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OF

MEDICINE AND SURGERY,

APPLIED TO THE

DISEASES AND ACCIDENTS INCIDENT TO WOMEN.

BY W. H. BYFORD, A.M., M.D.,

PROFESSOR OF GYNECOLOGY IN RUSH MEDICAL COLLEGE, AND OF OBSTETRICS IN THE WOMAN'S MEDICAL COLLEGE; SURGEON TO THE WOMAN'S HOSPITAL OF CHICAGO; EX

PRESIDENT OF THE AMERICAN GYNECOLOGICAL SOCIETY;

EX-VICE-PRESIDENT OF THE AMERICAN
MEDICAL ASSOCIATION, ETC.

AND

HENRY T. BYFORD, M.D.,

SURGEON TO THE WOMAN'S HOSPITAL OF CHICAGO; GYNECOLOGIST TO ST. LUKE'S HOSPITAL; PRESIDENT OF THE CHICAGO GYNECOLOGICAL SOCIETY; MEMBER OF AMERICAN MEDICAL ASSOCIATION; OF ILLINOIS STATE MEDICAL SOCIETY;

OF CHICAGO MEDICAL SOCIETY, ETC.

FOURTH EDITION.

REVISED, REWRITTEN AND VERY MUCH ENLARGED

WITH

THREE HUNDRED AND SIX ILLUSTRATIONS.

LANE LIBRARY

PHILADELPHIA:

P. BLAKISTON, SON & CO.,

No. 1012 WALNUT STREET.

1888.

COPYRIGHT, 1887,

BY

P. BLAKISTON, SON & CO.

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IN no other branch of medicine or surgery has there been more rapid and greater advances made during the past few years than in gynæcology. This has necessitated a complete revision of my book, entailing the rewriting of many sections, the addition of much new material, and the consequent enlargement of the volume.

The principal additions are the chapters on "Practical Observations upon the Anatomy and Physiology of the Female Pelvic Organs; " "Examination of the Female Pelvic Organs" (three chapters); "Displacements of the Uterus" (three chapters); "Affections of the Ovaries" and "Fallopian Tubes ;" and the paragraphs upon "Oöpho rectomy," "Tumor of the Broad Ligament," etc.

While Chapter I is intended to supplement the general knowledge of anatomy and physiology obtained at the medical colleges, Chapters II and III are intended as a study of the anatomy and relation of the pelvic structures as they are encountered clinically. The value of a proper understanding of the anatomy, physiology and topography of these special organs cannot be overestimated, and it is hoped that this section will be found of service both to practitioner and student. The chapter on "Lacerations of the Perineum and Pelvic Floor" has been rewritten, with the end in view of enabling the young practitioner to treat these accidents with discriminating intelligence, instead, as is so often the case, of learning to carve all injured perinæa to suit one stereotyped operation. Chapters XXIX, XXX, and XXXI, on "Displacements of the Uterus" have been rewritten and Chapter XXXII revised with a similar intention. The chapters on the "Affections of the Ovaries" and "Fallopian Tubes " have also been revised, and the subject of oophorectomy rewritten.

New matter concerning tumor of the broad ligament and pelvic abscess (see chronic perimetritis) has been added, and some additions to Chapters III, XII, XXV, XXXV, XXXVI, XXXIX, XLVIII, and others, made.

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