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In all the cases tbere was fever in Marconnet's, Bizzozero's, Tscherniischew's cases there was slight hemorrhage in the remaining cases there was only a purulent discharge. Great pain was present in all the cases the labia were always swollen, and occasionally ulcerated.

The vaginal mucous membrane was swollen, pale, and, except in Marconnet's cases, where help writing term paper the blood supply was not entirely cut off, was discolored and necrotic. The expulsion usually occurred spontaneously, often at stool.

Bizzozero removed the sequestrated skin slight traction. With the exception Minkiewitsch's case severe typhoid, all recovered after suppuration and granulation. Syromiatnikoff case not counted among the fatal, since she was discharged cured, and died a few months later from rupture a pelvic abscess into the peritoneal cavity.

It interest that as much atresia and union the granulating surfaces did not occur in all the cases as was expected. In both Marconnet's cases the vaginae remained patent, although only kept them a short time under observation. Tschernuschew's cases give no data except that they were discharged cured. In tbe remaining cases great stenosis resulted in consequence the perr vaginitis nevertheless in Wiegandt case pregnancy ensued within a year. The i need someone to write my research paper treatment aims, course, at modifying the complications, and until the expulsion the membrane consists in the strictest possible antisepsis, camphor, iodoform, careful cleansing the genitals.

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As soon as the separated parts can removed without injury this should done.

After expulsion the canal should irrigated With carbolized water, and the like, and custom essays review term paper custom tampons smeared with some ointment should inserted, or else iodoform gauze, control the tendency shrinkage. In addition perr vaginitis phlegmonosa, there occur phlegmonous inflammations in the perrvaginal connective tissue as the result gravitation pus master thesis writing service from pelvic abscesses. They are far more thesis service frequent, and ordinarily affect the posterior vaginal wall, examples of dissertations although their seat depends on that the primary affection, and hence may met us essay writing services with elsewhere.

cheap custom research papers These perrvaginal article writing service inflammations lead rather fistulous communications than undermining the mucous membrane. In the recto-vaginal septum perforation rather occurs towards the rectum than towards the vagina, in the median division in the upper and lower division, the contrary, they more frequently perforate into the vagina. The incomplete evacuation the pus through the fistulous opening the reason for the extension and chronicity the process, and the treatment should aim at making a free outlet.

Finally, must refer here the chronic perivaginal inflammations which develop as the result syphilitic ulceration in the rectum and from periproktitis, and which are characterized by cicatricial contraction the cellular need help writing a term paper tissue, there existing fistulous communication with the rectum. Of the remaining infectious processes in the vagina must still speak It not possible state how often the vagina the seat syphilis, since often in the recorded cases the presence the disease in the vagina and the cervix are confounded. For both together Klink, from his personal observation and from a search through French and G erman literature, concludes that the ratio chancre here that in other localities as. According Kaposi soft chancre rarely met with, although more frequently than hard Kaposi saw two cases within three months. Of hard chancres the female genitals Fournier only found one the vaginal mucous membrane. Klebs also states that the primary lesions in the vagina often lack induration.

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