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Show .116 lMl'ERI-‘ORATED vacma. inpnnrom TED mama. the os pubis. This direction of the point of the catheter is given by depressing the hand towards the perineumas. the base of the nymplue, there was a smooth, dense membrane extended, concealing all accurate mark of the proper beginning of the vagina. 117 When this malconformation has not been noticed, at an early perid, it is apt to be unsuspected until the period of puberty. When it has opposed the menv the nymphae are often enlarged. and protecting beyond the. labia; by friction they become highly inflamed, or grow hard strual blood, the cause of the distress has often remained un» iinOWD, while the girl has been enduring many illnesses which and callous. might have been easily relieved. symptoms appearing which precede the flow of the menses, as W omen are anxious to get quit of these unnatural enlargemerits. lhe knife: or ligature is better than escharotic applh weakness and pain of the back and loins, in the order of na- cations. \W hen the nymphs: have. been cut off with the knife, very alarming hatniorrhagy has been the consequence. Where the case will admit. it, I think the ligature is to be preferred . ‘»;r'-r~r-~n v.1. ' . '«muvv «rs-1 mum . till to the use of the. knife. if the knife be used, then must we it): on our guard against the return of the haemorrh agy ; for q r i n ' ~ ' . ee beingt spongy and vascular parts, they may bleed untili a r',<,,,, .. .. :h: pitpllit taint, dud so as to affect the health, though not 0);" 2,; e 1 a .3_:_ufi_.,,_."..._w. About the usual time, the lhe clitoris is also subject to eniargemcnt and excoriation from its projecting under the labia). . _. .._, ofnnt, and stypties, with the rl‘ band- L) m age, we shall probably he able to command the lizcmorrliagy. Ln ,., ‘.,4 . .. the patina has already k lost much blood, air ia .ri,_u1d ;,;C,.d;,..o ue "e uartieuisr ,4 i Mc t."l,V ' "onion" (as. t> i tl‘i {it during 'i n‘ the mghtthe ' ' , . . .g _. c not return, we may use the common sewing head-ache, sickness, languor, dull, heavy, tensive pains, and ture they are not relieved, or if the general state of the sys tern be relieved by the action of the uterine vessels, yet the blood is accumulated in the vagina, and more local suf~ fering succeeds to the general complaints. It has happened that the blood of two or three periods have been accumulated in the vagina, before the nature of the complaint has been dis- covered. The hymen is discovered entire; the dark blood shines through it; a small opening, by a crueial incision, is to be made into it--when the inspissated chocolate-colouredblood 31115.1). xu (Y Jpn}. , 1 "i 1p), 11,, "at needle, as I have described in the introduction. In the ampu« '1: i n‘t,,‘,:.: (anon of the chic-As, if :it :is much enlarged a vessel or two may" , reeuire 1 to be M, Pher- ~.l‘ nun "4' ill;e tenacul . ‘ 1ever ,funder the """h o {‘5‘ . arch in:e pubes, ‘ we have a um better Hale, opportuni ho".» ,y o applying a compress than in nymphet. he bleeding from the JJII'ERE OiiAIED VACINAD fr is Pno t unco ‘ ~ mmon to hnd ‘ the vagin ' a closed by the mom" lane or the hymen. t on"s , then I have seen it, the labire, the cli' and , 01-'ifice of the ureth ~ ra, ' were natural ; but thWl' e flows out. But when the imperforated vagina is to be opened in an in« taut, it is an operation of more delicacy. We guard the ure- thra by introducing a probe into it; and beginning a little be low the orifice of the urethra, we scratch rather than cut with the point of the lancet, until we have Opened the passage. If there is not a mere membrane closing the orifice, but some- thing like a deficiency of the lower part of the vagina, we ought to wait. for riper years. In children, an adhesion of the labia: sometimes takes place» in consequence of uncleanliness, and the scalding of the urine. For this the knife is seldom necessary ; at least if the adhesion be recent, the labire may be forcibly separated. After this separation, or in any state of excoriation which threatens adhesion, a piece of soft lint, dipped in oil, or with 1 s:-ee the Anatomy . . oftne . parts, in - the fourth volume of the Auntom" mild dressing. must be introduced. |