, 530 parasites of, 196 plastic surgery on, 530 sarcoma of, 250 in children, 251 septum formation, 385 spasm of, 461 stenosis of, 464 treatment, 468 tuberculosis of, 178 tumors of, 250 varicose veins of, 90 Vaginal anus, 392 colpotomy, 575 anterior, 576 posterior, 577 cystostomy, 703 Dudley's method, 703 Kelly's method, 704 drainage after supravaginal hysterectomy, 623 hysterectomy, 628 for carcinoma of cervix, 644—650 myomectomy, 653 tampons in prolapse of uterus, 413 wall, prolapse, 398 relaxation, as cause of steriUty, 486 Vaginismus, 461 as cause of sterility, 489 false, 461 treatment, 462 Vaginitis, 194 acute septic, after acute infectious diseases, 116 emphysematosa, 197 etiology, 195 prognosis, 196 senile, 472 symptoms, 196 treatment, 196 Vaporization in uterine insufficiency, 476 Varices, 90 operations for, 716 Varicocele of vulva, 246 Varicose ulcer. Credo's ointment in, 718 49 Varicose ulcer, operations for, 718 scarlet ointment in, 718 veins, 90 Mayos' operation for, 717 of vulva, 246 operations for, 716 Vasomotor disturbances after ovariectomy, 49, 99 during menstruation, 21 of menopause, 85, 100 sensitiveness, 84 symptoms in uterine fibroids, 86 Veins, varicose, 90 Mayos' operation for, 717 of vulva, 246 operations for, 716 Ventral fixation in retroversion of uterus, 408 suspension in retroversion of uterus, 408 Vermiform appendix, relation of genitaHa to, 104 retroperitoneal, 131 Version of uterus, lateral, 396 Version-flexion of uterus, 396 Vesical. See Bladder. Vesicocervicovaginal fistula, 434 operation for, 559 Vesico-uterine fistula, 434 operation for, 559 Vesicovaginal fistula, 434 Braquehaye's operation, 557 Albarran's modification, 557, 559 operations for, 553 Sims' operation, 533 Vestibular anus, 392 Vestibule, caruncle of, 247 mucous polyp of, 247 papillary angioma of, 247 Vicarious dysmenorrhea, 84 menstruation, 21 skin lesion from, 67 salivation, 71 Visceroptosis, 117. See also Enteroptosis. Vitiligo associated with abdominal tumors, 68 Vocal cords during menstruation, 21, 75 Voice during menstruation, 21, 75 Vulva, adenoma hidradenoides, 243 Bilharzia hsematobia, 196 carcinoma of, 243 diagnosis, 245 operative treatment, 512 treatment, 246 chancre of, soft, 182 condyloma acuminata of, 185 treatment, 186 cysts of, sebaceous, 183 Distoma hsematobium in, 196 Digitized by Microsoft® 770 INDEX Vulva, echinocoocus cyst, 246 eczema intertrigo, 183 elephantiasis of, 188 enchondroma of, 246 epithelioma of, 245 esthiomene of, 187 treatment, 188 fatty tumors, 243 fibroma of, 242 moUuscum pendulum, 243 treatment, 243 fibromyoma of, 242 furunoulosis of, 183 hydrocele muliebris, 246 inflammations of, 182 kraurosis of, 190 treatment, 191 Upoma of, 243 lupus of, 178 myxoma of, 246 neuroma of, 246 operations on, 510 osteoma of, 246 papillary excrescences, 185 pruritus of, 192 etiology, 193 treatment, 193 removal of, indications, 510 rodent ulcer, 187 sarcoma of, 246 sebaceous cysts, 183 seborrhea of, 183 skin lesions, 183 soft chancre, 182 syphilis of, 183 teratoma of, 246 tuberculosis of, 178 tumors of, 242 ulceration of, 187 ulcus moUe, 182 varicocele of, 246 varicose veins of, 90, 246 warty excrescences, 185 Vulvectomy, 510 Vulvitis, 182 gonorrheal, 138 Vulvovaginitis, gonorrheal, in children, 138 treatment, 139 in children from thread-worms, 196 vaccine treatment, 173 Walthard's method of examination in vaginismus, 462 Wandering stitch as cause of vesical calculus, 369 Warren's apron incision in fistula in ano, 713 operation for complete laceration of peri- neum, 552 Warty excrescences of vulva, 185 Watkins' operation for prolapse and proci- dentia of uterus, 420, 599 Wave theory of menstruation, 91 Webster-Baldy operation for retroversion of uterus, 409, 585 Wertheim's operation for carcinoma of cervix, 631-644 of uterus, 631-644 for prolapse and procidentia of uterus, 605 Whitehead's operation for carcinoma of rec- tum, 371 for hemorrhoids, 707 Wilms' cecum mobile, 118, 128 operation for enteroptosis, 124 Wolffian bodies, 377 retrogression, 379 ducts, 377, 382 retrogression, 379 Wounds, postoperative hernia, 439 X-RAY as cause of sterility, 487 in bleeding from uterine fibroids, 275 in carcinoma of cervix, 298 in gland hypertrophy of endometrium, 209 in menorrhagia of youth, 461 in pruritus of vulva, 194 in sarcoma of uterus, 282 in uterine insufficiency, 477 Zinc chlorid  