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10X 14X 18X 22X v/ 12X 16X 20X 26X 30X 24X 28X D 32X ■ -^n-yr-jr-.y •^-■i. Starting at the pelvis of the kidney, they run down parallel with each other to the brim of the pelvis and there crossing the iliac vessels slightly below the division of the common iliac Fig.

The copy filmed here has been reproduced thanks to the generosity of: National Library of Canada L'exemplaire film6 fut reproduit gr Sce d la gdn^rositd de: Bibliothdque nationale du Canada The images appearing here aro the best quality possible considering the condition and legibility of the original copy and in keeping with the filming contract specifications. 15.— Relation of the Ureters and Uterine Arteries to the Cervix : U, uterus ; Ur, ureter ; A V, uterine artery ; C, cervix uteri ; /', section of the liladiler at the level of the entrance of the ureters through its walls ; Va, vagina.

Lorsque le document est trop grand pour etre reproduit en un seul cliche, il est film6 S partir de I'anple sup^rieur gauche, de gauche d droite, et de haut en bas, en prenant le nombre d'images ndcessaire. 1 2 3 '■""""I" ^'"^"2 """■■ "■"'■"'3"" ■ 4 5 6 'fr TEXT BOOK OF ► MEDICAL AND SURGICAL GYNECOLOGY FOR THE USE OF STUDENTS AND PRACTITIONERS BY R. By such means it is hoped to make class attendance less burdensome or PREFACE. The upper or first portion extends downward, backward, and inward to the third sacral vertebra, and is covered entirely with a fold of peritoneum, forming the moso-rectur ' . Besides the peritoneal covering already described, it has a muscular coat formed of an outer longitudinal and an inner circular layer of unstriped muscle fibre. 35 coat, thrown into numerous folds when the rectum is empty, is covered with columunr epithelium and has many glandular pouches. The upper part of the rectum is separated from the uterus by loops of small intestines; lower down it is in close contact with the cervix and vagina, and at the end it forms the posterior wall of the perineal body.

irksoii K*, the material imparted more instructive, and lessen the time required by students in securing an accurate knowledge of the subject. The second portion turns forward and extends as far as the tip of the coccyx, but is covered with peritoneum in front only, (Douglas' pouch.) The third portion, about an inch from its end, turns downward and backward at a right angle to the axis of the vagina to terminate in the anal orifice. At the lower end the longitudinal fibres are intimately interlaced with the levator (ini, and inter n anal canal inside the external sphincter. The Pelvic Peritoneum is a continuation of the abdominal peritoneum and covers more or less completely the organs in the pelvis.

Les exemplaires originaux dont la couverture en papier est imprim^e sont film6s en commenpant par le premier plat et en terminant soit par la dernidre page qui comporte une empreinte d'impression ou d'illustration, soit par le second plat, selon le cas. They lie outside the internal iliac arteries behind the broad ligaments, running down to their base and tlien under them.

Tous les autres exemplaires originaux sont filmds en commenpant par la premidre page qui comporte une empreinte d'impression ou d'illustration et en terminant par la dernidre page qui comporte une telle empreinte. at the Department of Agiioulture, TO FIFE FOWLER, PROFESSOR OF THK PRINCIPLES AND PRACTICE K MKDICINI? They cross the cervix from behind at an acute angle, about one-half inch distant, so as to come in front of and below it.

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In the description of diseases, or of surgical methods adopted for their relief, names of individuals have, as far as possible, been avoided, as being often misleading. The uterus and broad ligaments together divide the pelvic cavity into an antero-inferior and a postero-superior part. For instance, the first stage may be found in a woman having a uterus of moderate development, but contracted at its opening, and which becomes lacerated in her first confinement.She was sucking cock and getting reamed in the ‘80s, she was taking facials and squirting her cunt off again in the ‘90s, and she’s even done some wicked filthy comeback action in the 2000s and beyond.



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