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Show 120 .l;r\l'lltl';tll'l05 Oi .t'uLYI‘L'S men The WUMB. EXIIRPATION or POLYDUS FROM THE worm. It not carefully managed, the pessary will press upon the. urethra and neck of the bladder, get across the vagina , and receive the os tincae into the ring, or press unequally, and cause ulceration ' 121 With the return of hmmorrhagy, there is often a pain and bearing down like labour-pains. In fact, the muscular power of the uterus increases with its excitement ; and often it happens that the tumour is suddenly delivered from the womb, and lies in the vagina. By the stricture of the womb, UF POLYPUS IN THE VACINA, its vessels are made more turgid, and the haemorrhagy is more lni; polypous tumour in the vagina proceeds front the lhere are exceptions, I know. Tumours grow from the vagina itself, and are troublesome or dangerous from their bleeding too: but the more common occurrence is a tumour ill the . vagina, appended to the uterus. This is a subject of" considerable Importance. A young surgeon, when he finds a tumour in the vagina, must not immediately think of his ope» «ration : there is much to be studied in the sympto ms, and some uterus. dithculty occurs in ascertaining the nature of the disease, l the finger and probe. n '4JJW )y All excitement of the womb is attended with increased ras- (Mi cularity and muscularity. Polypous tumours do not grow M2,",- 0,4,3. _". . without exerting a certain growth in the uterus; and with his 1-. 1enlarge'em tut " and edit WP' ed ,7 state ‘ of the' vessels, the perio ' dical ‘A (r no 1211 ges are increased, so that the disease is often mistaken 101' nienorrhagia. A1 , . PM 1 polypus 15 . a disease‘ of slow, progress ; and it will give dis: .Itéh long before the patient is sensible of its nature, and before .._-‘-.‘:- v- .'~ .. .i‘-""('v ~'~ '- it becoUmes perceptible to the feeling. The health is not per- fee-t ; itie are complaints the effect u of uterine irritation; pain 0,Ii ' tunesmtts, "3 .‘ ~-:< and 1‘. -. . . n v eatnes‘s of the loms ; increased mucous dis large; the menses are profuse and irre $111M, and painful, so . 1. "m 1,1 , -_, . A * n " 1 -.m t . inversio uteri have been mistaken for this disease of polypus, and the womb itself included in the ligature! I know no distinction in polypus of the womb, but as it pro: t "My,‘ I" w profuse. In some rare instances, the polypus thus embraced by the neck of the uterus, has faded, and dropped oil‘. When an examination is obtained, the tumour is felt presenting in the vagina, or pullulating from the orifice of the womb. There is a possibility of a very terrible mistake here. The prolapsus of the womb is a more frequent disease than the polypus ; and it must be recollected, that prolapsns and eeeds from a disease of the glandular neck and orifice of the womb, or from the substance and body of the womb. In the latter case, the polypus is attended w ith a more rapid growth, more irritation, and more profuse discharge. It is also more dangerous in its extirpation, and more apt to have incorpo~ rated in its substance the proper body of the womb. \Vhen we have felt the tumour filling the vagina, we must first observe the more projecting part, and see if we cannot recognise the orifice of the womb, though distorted, as it of ten is when there is a proeidentia or prolapsus. Vt'e must. push the fingers to the root of the tumour. If we find that it has a narrow neck, we are safe ; if we find that the neck of the tumour is compressed by the orifice of the womb, we art~ ‘ as "‘11;. Is ..0m" Slulily 1- 5'"; -..L pa my . . ICdIIL‘L‘d. . It is considered y L L" "r 0f "ALWAYS, andmedieuies or regimen are inell‘ectual- assured that it is a polypus. But if we feel the attaeluncni. :1, of the tumour broad, and no proper orifice of the womb, and ;‘ V 1 l".~"v 1C iiibtd. .V "it V linen the local disease battles all such eené‘ral ‘ t ‘ D A 'i "3 5118 1y ignorance or neg ect brought to the ion est state of weakness. Many a poor timid woman dies Ci find that we can neither push the finger nor the probei's be- remedies m'm T yond the attachment of the neck of the tumour, we must 1"- mm. ,» t 1).. .1HS (them, "hill 3. very simple operati- on would give prof ‘1 thh'yzf ' i 'L V ._i. 1 i' There is a probe with a little ball on the end, safer and better than the common probe, for ascertaining the form and connexions of internal 5w mours, as those of the womb and nose. TOT. I. " |