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months pregnant." Pavlik emphasizes the importance of determining, if possible, the role vermox syrup played by the cervix during pregnancy vermox 100mg and labor, and states his belief that at all events "the cervix acts as does a puckering string to a bag, or as a stopper to a bottle, so far as it relates to the gestating uterus, and its removal sub- jects the patient to the danger of uterine evacuation at all stages of pregnancy." Holmes (8), on the vermox tablets other hand, admits the pos- mebendazole vermox sibility purchase vermox of premature vermox for worms labor following amputation of the cervix but not so early that a living child might not be delivered, because it is very near ter- mination of labor before the internal os gives way. Holmes concludes, therefore, that the cervix plays an unimportant part in gestation. Sturmdorf concurs with a statement that pregnancy and labor are in- trinsically corporeal functions. Clinically, Holmes found, merely, that after amputation of the cervix the earmarks of labor were lost and the labor was exceedingly easy and uneventful. Heaney (9) also has observed easy labors following amputation of vermox for sale the cervix. The question of the advisability of conserving normal ovaries in hysterectomy invites disctission. Culbertson (10) defines the menopause as a func- tional derangement on the part of various glands of the endocrine system subsequent to the cessation of the ovarian vermox price secretion. During the early vears .following vermox oral suspension puberty, for example, before glandular harmony has become established, castration is pro- vermox for children ductive of but slight disturbance. Later, with some variations, the longer the gonad has been function- ally vermox suspension associated with the endocrine group the greater disturbance there will be when that gonad is with- drawn, and further, the syndromes following the cessation of ovarian secretion present familiar pic- tures of underactivity or overactivity of the vari- ous order vermox ductless glands. This glandular interrelation has been discussed, also, by Frank (11), Goetsch (12), Graves (13), Loeb (14), Marine (15), Rich- ardson (16), Vincent (17), and others. Culbertson believes that ovarian tissue should be retained whenever surgically possible. Graves states that during maturity until the menopause the ovary plays a subordinate but not an insignificant role in the endocrine group. In the reproductive system, on the other hand, it is a pre- dominant but not independent factor, since its proper function depends upon a normal relation vermox online with the uterus and its endometrium. The break- ing of this relationship and the consequent upset of the physiological balance of the endocrine group, whether by removal of the ovaries or of the uterus, is of slight difTerence symptomatically. Retention of the ovaries after hysterectomy or of vermox worms the uterus after oophorectomy are both potentially trouble- some. The investigation of Sampson (18) into the blood supply vermox otc of the ovary convinces him that the actual supply is derived from the ovarian and uterine arteries. The potential supply is found in the com- vermox australia munications between the vermox tablet arteries of the tube and of the broad ligament, branches of uterine and ovarian origin. The blood supply is considerably jeopardized by salpingectomy. The surgeon should therefore cut close to the tube and avoid mass ligatures of the broad ligament. Sampson has fol- lowed, with satisfaction, the safer plan suggested by Dickinson (19) of retaining the tubes in hyster- ectomy when the ovaries are conserved. Dickinson, in 1912, strongly advocated retention of normal ovaries. Polak (20) believes that preservation of the menstrual function is the important consideration. To that end, when infected tubes require removal and one or both ovaries can be conserved, he pro- generic vermox tects the ovarian blood supply by a technic similar to that suggested by Dickinson with the addition 714 FOWLER: CERVICAL LACERATION. of removal of the fundus uteri. Polak (21) states, ho\ve\er. that in hysterectomy, with ligation buy vermox of the uterine arteries, the ovarian blood supply is seri- ously reduced. The ovaries, too, when hysterec- tomy is indicated, are frequently abnormal. The life hi.story of the retained ovary is only about two years. Polak has reoperated upon seventy-three women for painful and cystic ovaries within five years of the primary procedure. VinelxTg (22), in 1915, had reoperated upon two patients for cystic degeneration of the ovaries fol- lowing hysterectomy for fibroma. Vineberg con-

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