The opportunities now afforded to the gynecologist for studying the effect in any case of laceration of the cervix uteri leave but little doubt that treatment is a most important subject for consideration. Experience has, however, demonstrated that the local application of the various agents which from time to time have been suggested as being remedial or beneficial is at best but a temporary expedient. Whenever a laceration occurring at the cervix extends through the internal and external muscular tissue, the mucous coat lining the canal suffers materially from the violence. The plicæ palmatæ which have been described under the term arbor-vitæ undergo serious disturbance in their relation to the other tissues with which they are connected. This condition often leads to congestion, thickening and to induration of the parts involved and to more or less hypertrophy and malnutrition of the higher uterine segments, and to changed relation and to
CLARKE AP. THE IMPORTANCE OF SURGICAL TREATMENT FOR LACERATION OF THE CERVIX UTERI. Read in the Section of Obstetrics and Diseases of Women, at the Forty-third Annual Meeting of the American Medical Association, held in Detroit, Mich., June, 1892. JAMA. 1892;XIX(1):12–14. doi:10.1001/jama.1892.02420010018001c
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