Matches in SemOpenAlex for { <https://semopenalex.org/work/W1618331510> ?p ?o ?g. }
Showing items 1 to 40 of
40
with 100 items per page.
- W1618331510 endingPage "640" @default.
- W1618331510 startingPage "633" @default.
- W1618331510 abstract "I T IS my purpose to present in the paper which follows some of ml observations and my practice in the performance of vaginal plastic operations in the clinic of the Woman’s Hospital where I have been associated for the past eight years. The experiences encountered during this period have been most interestin, 0~ and instructive, and I wish at the outset to acknowledge my genuine gratitude to t.he chief surgeon and to other senior members of the staff for the opportunity to study and compare their several excellent methods of work. A thorough knowledge of the anatomy of the pelvic organs and particularly of their surrounding fascial structures is admittedly a prerequisite to the intelligent handlin g of all conditions where plastic repair is indicated. At the same time it cannot be denied that there has been an extraordinary amount of detailed and often confusing description of the musculofascial planes in this region. The result is that the beginner, and even the man of practical experience, is often despairingly confused when he undertakes their study. Among the most lucid descriptions of these structures to be found in English may be mentioned the papers of Frank, Ward, Bissell and Goff and Farrar’s chapter in the recent Kelly’s G$jnecoZogy. All of these quote freely from the European observers, Martin, Tandler, Halban and others, and offer admirable illustrations. A perusal of these papers brings out the following facts which may be regarded as salient, and quite indispensable to the discerning surgeon. The two distinct systems concerned in the support of the female generative organs, as well as of the urinary bladder and the rectum, are t,he lower or supporting apparatus and the upper or holding apparatus. The first of these two groups consists of the levator ani and coccygeus muscles with t.heir fascial investments a,nd the triangular ligament in which is ensheathed the deep transversus perinei. This supporting apparatus, called sometimes the pelvic diaphragm, has been aptly likened by Frank to the shock absorbers in a mechanical device and, in my opinion, plays an important coordinating, but none the less minor, part in the prevention of prolapse of the uterus and vaginal walls. The major factors operatmg to control normal relations are the numerous musculofascial planes radiating in all directions from the upper part of the cervix, and it is to these structures that the term “holding apparatus” has been applied. This division Frank has again" @default.
- W1618331510 created "2016-06-24" @default.
- W1618331510 creator A5083173570 @default.
- W1618331510 date "1930-05-01" @default.
- W1618331510 modified "2023-09-24" @default.
- W1618331510 title "Observations and conclusions on plastic operations in gynecology" @default.
- W1618331510 doi "https://doi.org/10.1016/s0002-9378(30)90503-0" @default.
- W1618331510 hasPublicationYear "1930" @default.
- W1618331510 type Work @default.
- W1618331510 sameAs 1618331510 @default.
- W1618331510 citedByCount "4" @default.
- W1618331510 crossrefType "journal-article" @default.
- W1618331510 hasAuthorship W1618331510A5083173570 @default.
- W1618331510 hasConcept C19527891 @default.
- W1618331510 hasConcept C29456083 @default.
- W1618331510 hasConcept C71924100 @default.
- W1618331510 hasConceptScore W1618331510C19527891 @default.
- W1618331510 hasConceptScore W1618331510C29456083 @default.
- W1618331510 hasConceptScore W1618331510C71924100 @default.
- W1618331510 hasIssue "5" @default.
- W1618331510 hasLocation W16183315101 @default.
- W1618331510 hasOpenAccess W1618331510 @default.
- W1618331510 hasPrimaryLocation W16183315101 @default.
- W1618331510 hasRelatedWork W1506200166 @default.
- W1618331510 hasRelatedWork W1995515455 @default.
- W1618331510 hasRelatedWork W1999344589 @default.
- W1618331510 hasRelatedWork W2039318446 @default.
- W1618331510 hasRelatedWork W2080531066 @default.
- W1618331510 hasRelatedWork W2748952813 @default.
- W1618331510 hasRelatedWork W2789448498 @default.
- W1618331510 hasRelatedWork W2899084033 @default.
- W1618331510 hasRelatedWork W3032375762 @default.
- W1618331510 hasRelatedWork W3108674512 @default.
- W1618331510 hasVolume "19" @default.
- W1618331510 isParatext "false" @default.
- W1618331510 isRetracted "false" @default.
- W1618331510 magId "1618331510" @default.
- W1618331510 workType "article" @default.