None
of pelvijis of kidney, 273 * of peritonernin, pain from, 578 o( utertL^, 251 gonorrheal, 251 infrt^tiou.^, 251 tubcrfiiikr* 251 of vagina, 236 of vulva, 224 pel vie, chronic, o^ r^ult of gonorrheal sa!* pingitis, 202, 209. See also Peine inJlfiTmnalimi, chrmiic, relation of, to retroversion and retro- flexion of ut^^^r^is, 283 mfwirrhi^i;ia of, radium in, 530 InflfiMimatorj' propesac^a, (Eoneralj 224 h trip! lire of rertunj, 2Hi3 treatment, 285 Influnnssti and genitalia, relation between, 157, 158 Infuririibulopelvic ligament, fihromyoma, 425 Inguinal regiona^ dissection of, for carcinoma i)f \nilvft, Bujssett's method, 584, 585 Injurie*? ilue to ehi Id birth, 485 Insanity, influence of menstruation on, 124 !rlation- Internal sectreHon^ effect of nervous system upon, 44, 45 glands of, dysfunction of^ 45 ^ hyperfunctjonal changes In, 45 ^ h>i)ofunctional changes in, 45 relationahip of gVTiecoio©r t<j^ 44 of ovary to, 46 seeretorj" function of guprarCrDal system, S,i Interpomtion operation in proLapse and prori* dentia of uterus, 479, 699 Interstitial cells as producers of intem&l cretion^ 49 existence of, 48 growth of J 60, 51 origin of, 48, 49 pndometritia, radium in, 528 gland, 42, 387 and corpus lutcum, reciprocal relation- ship between, SO pregnancy, 506 Bynjpt4)ms and course, 513 Inteatinai bands, 172 attic adhesionsj 173 bloodless fold of Trcven, 172 diagnoaitij 176 gGnitomt«ient<!rit* fold of Reid, 173 ileopelvic, 173 Jackson's membrane, 172 Lane's kink, 173 origin, 173 pfirietocolic fold of Jonne^sco and Juvara. 172 points of formation, 175 symptoms, 175 treatment, 176 diverticula, 277, See also DweriietM^ in- UatimiL hemorrhage at inenopanw, 102 stasia, 158, 163 Inteijtine, large, inflammation of, 277 relation of genitalia to, 142, 144 Intra-abdominal bands^ 172, See al«o /«l*^ tifmi hands. Intracervic^ fistula, 498 operation for, 659 IntrnJigamentnry fibroid, 310 lutra-iiterine closure of hymen, 536 Inversion of ut^me, 458, 482 complete, 482 conservative operation, 710 diagnosis, 483 ineomplete, 482 KtLstner's operation, 710 myoma and, differentiation, 483 onkogenetic, 4S2 Spinelli's operation, 711 INDEX 865 Inversion of uterus, symptoms, 483 treatment, 483 Invertent carcinoma of cervix, 336, 338 lodin in carcinoma of cervix, 362 in cervicitis, 242 in chronic p^elvic inflammation, 212 in condyloma acuminata of vulva, 228 in endocervicitis, 242 in gonorrheal inflammation of Skene's glands, 184 in membranous dysmenorrhea, 523 in pruritus of vulva, 236 in vaginitis, 238 Ischiorectal abscess, 280 Ischuria paradoxa, 142 Jackson's membrane, 172 Joints, relation of genitalia to, 156 Jonnesco and Juvara, parietocolic fold of, 172 Juxtacervical fistula, 498 operation for, 659 Kaolin poultices in postoperative phlebitis, 118 Katz's theory of cause of ectopic pregnancy, 507 Kelly's frying pan incision for nephrectomy, 804 method of suprapubic cystotomy, 815 of vaginal cystostomy, 816 operation for functional incontinence of urine, combined with Graves' anterior colpoplasty, 615 for retroversion of uterus, 685 in uterine insufficiency, 549 technic of suspension of kidney, 800 Kidney, abscess of, 273 extirpation of, 803 for injury of ureter, 813 floating, 167 mode of entrance of bacteria to, 273 movable, 167 and appendicitis, association, 170 and movable cecum, influence between, 169 diagnosis of, 170 etiology of, 167 pyelography as aid in diagnosis, 171 symptoms, 169 treatment, 171 operations on, 796 major, incision for, 803 minor, 796 incision for, 796 pelvis of, inflammation, 273 removal of, 803-809 Kidney, suppurating, 273 suspension of, 796 Kelly's technic, "SOO tumors of, ovarian tumors and, differen- tiation, 415 Kink, Lane's, 173 Knee-chest position, 834 Kraurosis of vulva, 232 radium in, 531 treatment, 233 Kristeller, 565 Kronig's modification of Sampson's method of ureterovesical transplantation, 813 operation in carcinoma of cervix, 361 Krukenberg's tumor, 407 Kiistner's operation for inversion of uterus, 710 Labia majora, atrophy, 542 minora, atrophy, 542 Labor, appendicitis during, 147 goiter during, 80 Laceration of cervix, 485 carcinoma and, differentiation, 486 diagnosis, 486 Emmet's operation, 487, 593 hypertrophy after, 485 metrorrhagia in, 516 operative treatment, 593 symptoms, 486 treatment, 487 of perineum, 490 Clark's operation for, 633 complete, Clark's operation for, 636 Emmet's operation, Graves' modifica- tion, 647 Graves' operation, 647 operation for, 647 Warren's operation, 652 diagnosis, 497 during labor, 494 effect of, 493-495 Emmet's operation, 497 Grave's modification, 625 Studdiford's op)eration, 638 symptoms, 496 treatment, 497 Lactation, condition of uterus during, 543 sterility, 560 Lactation-atrophy, 543 of ovaries, 56 Lane's kink, 173 operation for enteroptosis, 165 Langhans' cells, 372 layer, 372 Layer, compact, of uterine mucosa, 26 866 INDEX Layer, epithelial, of primordial follicle, 33 Langhans', 372 medullary, of ovary, 32 parenchymatous, of ovary, 32 spongy, of uterine mucosa, 26 Lead-and-opium lotion in postoperative phle- bitis, 118 Leg, milk-, 116, 257 Legs, pain in, 581 varicose veins of, 119 Mayos* operation for, 729 operations for, 728 Leiomyoma of uterus, 307. Length of stay in bed in abdominal oi)era- tions, 842 Leukocytosis after blood extravasation, 109 and infection, relation between, 107 in absorption of products of degeneration in necrotic tissue, 109 postoperative, 109 Leukoplakia of vulva, 234 Leukorrhea, 568 following radium treatment, 532 from endocervix, 191 in carcinoma of cervix, 342, 570 following radium treatment, 359, 360 in cervical polyps, 333 in chronic endometritis, 192 gonorrheal endocervicitis, 191 pelvic inflammation, 209 in endocervicitis and cervicitis, 242 in erosion of cervix, 241 in gland hypertrophy of endometrium, 251 in retroversion of uterus, 464 in stenosis of vagina, 537 in tubercular endometritis, 220 in vaginitis, 237, 238 Levator ani muscle, 490 Leydig, cells of, 48 Ligament, appendiculo-ovarian, 145, 173 broad, fibromyoma of, 424 varicose veins in, 119 infundibulopelvic, fibroma of, 425 round, adenomyoma of, 423 fibromyoma of, 424 tumors of, 422 treatment, 423 Ligation of proximal end of ureter, 813 Lipoma of pelvic connective tissue, 425 of vulva, 287 retroperitoneal, 425 Liquor folliculi, 34 Loins, pain in, 580 Lumbar pain, 580 trigonum, superior, 798 Lung complications after gynecologic opera- tions, 103 tuberculosis of, influence of menBtruation on, 104 Lupus of vulva, 220 Lutein cells, 39 L3rmphangioma of Fallopian tubes, 421 Lymph-glands, infection of, in carcinoma of cervix, 346 of peritoneum, 151 Lymphosarcoma of uterus, 330 Lynch's thyrotome in stricture of rectum, 285 Malaria and metrorrha^, relation between, 158 Malignant chorio-epithelioma, 370 degeneration of uterine fibroids, 317, 329, 331 Malposition of uterus, 453 as cause of sterility, 558 treatment, 561 backache in, 579 dysmenorrhea and, relation, 517 operations for, 678 Malthusian doctrine, 560 Mammary extract in menorrhagia, 94 in uterine bleeding, 94 glands. See Breasts, Mammin in menorrhagia, 94 in uterine bleeding, 94 Marchant's operation for rectal prolapse, 817 Masculine type, reversion to, during meno- pause, 23, 134 Masturbation, 132, 134-138 early, influence of, on character, 136 excessive, in child, 135 in matured women, 137 second stage of childhood, influence of. on character, 132 uninhibited, 135 Maternal placenta, 47 Maturity, ovariectomy after, 53 before, 51 Mayos' operation for prolapse and prociden- tia of uterus, 709 for retroversion of uterus, 683 for umbilical hernia, 781 for varicose veins, 829 Medullary layer of ovary, 32 Melanosarcoma of uterus, 330 Membrana granulosa, 34 Membrane, Jackson's, 172 Membranous dysmenorrhea, 522. See ak* I>ysmenorrhea, membranous. i Menopause, age occurring, 19 INDEX 867 Menopause, atrophy of ovaries as cause of changes during, 23 constipation at, 102 constitutional changes during, 22 diarrhea at, 102 . digestive disturbances at, 102 distiu*bance8 of, placental extracts in, 65 eczema of, 96 exophthalmic goiter at, 81 heart at, 114 influence of climate on, 19 on thyroid, 81 intestinal hemorrhage at, 102 loss of ovarian secretion as cause of changes during, 23 menorrhagia at, causes, 22 nasal catarrh at, 100 nervous symptoms of, 128, 129 nose diuring, 99. obesity during, 23 physical changes during, 22 psychic disturbances during, 22 psychoneuroses of, 129 reversion to masculine t3rpe during, 23, 134 sexual impulse just before, 23 vasomotor disturbances of, 114, 129 Menorrhagia, 572 appearance of blood after, 109 at menopause, causes, 22 causes, 574 from uterine fibroids, 322 treatment, 325 functional, 524 in gland hypertrophy of endometrium, 251 in retroversion of uterus, 464 mammary extract in, 94 neuroses from, 123 of fibroids, radium in, 529 of pelvic inflammation, radium in, 530 of youth, 524 radiimi in, 528 thyreopriva, 80 Menstrual blood, amount lost, 20 non-coagulability of, 20, 105 changes in skin, 95 exanthemata, 95 exfohation of uterine mucosa, 522 herpes, 95 salivation, 100 Menstruating endometriimi, physiologic anat- omy, 24 Menstruation, abnormalities of, 571 age occurring, 18 amount of blood lost during, 20 and acne, relation between, 96 Menstruation and chronic appendicitis, rela- tion between, 146 and erysipelas, relation between, 96 and ovulation, time relation between, 58, 59 bleeding hemorrhoids at, 102 blood during, 105 cessation of, 19, 22 condition of breasts diuing, 20 of circulatory system in, 21 of digestive system during, 20 of external genitals during, 20 of eyes during, 21 of Fallopian tubes during, 20 of nervous system during, 20 of ovaries during, 20 of skin during, 21 of uterus during, 20 congestion of pelvic blood-vessels during, 20 diarrhea dining, 102 disturbances of, in chronic pelvic inflam- mation, 210 in ovarian tumors, 414 in retroversion of uterus, 464 of mouth during, 100 of stomach and, relationship, 100, 101 duration of, 19, 20 effect of climate on occurrence of, 18, 19 of social conditions on occurrence of, 19 enlargement of breast during, 18 of thyroid gland in, 20 epistaxis during, 21 establishment of, 18 factors which influence, 18 goiter during, 80 headache during, 20 hearing diuing, 21 herpes, 95 increased activity of parotid glands during, 100 influence of disturbed psychic states on, 123 of nervous shock on, 123 of psychic excitement on, 21 on insanity, 124 on mental diseases, 123 on nervous diseases, 120, 123 on tuberculosis of lungs, 104 irregularity of, 19 neuroses from, 122 molimina of, 571 myoma of uterus and, relation, 323 non-coagulability of blood of, 105 nose during, 99 nose-bleed during, 21 Ott's curve. 121 lIco^nHtiaii, pm& of, 21, 5S0. See also doraigp 20 &peniktm during, 22 of. IS mm»» of ««i4)eitig during, 20 mmisd wi|NriM duiiDg, 21 nttCidr ftura^ 123 tubdl3& ■tttrlMiiees durmg, 21 21 ffwm, 96 iwal eotde dmng, 21, 104 vnier dunngi 21^ 104 w»w Ibfoiy, 130 M«*iitjil iliseisf^ influf^ce of menfitmatioti trn^ \n Mpmin% btchbrid of, in p>^itk, 277 Mt^ithoritim In nftrdnoma of cervix, 348 gi*tnirrh*^l. 251 iriftX'tioiiSt 251 fiib^^rcmlAf. 2.51 Mi'tru|Mfcthifs, hcmoirhAgtc, vaixjrization in, rmlniiii in, t<vhnit\ 793 Mt'lrnrrb.H^in, hlb anil rtiiLlrtriii, rHation brtwwn, L^ lipjIMjirfuiet' o^ blood aft<*r, 101) frnm iLTtiTiot^nlt^rfisis, 115, MG from hypcrs^-ori'lidii of oviiry, 57, ^ from uterine fibnitile, 322 treatment, 325 in e^einoma of cervix, 576 of Utl^TUSt ^'^ 10 ccrvicttl polyt^j '**^® m diori<H^itli*^li«"i» malign am, 57-5 m extrt^uterin*? pn-gn^incy, 508, 509, 511, m ttionj* of cervix, 576 pxtmct ID, 04 jiaiJiful, '>S1 ,^iaimnal ptodH, 160 m2ii7 374 ^ygta asociat«d rith, 387 HI itioD, 571 01,421 d cervix, 361 ^^tfriMndB, 434 ^^^ for femoral hernia, Moschowlt^'s operation for roctd prokpfie, .SI 7, 818 Moutb, disturbances of, during aie«Miruii- tJon, 100 Movable cecum and movablt> kidney, in- fluence between, 169 kidney, 167 \Mn\ appendidtiis, asiNDciattoti, 170 and mo%^able eecujn, influence betveea, \m diagnosis, 170 etiologj% 167 pyelogmphy a^ aid in dia^o^^ 171 ^TUptoins, 169 treatment, 171 Mucoaa, wtt^rine, compact layer, 26 cyclic changes in, 24 glycogen production from, 30 menstnifU flaw and, 28 i postmenstrual involution of, 28 premenstrual congestion of, 24 spongj"- layer, 26 Mucous polyps of Fallopian tubes, 421 of vestibule, 293 MdUer^s An^U, 430, 441 failure of union. Nephrotomy in pyelitis, 277 Nerves of peritoneum, 151 Nervous diseases, influence of menstruation on, 123 symptoms of menopause, 128, 129 system, condition of, during menstruation, 20 influence of menstruation on, 120 on internal secretion, 44, 45 relation of genitalia to, 120 Neuralgia, ovarian, 127, 255, 578 Neuroma of vulva, 292 Neurosis after hysterectomy and ovariec- tomy, 128 as result of masturbation, 136 of menstrual irregularities, 122 from amenorrhea, 123 from dysmenorrhea, 122 from menorrhagia, 123 genital, 124 of imagination, 124 of overvaluation, 124 treatment, 127 New growths. See Tumors. Newborn, atresia of hymen in, 536 sexual impulse in, ISO Nodular tubercular peritonitis, 221 Non-malignant gynecologic diseases, radium in, 525-533 after-care, 532 details of treatment, 531 dosage, 531 selection of cases, 526 Nose during menopause, 99 during menstruation, 99 relation of genitalia to, 99 vicarious menstruation from, 21 Nose-bleed during menstruation, 21 Nuck, canal of, cyst of, 292 870 INDEX Obesity as cause oJ sterility, 560 during menopause, 23 Oil of copaiba in gonococcal cystitis, 269 of sandalwood in gonococcal cystitis, 269 Ointment, Credo's, in varicose ulcer, 830 scarlet, in varicose ulcer, 830 Oligomenorrhea, functional, ovarian defi- ciency and, 56 extract in, 65 of youth, 524. Olshausen's operation for prolapse of uterus, 474 for retroversion of uterus, 468 Graves' modification, 678 Omental grafting, 753 Omentum, absorbing power, 152 capacity of, to slip into defects of abdom- inal wall, 152 grafting of, after myomectomy, 753 physiology of , 150 protective power, 151 relation of genitalia to, 150 use of, in plastic operations, 152 value of, in walling off and localization of infection, 151 Onanism, 131, 132. See also Masturbation. Onkogenetic inversion of uterus, 482 Oophorectomy. See Ovariectomy. Oophoritis, 252 gonorrheal, 253 infectious, 252 chronic, 253 etiology, 254 symptoms, 254 treatment, 255 interstitial, 252, 253 etiology, 254 symptoms, 254 treatment, 255 tubercular, 253 tube-, chronic, 199, 200 Operations, abdominal, length of stay in bed, 842 preparation for, 835 support after, 842 suture materials, 838 technical detail, 836 treatment after, 840 on abdominal wall, 768 on bladder, 815 on cervix, 591 on Fallopian tubes, 757 on kidney, 796 major, incision for, 803 minor, 796 incision for, 796 Operations on ovaries, 764 on rectum, 817 on ureters, 810 on vagina, 608 on vulva, 582 plastic, after-care of, 845 care of stitches, 846 coaptation of wound edges, 845 denudation in, 844 preparation for, 842 stitch abscess in, treatment, 847 suture material, 844 technic of, 842 technical details, 843 Operative gynecology, 582 Osteoma of vulva, 292 Osteomalacia and ovaries, relation between, 156 and parathyroids, relation between, 84 Ott, curve of, 121 Ova, 439 Ovarian djrsmenorrhea, 517 extract after hysterectomy, 65 dosage, 66 form used, 66 fresh, importance of, 66 in absence of ovarian secretion, 65 in amenorrhea of youth, 524 in deficient circulation of genitalia, 65 in dysmenorrhea, 519 in functional amenorrhea and oligo- menorrhea, 65 in kraurosis of vulva, 233 in pruritus of vulva, 236 in sclerosis and atrophy of ovary, 255 in sterility, 65, 566 in vasomotor changes after ovariectomy, 128 influence of, on time coagulabiHty of blood, 58 production of hematometra in guinea- pigs by injection of, 65 of hemorrhage in guinea-pigs by injec- tion of, 65 value of, 64 facies, 412 neuraliga, 127, 255, 578 pain, 577 secretion, 46 absence of, ovarian extract in, 65 loss of, as cause of changes during meno- pause, 23 tissue, transplantation of, 60, 765 after hysterectomy, 63, 766 in functional amenorrheas of young women, 64 INDEX 871 Ovarian tissue, transplantation of, in sterility, 62, 565 Ovariectomy, accumulation of fat after, 52, 53, 54 after maturity, 53, 134 as cause of amenorrhea, 571 before maturity, 51 puberty in women, 53 changes in hjrpKjphysis due to, 51, 52 early and late, differences in, 53, 54 heterosexual type in, 52 effect of, 46 on hypophysis, 76 genital atrophy due to, 643 hot flushes after, 128 hypertrophy of suprarenal gland after, 89 neuroses after,. 128 psychoneuroses after, 128, 129 transplantation of ovarian tissue after, 63 vasomotor disturbances after, 55, 128 voice after, 52 Ovarin, 46 Ovaritis, 252. See also Odphoriiia. Ovary, absence of, 445 absence of vagina and, 55 accessory, 445 albuginea of, 32 and breasts, relation between, 94 and osteomalacia, relation between, 156 atrophy of, 55, 542 as cause of changes during menopause, 23 pathologic, 56 blood-cysts of , 386 carcinoma of, 398. See also Carcinoma of ovary. colloid carcinoma, 405, 406, 407 condition of, during menstruation, 20 cystadenoma of, 387 origin, 396 pseudomucinous, 389 origin of, 397 treatment, 391 serous, 393 origin of, 396 cystic carcinoma, 398 degeneration, 383 as cause of steriHty, 558 cystoma of, 387 cysts of, 254, 381. See also Cysts of ovary. defects of, developmental, 445 degeneration of, 254 cystic, 254 dermoid cysts of, 401, 408, 409 mahgnant changes, 403 parthenogenesis, 405 descent of, 440 Ovary, developing and ripening of follicles by. 32 development of, 18 embryologic development, 439 * endothehoma of, 411 fibroma of, 407 ascites from, 410 fibrosarcoma of, 410 function of, essential, 32 functional anatomy, 31 germinal epithelium of, 31 glandular ducts of, 32 hyperfunction of, 56 hypersecretion of, 56 uterine bleeding from, 57, 58 hypof unction of, 51 infantilism and, relation between, 55 hypoplasia of, infantilism and, relation between, 55 in infantilism as cause of sterility, 551 infantile, 551, 552 infections, 252 inflammations, 252 lactation-atrophy of, 56 medullary layer of, 32 operations on, 764 parenchymatous layer of, 32 perithelioma of, 411 physiologic anatomy, 31 pseudomucinous cystadenoma of, 389 origin, 397 treatment, 391 relation of, to glands of internal secretion, 46 to hypophysis, 77 to thyroid, 80 resection of, 764 sarcoma of, 410 metastasis, 411 secretion of, 46 serous cystadenoma of, 393 origin, 396 small cystic degeneration, 254 stigma on, 37 stnmia, 404 teratoma of, 404 parthenogenesis, 405 transplantation of, 60, 765 after hysterectomy, 766 in sterility, 565 tuberculosis of, 220, 253 tumors of, 381 ascites associated with, 412 diagnosis, 415 exciting cause of formation, 397 facial expression, 412 872 INDEX Ovary, tumors of, menstrual function in, 414 non-proliferating, 381 ovigenous, 401 ovulogenous, 401 parench>inatous, 387 pregnancy complicating, 414 pressure s>'mptoms, 412 prognosis, 417 proliferating, 387 removal of both ovaries, 417 stromatogcnous, 407 Hj'mptoms, 412 torsion, 413 treatment, 416 tumors of kidney and, differentiation, 415 ureter symptoms, 412 Ovigenous tumors of ovar>', 401 Ovitestes, 72, 451 Ovulation and menstruation, time relation be- tween, 58, 59 Ovulogenous tumors of ovar>', 401 Ovum and spermatozoon, place of union, 24 Paget's disease of vulva, 234 Pain from inflammation of peritoneum, 578 from peh-ic pressure, 578 from uterine fibroids, 580 in carcinoma of cervix, 343 in coccyx, 580 in coitus, 138, 140 in dysmenorrhea, 518, 519 in ectopic pregnancy, 510, 511, 512 in legs, 581 in loins, 580 in retroversion of litems, 463 in rupture of tubal pregnancy, 577 in side, 579 intermenstrual, 21 lumbar, 580 of menstruation, 580. See also Dysmenor- rhea. of micturition, 581 on defecation, 581 ovarian, 577 peh-ic. 576 Palpation of abdomen, 831 Papillarj- angioma of vestibule, 293 excrcjjcences of \'ulva. 227 PapiUoma of bladder, 426 treatment, 428 of Fallopian tubes, 421 Paracolpitis, 240 Paracystic cellular tissue, 256 Parac>'stiti», 265 Paraffin, liquid, in enteroptosis, 164 Parametria] cellular tissue, 256 hematoma, 260 parametritis and, differentiation, 259 treatment, 261 infiltration in chorio-epithelioma malig- num, 380 Parametritis, 255, 256 as complication of pelvic operations, 257 atrophicans, 259 cancer of cervix and, differentiation, 259 chronic, 258, 259 cystitis from, 264 diagnosis, 259 differential, 259 etiolog>', 257, 258 gonorrheal, 258 parametrial hematoma and, differentiation, 259 posterior, 144, 259 postoperative, 257 s>'mptoms, 258 treatment, 259 Parametrium, hematoma of, 260 inflammation of, 255 Paraproctal cellular tissue, 256 Parasites, vaginal, 238 ParathjToid extract in tetany, 83 Parathyroids and eclampsia, relation bc^ tween, 84 and osteomalacia, relation between, ^ relation of, to genitalia, 83 removal of, effect of, 83 Paravaginitis, 240 Parenchj-matous layer of ovar>', 32 Parenteric digestion, 1 10 Parietocolic fold of Jonnesco and Juvara, 172 Paroiiphoron, 439 Parotid glands, increased acti\'ity, during menstruation, 100 Parovarium, 418, 439 adenomyoma of. 419 adenosarcoma of. 419 carcinoma of. 419 cystadenoma of. 419 cysts of. 418 treatment, 419 dermoid cy.^s. 419 fibro-adenoma of, 419 tumors of, 419 Patient, examination of, 831 in private house. 834 Pe<licle, upper. 585. 586 Pelvic adhesions after gonorrheal salpin- gitis. 202. See also Pelric inflammation, chronic. INDEX 873 Pelvic blood-vessels, congestion of, during menstruation, 20 cellular tissue, anatomy, 255 inflanmiations, 256. See also Paror metritis. paracystic, 256 parametrial, 256 paraproctal, 256 cellulitis, 255 after operations on bladder, 260 in lateral wall of abdomen, 260 connective tissue, dermoid cysts, 425 treatment, 426 fibroma of, 423, 424 fibromyoma of, 423, 424 lipoma of, 425 sarcoma of, 425 tumors of, 423 symptoms, 424 treatment, 426 discomfort during menstruation, 20 hematocele in ectopic pregnancy, 508 inflammation, chronic, as result of gonor- rheal salpingitis, 202, 209 disturbances of menstruation in, 210 symptoms, 209 treatment, 212 menorrhagia of, radium in, 530 relation of, to retroversion and retro- flexion of uterus, 202 operations, Bardenheuer's incision, 768 operation for gall-stones during, 149, 150 on gall-bladder during, 149 parametria! hematoma as complication, 260 parametritis as complication, 257 performance of, during menstruation, 22 Pfannenstiel's incision, 769 transverse incisions in, 768 pain, 576 peritonitis as result of gonorrheal salpin- gitis, 201 Pelvis of kidney, inflammation, 273 retroperitoneal tumors, 423 subperitoneal tumors, 423 varicose veins of, 120 Percy's treatment of carcinoma of cervix, 360, 361, 790 Pericystitis, 266 Perineal body, 491 cysts, 301 muscles, functional anatomy of, 490, 491 sheet, Ewin, directions for making, 843 Perineoplasty, Clark's, 633, 636 Emmet's, Graves' modification, 625 Perineoplasty, Studdiford's, 638 Perineum, laceration of, 490. See also Laceror tion of perineum. plastic surgery, 625 tight, operation for enlarging, 746 Perisalpingitis, tubercular, 216, 218 Perithelioma of ovary, 41 1 Peritoneal adhesions, 153 from bacterial peritonitis, 153 from chemical injury, 154 from mechanical injury, 154 from surface necrosis, 155 from tuberculosis, 154 traumatic, 154 cavity, absorption of fluid material in, 152, 153 epithelium, destruction of, 152, 153 bacterial infection as cause, 153 fluid, transudation and resorption, 152 " Peritoneum, inflammation of, pain from, 578 lymph-vessels of, 151 nerves of, 151 physiology of, 150 relation of genitalia to, 150 reparative power of epithelium, 152 resistance of, to external infection, 152 tuberculosis of, 221 Peritonitis, bacterial, 153 gonorrheal, 153 pelvic, as result of gonorrheal salpingitis, 201 tubercular, 221 diagnosis, 222 dry adhesive, 221 nodular, 221 prognosis, 223 symptoms, 221 treatment, 222 with ascites, 221 Periurethral abscess, 262 Perivitelline space, 36 Pessaries for anteflexion of cervix, 691 of uterus, 691 in amenorrhea of youth, 524 in anteflexion of uterus, 481 in oligomenorrhea of youth, 524 in procidentia of uterus, 478 in prolapse of uterus, 472, 473 in retroversion of uterus, 466 Petit's triangle, 798 Pfannenstiel incision, 769 Pfannenstiel's operation in dysmenorrhea, 521 Phantom pregnancy, 572 Phlebectasis, 119 operations for, 828 Phlebitis, postoperative, 116, 117 874 INDEX Phlebitis, postoperativei pyogenic, 117 treatment, 117 Phlegmasia alba dolens, 116, 257 Physical changes during menopause, 22 Pigment hypertrophy and functions of pelvic organs, relation between, 96 Piles, 432. See also Hemorrhoids. Pineal gland, internal secretory action of, 90, 91 relation of, to genitalia^ 90, 91 Pituitary body. See Hypophysis. Pituitrin in gland hypertrophy of endo- metrium, 251 in menorrhagia due to uterine fibroids, 325 of youth, 525 in postpartum hemorrhage, 79 in uterine insufficiency, 548 to stimulate uterine contractions, 78 value of, 78, 79 with adrenalin in dysmenorrhea, 519 Placenta, influence of, on breasts, 94 on mother during pregnancy, 92 maternal, 47 relation of, to genitalia, 92 Placental extracts in amenorrhea, 65 in climacteric disturbances, 65 in sterility, 65 polyp, 372 site, chorio-epithelioma malignum, 370 Plastic operations, after-care, 845 care of stitches, 846 coaptation of wound edges, 845 denudation in, 844 on stump of Fallopian tube, 563 preparation for, 842 stitch abscess in, treatment, 847 suture material, 844 technic, 842 technical details, 843 Plexus, Auerbach's, 151 Plugs, dermoid, 402 Pneiunococcus as cause of secondary infec- tions in pelvis, 105 Pneumonia, ether, 103 postoperative, 103 Polypoid gland hypertrophy of endometrium, 250, 574 Polyposis, rectal, 431 Polyps, cervical, 332 bleeding in, 333 diagnosis, 334 metrorrhagia in, 576 s>Tnptoms, 333 treatment, 334 mucous, of Fallopian tubes, 421 Polyps, mucous, of vestibule, 293 of endometrium, 333, 334 placental, 372 rectal, 431 Position, knee-chest, 834 of uterus, 17 453 Sims', 834 Posthemorrhagic blood-picture, 108 Postmenstrual involution of uterine mucosa, 28 necrobiotic endometritis, 248 Postoperative catharsis in abdominal caeeB, 840,841 in plastic cases, 846 embolism, 118 hernia, 503 diagnosis, 504 Graves' operation for, 782 transplantation of fascia for, 782 Bartlett's method, 783 treatment, 504 h3rperleukoc3rto8is, 109 infections of lungs, 103 leukocytosis, 109 myxedema, 82 neuroses after hysterectomy and ovariec- tomy, 128 parametrial hematoma, 260 parametritis, 257 phlebitis, 116, 117 pyogenic, 117 treatment, 117 pneumonia, 103 pyelitis, 275 skin eruptions, 97 thrombophlebitis, 116 thrombosis, 116, 117 treatment of abdominal cases, 840 of bowels of abdominal cases, 840, 841 of plastic cases, 846 of plastic cases, 845 Postpartum hemorrhage, pituitrin in, 79 Pozzi's operation for anteflexion of uterus, 693 in dysmenorrhea, 521, 693 Precocious menstruation, 21 in infants, 18 Pregnancy, Abderhalden's test for, 110 appendicitis during, 146, 147 atresia of follicle during, 41 changes in hypophysis in, 76 complicating ovarian tumors, 414 corpus luteum of, macroscopic appearance, 59 ectopic. 506. See also Ectopic pregnancy. effect of removal of hypophysis on, 76 INDEX 876 Ftegnancy, extra-uterine, 606. See also Ec- topic pregnancy. following ovarian tissue transplantation, 62, 63, 565 goiter during, 80, 81 in rudimentary horn of uterus, 444 influence of placenta on mother during, 92 interstitial, 506 symptoms and course, 513 myoma of uterus and, differentiation, 324 relation, 322 persistence of corpus luteum and, 47 phantom, 572 tetany in, 83, 84 tubal, 506. See also Ectopic pregnancy. Premenstrual congestion of uterine mucosa, 24 Pressure, pelvic, pain from, 678 symptoms of ovarian timiors, 412 of tumors of pelvic connective tissue, 424 Prevesical space, 256 Primordial egg, 33 foUicle, 33 Private house, examination of patient in, 834 Procidentia of uterus, 457, 475 after hysterectomy, 477 congenital, 476 diagnosis, 477 • elongation of cervix in, 477 Goffe's operation, 706 Graves' operation, 696 interposition operation, 479, 699 May 08* operation, 709 operations for, 696 pessaries for, 478 suspension operation, 479 sjrmptoms, 478 treatment, 478 Watkins' operation, 479, 699 Wertheim's operation, 705 Prolapse of anus, 431 of rectum, 431 incomplete, 431 Marchant's operation, 817 Moschowitz's oi>eration, 817, 818 operations for, 817 suspension operation, 817 treatment, 432 Tuttle's modification of Ekehom's operar tion, 817 of urethra, 294 in children, 295 of uterus, 457, 470 diagnosis, 471 Goffe's operation, 706 Prolapse of uterus, Graves' operation, 696 interposition operation, 479, 699 Mayos' operation, 709 Olshausen's operation, 474 operations for, 696 symptoms, 472 treatment, 472 surgical, 473 Watkins' operation, 479, 699 Wertheim's operation, 705 of vaginal wall, 457 Protargol in cystitis, 270 in gonorrheal inflammation of Skene's glands, 184 urethritis, 183 vulvovaginitis in children, 181 Pruritus of vulva, 234 etiology, 235 radium in, 531 treatment, 236 Pseudohermaphroditifim, 71, 451 Pseudomucin, 390 Pseudomucinous cystadenoma of ovary, 389 origin, 397 treatment, 391 Pseudomyxoma peritonei, 393 Pseudovaginismus, 633 treatment, 534 Psychic disturbances during menopause, 22 states, disturbed, influence of, on men- struation, 21, 123 Psychoneuroses after ovariectomy and hys- terectomy, 128, 129 genital, 124 treatment, 127 of menopause, 129 Ptosis, abdominal, 158. See also Enterop" tosia. Puberty, acne at, 96 age occurring, 18 development of breasts at, 18 effect of climate on occurrence of, 18 heart at, 113 ovariectomy before, in women, 51, 52 sexuality of, 132, 133 thyroid at, 80 Pubescent uterus, 664 Pubococcygeus muscle, 490 Puerperal sepsis as cause of hemorrhage in eye, 99 of sterility, 557 Pulley stitch, 772 Pyelitis, 273 etiology, 273, 274 postoperative, 275 prognosis, 276 876 INDEX Pyelitis, treatment, 276 I^elography, 171 I^elonephritis, 273, 275 Pyometra, 247 Pyosalpinx, gonorrheal, 194 profluens, 211, 569 rupture of, 204 Race degeneration as cause of sterility, 561 Radium, application of, Graves' technic, 792 in bleeding from uterine fibroids, 325 in carcinoma of cervix, 348, 362 details of treatment, 355 Graves* technic, 792 selection of cases for, 353 of rectum, 430 of vagina, 298 in endometritis, 531 in gland hypertrophy of endometriimi, 251, 527 in interstitial endometritis, 528 in kraurosis of vulva, 531 in menorrhagia of fibroids, 529 of pelvic inflammation, 530 of young, 528 in non-malignant gynecologic diseases, 525- 533 after-care, 532 details of treatment, 531 dosage, 531 selection of cases, 526 in myoma, 325 in parametritis, 259 in pniritus of vulva, 236, 531 in sarcoma of uterus, 332 in uterine insufficiency, 526, 549 physical properties, 348 Rash, ether, 97 Receptaculum seminis, 23, 554 Recti muscles, diastasis of, 500 operation for, 771-774 ovarian cyst and, differentiation, 416 treatment, 501 Rectocele, 144, 457, 471, 497 closure of Douglas* pouch for, Graves* operation, 643 Graves' modification of Emmet's opera- tion, 625 Rectovaginal fistula, operation for, 652, 653 septum, adenomyomas of, 305 Rectum, adenoma of, 431 atresia of, 449 carcinoma of, 429. See also Carcinoma of rectum. effect of retroverted uterus on, 144 endothelioma of, 430 Rectum, epithelioma of, 430 inflammatory stricture, 283 treatment, 285 operations on, 817 polyposis of, 431 polyps of, 431 prolapse of, 431. See also ProlajM of rectum. relation of genitalia to, 142, 144 sarcoma of, 430 stricture of, inflammatory, 283 treatment, 285 tumors of, 429 Red degeneration of uterine myoma, 314, 316 Regeneration of blood after hemorrliage, 106, 109 Regressive changes in uterine myoma, 316 Reid's genitomesenteric fold, 173 Relaxation of vaginal walls as cause of steril- ity, 558 Resection of ovary, 764 Respiration, organs of, relation of goiitalia to, 103 Retrocession of uterus, 455, 461 Retrodisplacement of uterus. See Retrover- sion of uterus. Retroflexion of uterus, 455, 458 relation of pelvic inflammatory disease to, 202 Retrolocation of uterus, 456 Retroperitoneal appendix, 172 dermoids, 425 hpoma, 425 sarcoma, 424, 425 tumors, 423 Retroposition of uterus, 456 Retrorenal fascia, 799 Retroversion of uterus, 453, 458 Alexander-Adams operation, 689 Alexander's operation, 466, 688 Baldy's operation, 685 Coffey's operation, 468 diagnosis, 465 due to adhesions, 468 diagnosis, 469 symptoms, 469 treatment, 469 due to displacement by tumors, 470 due to relaxation, 459 symptoms, 463 treatment, 466 effect of, on rectum, 144 etiology, 458 first degree, 453 Gilliam's operation, 467, 680 Kelly's modification, 685 INDEX 877 Retroversion of uterus, Gilliam's operation, Mayos' modification, 683 Simpson's modification, 681 internal Alexander operation, 683 Kelly's operation, 685 Mayos' operation, 683 Olshausen's operation, 468 Graves' modification, 678 operations for, 678 pathologic conditions due to, 461 pessaries in, 466 relation of pelvic inflammatory disease to, 202 second degree, 454 Simpson's operation, 681 symptoms, 463 third degree, 454 traumatic adhesions from, 462 treatment, 466 ventral fixation, 467 suspension, 467 Webster-Baldy operation, 468, 685 Retroversion-flexion of uterus, 455 Retzius, space of, 256 Ripening follicle, 33 Rodent ulcer of vulva, 229 Rontgen rays. See x-Raya. Round ligament, adenomyoma of, 423 fibromyoma of, 424 tumors of, 422 treatment, 423 Rovsing's ojjeration for enteroptosis, 165 Rudimentary horn of uterus, 444 uterus, 441 Rupture of ovarian cysts, 412 of pyosalpinx, 204 of tube in ectopic pregnancy, 508 pain of, 577 treatment, 513 Russian oil in enteroptosis, 164 Sactosalpinx serosa, 196 Salivation, menstrual, 100 vicarious, 100 Salpingectomy, 758 Salpingitis, catarrhal, 193 chronic interstitial, 199 gonorrheal, 192 acute, appendicitis and, differentiation, 206 diagnosis, 205 differential, 206 diverticulitis of sigmoid and, differen- tiation, 207 extra-uterine pregnancy and, differ- entiation, 207 Salpingitis, gonorrheal, acute, secondary, 204, 205 treatment, 208 symptoms, 203 treatment, 208 twisting of p>edicle of ovarian cyst and, differentiation, 207 as cause of sterility, 556 treatment, 562 chronic pelvic inflammation as result, 202, 209. See also Pelvic inflammation^ chronic. pathology, 193 pelvic peritonitis as result, 201 interstitial, chronic, 199 isthmica nodosa, 201 tubercular, 216 progress, 218 symptoms, 218 treatment, 218 Salpingo-oophorectomy, 757 Salpingostomy, stoinatoplastic, 760 Bell's method, 762 Sampson's method of ureterovesical trans- plantation, 812 Sandalwood, oil of, in gonococcal cystitis, 269 Sarcoma botryoides, 329 cystic, of uterus, 330 grape-mole, of uterus, 329 of endometrium, 329 of Fallopian tubes, 421 of ovary, 410 metastasis, 411 of pelvic connective tissue, 425 of rectum, 430 of uterus, 328 adenocarcinoma and, differentiation, 331 bleeding from uterus in, 331 cystic, 330 diagnosis, 330 grape-mole, 329 histology, 329 metastasis, 331 treatment, 332 of vagina, 296 in children, 297 of vulva, 292 retroperitoneal, 424, 425 Sarcomatous degeneration of uterine fibroids, 317, 329, 331 Scarlet ointment in varicose ulcer, 830 Schauta's operation for carcinoma of cervix, 744-750 Schroder's operation for extirpation of endo- cervix, 604 for sterility, 564, 604 -mv 19* P.KC« 325 \3J .^Clti* ttU^* ■»'"ii*j'^'.'*.«» ti^''^ ^oC coses lot, U«^| 4^^ y0i 2&t 5^1 ,\MP^^ let^^^ eB' jidSf 5-2^ i» '^%:^-* A^c °\^:^^'^.^.^^'^' E^ JIX ^.J^ S32 *I^^"*„l't«»t^' pgpt, riS^ VtvP^ itv saJC' otfta- AifftCV iet\cy 5*26' 549 34S Ua3V\ .vi\wfli aeuv oi, rf:::>-..etr^-s^.^- ^lec^^ Op' 497 ;eVe, \44 po^ vicVv ioT, oi ^t» ti\et' uoo, wag^^ a\ ftst^i^* ove^^^ .UO^ ioT, oti^a^ oi, ^05 ^t?-^,«^-°r:^,^^^ ;tui» jvAet^ oraa Sec 9.\sO duWT«* otv, INDEX 879 Sterility, diseases of hypophysis as cause, 560 effluvium seminis as cause, 555 endocervicitis as cause, 557 treatment, 564 endometritis as cause, 557 escape of semen from vagina as cause, 555 etiology, 550 fetalism as cause, 550 genital tuberculosis as cause, 558 gonorrheal salpingitis as cause, 556 treatment, 562 in retroversion of uterus, 464 infantilism as cause, 550 ovaries in, 551 tubes in, 553 uterus in, 553 lactation, 560 malposition of uteru§ as cause, 558 treatment, 561 myoma of uterus as cause, 559 obesity as cause, 560 ovarian extract in, 65, 566 implantation and transplantation in, 62, 565 placental extracts in, 65 preventive measures as cause, 560 primary, 549 puerperal sepsis as cause, 557 race degeneration as cause, 561 relaxation of vaginal walls as cause, 558 Schroder's operation for, 564, 604 secondary, 549 treatment, 561 tumors as cause, 558 vaginismus as cause, 561 x-ray as cause, 559 Sterilization, tubal, Taussig's operation, 762 Stigma, ovarian, 37 Stitch. See Suture. Stomach, disturbances of, and menstruation, relationship, 100, 101 Stone. See Calculus. Strain, foot, 156 Strawberry mottling of gall-bladder, 150 Stricture, inflajnmatory, of rectimi, 283 treatment, 285 of urethra, 262 as result of gonorrheal urethritis, 183 Stromatogenous tumors of ovary, 407 Struma ovarii, 404 Studdiford's method of combined amputation of cervix and anterior colpoplasty, 620 perineoplasty, 638 Subconsciousness, 125 Subperitoneal tumors, 423 Suicide during menstruation, 123 Superior lumbar trigonimi, 798 Suppurating kidney, 273 Suprapubic cystotomy, 815 Kelly's method, 815 Suprarenal system, 84 anatomy, 84, 85 hyperfunction of, 88 hypertrophy of, after ovariectomy, 89 internal secretory function of, 85 relation of, to genitalia, 85, 87 Supravaginal hysterectomy, 713 vaginal drainage after, 723 Suspension of kidney, 796 Kelly's technic, 800 of uterus for anteflexion, 482 Graves' modification of OLshausen's operation, 678 in procidentia, 479 operation for rectal prolapse, 817 Suture abscess in plastic operations, treat- ment, 847 Brodel's, 803 care of, in plastic operations, 846 material in abdominal operations, 838 in plastic operations, 844 of abdominal wound, 839 pulley, 772 wandering, as cause of vesical calculus, 428 Symptomless cholelithiasis, 148 Symptoms, 568 due to abnormal secretions, 568 essential, 568 Syncytiomajnalignum, 370 Syncytium, 372 Syphilis of bladder, 272 of vulva, 225 SyphiUtic cystitis, 272 Tampons, vaginal, in prolapse of uterus, 472 Taussig's operation for carcinoma of vulva, 291,584 for tubal sterilization, 762 Technic, 831 Temperament, change in, after fifty, 23 Temperature, elevation of, in carcinoma of cervix, 343 Teratoma of ovary, 404 parthenogenesis, 405 of vulva, 292 Test, Abderhalden's, for pregnancy and can- cer, 110 in differential diagnosis of uterine myoma and pregnancy, 324 complement-fixation, in diagnosis of gonor- rheal salpingitis, 205 Tetany in pregnancy, 83, 84 SS) INDEX r-'anv. parathyroid extract in, 83, 84 rji-:a ►^TTema, 34, 49 i-.tliniii, M -■inuM* externa of, 34 mreniA of, ai, 36 nrr^rri^i. :54, 36 rje"a.-tietin ceils, 387 : "mtrTion ol, SO rir«.ii:-^oniLft» Tulvovaginitis in children r:r.-mb«?phl!ebitis, postoperative, 116 Tirnibtyiiis, postoperative, 116, 117 r'lr.mwtic defiwieration of uterine myoma, 3U 7iie. 4^53 r*: uiib-iftickiiig manifestation of sexual im- '»di**. 1-31 ~r TiLtN rvUtion of, to genitalia, 91 T: r:vi .ind myoma of uterus, relation be- -.VH^^Q. SI j: -jiiberty. SO »:;anp'ment of, during menstruation, 20 \rr»T ADii pituitrin in menorrhagia of • ■•u'h. "jC-S -i'u'uce ot menopause on, 81 -.ji::».*ii .'i *>var>- to, 80 ,, ^EucdJia. 79, 80 ^.. vr.rteusu opefation for enlarging, 646 £>«.-u }i '-»v;*nan cysts, 413 ^-.r*.' <*^*n«>^rrh«^ salpingitis and, differ- ^ ^(.vrition. 593 ^- It. Traimiatic adhesions from retroversion of uterus, 462 peritoneal adhesions, 154 theory of etiology -of cervical cancer, 339- 342 Treves' bloodless fold, 172 Triangle, Petit's, 798 Trichloracetic acid in dysmenorrhea, 520 Trichomonas vaginalis, 238 Trophoblast and chorio-epithclioma malig- num, biologic resemblance, 375 function of, 375 Tubal abortion, 508 treatment, 514 menstruation, 30 mole, 508, 511 pregnancy, 506. See also Ectopic preg- naricy. rupture in ectopic pregnancy, 508 treatment, 513 Tubercular cystitis, 271 treatment, 269 endometritis, 219 endosalpingitis, 216, 217 metritis, 251 oophoritis, 253 perisalpingitis, 216, 218 peritonitis, 221 diagnosis, 222 dry adhesive, 221 nodular, 221 prognosis, 223 s>'mptonis, 221 treatment, 222 with ascites, 221 salpingitis, 210 progr<;s.s, 218 symptoms, 218 treatment, 218 Tuberculosis, amenorrhea and, relationship. 572 genital, 215 as cause of sterility, 558 of bladder, 271 diagnosis, 271 treatment, 271 of cervix, 220 of endometrium, 210 of Fallopian tubes, 216 of lungs, influence of menstruation on, 104 of metrium, 219, 251 of ovary, 220, 253 of peritoneum, 221 of uterus, 219, 251 of vagina, 220 of vulva, 220 INDEX 881 Tubo-ovarian abscess, 196, 253 cysts, 198 Tubo-ovaritis, chronic, 200 gonorrheal, 195 Tumors, abdominal, vitiligo associated with, 97 as cause of sterility, 558 Krukenberg's, 407 of bladder, 426 aympt<)ms, 428 treatment, 428 of clitoris, 295 of Fallopian tubes, 420 of kidney, ovarian tumors and, differen- tiation, 415 of ovary, 381. See also Ovary, tumors of. of parovarium, 419 of pelvic connective tissue, 423 symptoms, 424 treatment, 426 of rectum, 429 of round ligament, 422 treatment, 423 of uterus, 307 of vagina, 296 of vulva, 287 retroperitoneal, 423 subperitoneal, 423 Tunica externa of theca folliculi, 34 interna of theca folliculi, 34, 36 Tuttle's modification of Ekehom's operation for rectal prolapse, 817 Typhoid fever and genitalia, relation between, 157 Ulcer of bladder, 265 rodent, of vulva, 229 varicose, Credo's ointment in, 830 operations for, 830 scarlet ointment in, 830 Ulceration of cervix, 336, 485, 486 of vulva, 229 Ulcus molle of vulva, 224 Umbilical hernia, 502 eraser's operation for, 781 Graves' operation for, 775 Mayos' operation for, 781 Upper pedicle, 585, 586 Uremia, chronic, from pressure of tumor of pelvic connective tissue, 424 Ureter, implantation of, in bladder, 812 in colon, 814 operations on, 810 proximal end, ligation of, 813 relation of genitalia to, 142, 143 symptoms of ovarian tumors, 412 56 Ureteral anastomosis, 810, 811, 812 fistula, formation of, 814 Ureterocystanastomosis, 812 UreterocyBtostomy, 810 Uretero-ureterostomy, 810 Ureterovesical transplantation, 812 Sampson's method, 812 Kronig's modification, 813 Urethra, atrophy of, 545 defects of, 445 prolapse of, 294 in children, 295 stricture of, 262 as result of gonorrheal urethritis, 183 Urethral canal, diverticula, 301 caruncle, 293 mucous membrane, ectropion of, 545 treatment, 547 Urethritis, 261 acute, 261 chronic, 261 treatment, 262 gonorrheal, 181 cystitis and, differentiation, 266 stricture of urethra as result, 183 symptoms, 182 treatment, 183 Urethrocele, 488 diagnosis, 489 Urethrovaginal fistula, 498 Urine, incontinence of, functional, Kelly's operation, combined with Graves* anterior colpoplasty, 615 operation for, 614 leakage of, in vesicovaginal fistula, 499 Urogenital sinus, 441 Urotropin in cy^itis, 269 Uterine canal, radium application in, technic, 795 cavity, partial septum, 443 colic, 577 contractions, pituitrin to stimulate, 78 extracts, influence of, on time coagula- bility of blood, 58 hemorrhage. See Metrorrhagia. insufficiency, 547 diagnosis, 548 radium in, 526 symptoms, 548 treatment, 548 mucosa, compact layer, 26 cyclic changes in, 24 glycogen production from, 30 menstrual exfoliation, 522 flow and, 28 postmenstrual involution of, 28 S82 OfDEX tJt^ine muooaa, prem^iatnml eong^ioB of, 24 spongy layer, 26 Uterovc^ieaJ fiKtula, operation for, 659 spacp, 2lf2 Ut^nisi, absence of^ 441 adenocarcinonm of, 3()2 sarooma and, diiferentiation, 331 adenomyonm of, 327 arleuomyositis of» 327 adentjsarconia of, 331? amputation of, 7 13. See alw HysterecUmtij. angicmareoma of, 330 anteflexion of, 45n, 480, Bee also Ante^ Jirjirion of utertts, untepot^ition of, 456 ant^^version of, 455 atr<»s5ia of, 444 atrophy of, 541 blcorrus unicollif^r 442 bieomuate, 443 doublt?, with double vagina, 441 biforis, 443 carcinoma of, 362. See also Carcmottm of condition of, during Jactation, 543 during tneiistrufttion, 20 congcfnital ik'feets, 441 euretsige of, 592 eystic aarconm, 330 defeeta of, congenital, 441 de.^cent of, 457 diflclphyi*^ 441 dou})|i>, 442, 443, 444 diipli'V btcomiSf 442 eiini vagi nil duplicij 442 iMeparatua, 441 tiwiirf, 554 elongut km of, 458 enibryologic development, 430 exiiniinution of, M33 ii h rtj i d« of , 307 . Kee also Mtf off in of utenm. filmiinyoina of, 307, See also M^mui of ttfrrtts. Ilcsioii of, lati^ral^ 455 1 H ' I u orrl I !ige f r om . S^e MHrorrfmgm. liy( If rant Inflexion of, 455 Ji>p*Tlrophie changes in, before and after iMPth. 17 in iiifantiJinm as cauae of sterility, 553 ilifulilllr', hih^ infjinfilisaij of. 4K0 infi'i'titiiif* of, 251 iitJlMrniiijilion of, 251 HiPiit>rrhrfil, 251 }?ili'(liou?^, 251 Uteruii, infiamnjatioii of, tub^nmlkr, 251 internal secretion of, i*! in version of, 458, 482, See ulm l\ &f uterus. leiomyoma of, 307. See also M^oma lymphosarcoraa of, 330 malposiiiong of, 453 m cam&e of sterility, 558 treat jnentf 5(>1 backat^he in, 579 dysmenorrhea and, wlation, 517 ojierations for, 67S melanosmrconm of, 330 TTiyonia of, 307. See abo Mffmna of yosarconia of, 329 lyaiologj" of , 17 position of, 17, 453 procidentia of, 457, 475. See also Pmei- fhitlki <if uictM*. prolapse of, 467, 470. See also Fmlap»e o} pubescent^ 554 removal of, 713. %See als^ HyiU&rtxlmn\f. retroceesrfon of, 455> 461 retrodisplacement of. See RtirmTrtim t^ retroflexion of, 455, 458 relation of pelvic iuflximniatorj'^ diaea* to, 202 retnilocation of, 45*1 retroposition of, 456 retroversion of, 453, 45S» Set^ also iUto-^ l'(T«lHtfW of llUl^iH. rtitroveraion-flexion, 455 rudimentar)^, 441 horn, 444 sarconna of, 3'M. Bee also Sarcoma qf ultrtt^ septus fiuplex, 443 siae and weight of, influenee of child-bear- ing on, 17 aubseptus iinif oris, 443 suspension of, for antcflesdon, 482 Graves' modification of Olshausen's op- eration, 678 in proeidentia, 479 torsion of, 457 tub«*rc«losis of, 219, 251 tumors of, 307 unicornis, 443 version of, lateral^ 455 version-flexion of, 455 Vaccine treatment of gonorrbea, 214 of i^norrheal vulvovaginitis in chiMreii, 181 INDEX 883 Vaccine treatment of pyelitis, 277 of vulvovaginitis in children, 215 Vaccines, antigonococcic, 215 Vagina, absence of, 444, 536 Baldwin's operation for, 670 Graves' operation for, 667 operations for, 667 ovaries and, 55 Schubert's operation for, 670 treatment, 540 adenomyoma of, 305 artificial, Baldwin's method of making, 670 Graves' method of making, 667 method of making, 444, 667. Schubert's method of making, 670 atrophy of, 542 carcinoma of, 297 diagnosis, 297 prognosis, 298 treatment, 298 chorio-epithelioma of, 299 cysts of, 299 diagnosis, 300 etiology, 300 treatment, 301 defects of, developmental, 444 digital examination by, 832 Distoma hsematobium in, 238 embryologic development, 436 escape of semen from, as cause of sterility, 555 expulsion of gas from, 240 fibromyoma of, 304 fungus of, 238 inflammation of, 236 myoma of, 304 operations on, 608 parasites of, 238 plastic surgery on, 608 sarcoma of, 296 in children, 297 septum formation, 444 spasm of, 533 stenosis of, 536 treatment, 540 tuberculosis of, 220 tumors of, 296 varicose veins of, 119 Vaginal anus, 451 colpotomy, 675 anterior, 676 posterior, 677 cystostomy, 815 Dudley's method, 815 Kelly's method, 816 Vaginal drainage after supravaginal hyster- ectomy, 723 hysterectomy, 728 for carcinoma of cervix, 744-750 myomectomy, 756 tampons in prolapse of uterus, 472 wall, prolapse, 457 relaxation, as cause of sterility, 558 Vaginismus, 533 as cause of sterility, 561 false, 533 treatment, 534. Vaginitis, 236 acute septic, after acute infectious diseases, 157 emphysematosa, 239 etiology, 237 prognosis, 239 senile, 544 symptoms, 238 treatment, 238 Vaporization in uterine insufficiency, 548 Varices, 119 operations for, 828 Varicocele of vulva, 293 Varicose ulcer, Cred6's ointment in, 830 operations for, 830 scarlet ointment in, 830 veins, 119 Mayos' operation for, 829 of vulva, 293 operations for, 828 Vasomotor disturbances after ovariectomy, 55, 128 during menstruation, 21 of menopause, 114, 129 sensitiveness, 113 symptoms in uterine fibroids, 115 Veins, varicose, 119 Mayos' operation for, 829 of vulva, 293 operations for, 728 Ventral fixation in retroversion of uterus, 467 suspension in retroversion of uterus, 467 Vermiform app>endix, relation of genitalia to, 145 retroperitoneal, 172 Version of uterus, lateral, 455 Version-flexion of uterus, 455 Vesical. See Bladder. Vesicocervicovaginal fistula, 498 operation for, 659 Vesico-uterine fistula, 498 operation for, 659 Vesicovaginal fistula, 498 Braquehaye's operation, 657 884 Vesicovaginal fl BraqueLaye- e operation, Albarraj wUfieatJon, (iS7, 059 operations luij ^53 Siiii^* operation^ 65^ Vei4t.ibu]ar anuit, 451 Vestibule^ caruncle «fi 293 mucous ixj1>'p of, 203 papillary ADgiOOUt of, 293 Vicarious dyamenorrhea^ 113 nieristnuition, 21 skin legion from, 96 Bali vat ion, 100 Visceroptoais, 158. Sfe also Enkroplmitt. Vitiligo asBodatetl muth abdominal tumom, 97 Vocal iionlB during menstruation, 21, 104 Voice after ovariectotiiy, 52 during mcfistniatton, 21 ^ 104 VuK^a, atlenoma hidmdtjnoideB, 287 Billiarzia lm?matobia, 238 cttrcinonna of, 2*^7 Bassett'a operation, 584 ^ 535 diagnosis, 289 oiwrative treatment, 584 Taussig's operation for, 291, 584 treatment p 290 chancre of, soft| 224 comiyloma acuminata of, 227 trcatmj?nt, 238 cyHts ijf , sebaceous, 225 Distoma haematobium in, 238 ecbini>coccus ey*st, 292 rczenia intertrigo, 225 <*ln>lmnt.ia5is of, 230 (Ticliondrrtma of, 292 t'ljilhi'lionia of, 289 fslhiomene of, 229 trf-atmcnt, 230 fiitty tumors?, 287 filimma of, 2St> inoUuMcurn iM'ndulum, ^7 treatment, 287 fibromyoma of, 286 fiinmnjJo.^igi of, 225 hydrfX-ele rauliebriM. 292 innii[iimations of, 224 kr!iurosi>i of, 2:i2 riidium in, 531 tn^atment, 233 liHikoplakia of, 234 lipoma of, 287 Inpufi wf, 220 jiiyxoiiju of, 292 neuromn of, 292 operations rm, 582 (K^teoma of, 292 Pufiet's disease of, 234 Vulva, papillary excrescences, 227 pruritus of, 234 etiology, 235 radium in, 531 treiitment, 235 removal of, indicatiQOB^ iJ82 rfjdent ulcer, 229 sarcoma of, 292 sebacDoofl cysts, 225 seborrhea of, 225 skin ledong, 225 soft chancre, 224 sypiiQit? of, 225 teratoma of, 292 *"Herculoais of, 220 nors of J 286 ulceration of, 229 itlcus niolle, 224 varicocele of, 293 varictise veins of, 119, 293 warty excrescences, 227 Vulvectomy, .'>S2 Vulvitis, 224 gonorrheal t 179 Vulvovagmitis^ gonorrheal, in children, 179 trt^atuient, 180 in children from thre»d-worms, 238 vaccine treatment, 215 WM-THARD'e method of examination m vaginismiw, 534 Wandering stitch m cause of vesical calciilufi, 428 Warren *ti apron incision in fistula in ano, 825 operation for complete laceration of pei^ neuni, <)52 Warty excrescences of ^nilva, 227 Watkins' operation for prolapse and proci- dentia of uterus, 479, 699 Wa\^ tlieory of menstmation, 120 ^ Webster-Baldy operation for retrovenioo of uterus, 468, 685 Wertheim's operation for carcinQOia of cervisE, 731-744 of ut4jrus, 731-744 for prolapse and procidentia of utema, 7a^ Whitehead's operation for cardnoma of iw- tum. 