Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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tant organs to one another (Figs. 1 and 2).Immediately behind the pubes lies the bladder, separated from thebone by a little loose and very vascular connective tissue. Theurethra appears as a narrow channel which runs in its upper one-thirddirectly downwards, and in its lower two-thirds curves downwardsand forwards to end at the meatus urinarius. Behind the bladder liesthe uterus ; these organs are separated from one another by a reflectionof the peritoneum, but below the level of this reflection they areunited, over a small area, by cellular tissue. The vagina runs down-wards and forwards to end at the vulva ; it is united by a variableamount of cellular tissue to the bladder and urethra in front, and tothe anterior rectal wall behind. The lower third of the anterior 3 4 GYNECOLOGY vaginal wall is firmly welded to the posterior urethral wall, makingthe separation of these structures difficult. Planes of cellular tissueallow of the easy separation by dissection of the structures which
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Fig. 1. Mesial Sagittal Section through the Pelvis of an AdultNullipara (Poirier). they unite to one another ; in positions where no cellular tissue isfound, separation of the contiguous organs is more difficult and morelikely to be attended by injury to the parts dealt with. Behind the uterus lies a large peritoneal space which in Fig. 1has been cleared of its contents—omentum, small intestine, and pelvic THE PELVIC PERITONEUM AND CELLULAR TISSUE 5 colon. This space extends backwards to the anterior surface of thesacrum and is in relation inferiorly to the rectum. Placed betweenthe rectum and the utero-vaginal junction in the lowest part of thegynaecologyforst00eden

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