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542 THE MEDICAL SOCIETY OF THE STATE OF NORTH CAROLINA protrusion appearing at such an early age in a nulliparous individual, that the posterior vaginal hernia was the first abnormality to develop as a result of the heavy lifting. And that by its long continued dragging action it was responsible for pulling down the uterus and bladder. I am unaware of another case having manifested itself so early in life. Fig. 3—Posterior Vaginal Hernia. Etiology: Posterior vaginal hernias arise from the bottom of Douglas' pouch. The main bodies of the levator ani group of muscles and the stronger fascial supports pass lateral to the vagina and rectum, and so the floor of Douglas' pouch contains but little muscular tissue and a comparatively thin fascia. It is through this weaker portion of the pelvic sling that the hernia emerges. Figure 3. Dissecting its way downward between the rectum and the vagina it makes its appearance beneath the posterior vaginal wall. Whereas, occasionally such hernias have been found in nulliparous women the majority of them have occurred in those who have borne many children. Considering the relaxation of the tissues that accompanies pregnancy and the unavoidable trauma incident to delivery it seems unusual that such hernias do not occur more frequently.
Object Description
Rating | |
Fixed Title * | NCHH-16: Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1938 |
Identifier | NCHH-16-085 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 85 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-085.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-085 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
Description
Fixed Title * | Page 542 (image) |
Document Title | Transactions of the Medical Society of the State of North Carolina [1891-1939] |
Subject Topical | Medicine -- North Carolina -- Societies, etc. |
Subject Topical Other | Societies, Medical -- North Carolina. |
Description | After 1939 transactions published in the North Carolina Medical Journal |
Creator | Medical Society of the State of North Carolina. Annual Session. |
Publisher | Raleigh, N.C. : Medical Society of the State of North Carolina, 1891-1939. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1938 |
Identifier | NCHH-16-085-0580 |
Form General | Periodicals |
Page Type | all; all images; diagram; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | transactions851938medi_0580.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 85 |
Page Number | 542 |
Health Discipline | Medicine |
Full Text | 542 THE MEDICAL SOCIETY OF THE STATE OF NORTH CAROLINA protrusion appearing at such an early age in a nulliparous individual, that the posterior vaginal hernia was the first abnormality to develop as a result of the heavy lifting. And that by its long continued dragging action it was responsible for pulling down the uterus and bladder. I am unaware of another case having manifested itself so early in life. Fig. 3—Posterior Vaginal Hernia. Etiology: Posterior vaginal hernias arise from the bottom of Douglas' pouch. The main bodies of the levator ani group of muscles and the stronger fascial supports pass lateral to the vagina and rectum, and so the floor of Douglas' pouch contains but little muscular tissue and a comparatively thin fascia. It is through this weaker portion of the pelvic sling that the hernia emerges. Figure 3. Dissecting its way downward between the rectum and the vagina it makes its appearance beneath the posterior vaginal wall. Whereas, occasionally such hernias have been found in nulliparous women the majority of them have occurred in those who have borne many children. Considering the relaxation of the tissues that accompanies pregnancy and the unavoidable trauma incident to delivery it seems unusual that such hernias do not occur more frequently. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-16/nchh-16-085.pdf |
Document Sort | all; group-d; nchh-16 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-16-085 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-16 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2983307 |
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