File:The science and art of midwifery (1897) (14576926949).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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ccess of fibers from distant sources,as, for instance, from those which border the pubic crests. Below,beneath the pubic arch, it forms the ligamentum arcuatum. Ante-riorly the symphysis is increased in thickness by the accession of a vastnumber of tendinous elements which intercross at the median line. When an incision is made through the adipose tissue of the monsveneris, and the divided surfaces are drawn well apart, the operatorexposes laterally the attachments of the muscles of the thigh to thebony ridges which border the symphyseal space. Overlying these are 30 APPENDIX. two longitudinal bands derived, for the most part, from the externalpillars of the inguinal ring. Above, the internal pillars cross at themedian line and are attached each to the bony ridge upon the oppositeside. Below, at a variable distance from the arch, the filaments whichform the suspensory ligaments of the clitoris are brought into view.Between the longitudinal bands a grooved depression, which attains its
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Fio, 245 Deep portions of the vulvar region symphysis, clitoris.bulb, lower layer of the peri-nea) fascia. The i«• rt ramus ><f the clitoris has been detached from the arch and carried to i)i.- right. Tii« lefl bulb has i n removed. The excision of the left half of the Buspensory ligament brings into view, beneath the arch, the cellular layer in which are located the veins of the neck of the I.ladder. .,f ; In- urethra, and of the clitoris. maximum width and depth on a line with the arch, may be felt by the6nger. The flattened tendon of each rectus muscle is attached to the an- SYMPHYSIOTOMY. 731 terior surface of the pubis below the upper border. This distance isgreatest at the median line, where it may reach a half inch or more.The tendon is covered by the pyramidal muscle. The external half laflat, and is attached in front of the upper border of the pubis upon its own side. The inner half passes downward for a somewhat greaterdistance without fusing with the fascial cover

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