File:The science and art of midwifery (1897) (14576928239).jpg

Identifier: scienidw00lusk (find matches)
Title: The science and art of midwifery
Year: 1897 (1890s)
Authors: Lusk, William Thompson, 1838-1897
Subjects: Obstetrics Women Pathology
Publisher: New York, D. Appleton
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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low, atthe vulva, the separation of the bones is limited somewhat by the cruraof the clitoris, by the fascia in front of the urethra, and perhaps by thepubic attachments of the bladder. When the tension to which thesestructures are exposed becomes excessive, they are liable to give wav,and an extensive laceration of the vagina to the side of the urethramay ensue. For this reason a careful watch should he kept upon thespace between the pubic bones, and, either by the hands of assistants id2 APPENDIX. or by instrumental moans, the gap should not be allowed to exceed thenarrowest limits rendered Qeeessary for the passage of the child. The crura of the clitoris are solidly attached to the inner surfacesof the ischio-pubic rami, and are adherent to the lower layer of thepelvic floor, across which are distributed the terminal branches of thepubic artery-viz., the arteries of the corpora cavernosa, the urethralartery, and the dorsal of the clitoris, all vessels of insignificant size. din* \y
Text Appearing After Image:
Fir;. JIH. The vessels upon tin- pelvic surface of the symphysis • on the left side M,.. .,,-, , ■fane have been preserved ; on the right side both veins and nr.,i , vi . rh ViZ ■ I s I 7rV:V,VVa7l,,y(,U,1,,:U-lV,V,-,,,,,h,--i^ liKa.nen.so, the 8 tretC , b^c^Uhepudtea^r?^ ° **** ******* *» two at(rir vedcalarteriS The cayernous tissues are enveloped in a fibrous sheath which Is re-duced to a minimal thickness at the long and narrow point of contactbetween the crura and the pubic a.vh, where, indeed, the albuginea isapparently replaced by the periosteum. The adhesions of the fibrous Sheaths to the periosteum are very firm, and extend upward to a vari-able extent along the ridges which serve as the points of insertion to SYMPHYSIOTOMY. 733 the adductor muscles. In the fossa between the ridges the clitoris isfree The crura asceud and unite to form the body a. a variableheight, sometimes on a level with the arch, sometimes above the mid-dle of the symphysis. . When an incision is

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