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Published online by Cambridge University Press: 06 July 2012
The study of a normal process in an organ so especially prone to disease as is the human uterus, is beset with many difficulties; so many foreign conditions are apt to be present, giving a false impression as to what this process really is. That this is the case to no small degree, when the character of the changes which occur in the normal involution of the uterus after child-birth is the subject of observation, is shown by the variety of opinions held and stated by doubtlessly competent observers; for while one holds that the muscle undergoes a fatty degeneration, another holds that no such fatty change occurs; while one asserts that only a certain number of the fibres degenerate and disappear, another states that so complete is the destruction, that not one single fibre present in the uterus before birth survives the process; while another goes to the extent of saying, that the puerperal uterus can in no way be distinguished from a uterus that has undergone an inflammatory process.
page 359 note * Schrœder, Schwangerschaft, Geburt, and Wochenbett, 1867, S. 174.
page 361 note * Kölliker, Mikroskopische Anatomie, 1854, Zweiter Band, Zweite hälfte, s. 448–9; also in 4th edition, 1863, pp. 567–8.
page 361 note † Zeit. f. Wissensch. Zool., 1849, Erster Band, s. 72.
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page 361 note ∥ Rutherford, , Text-Book of Physiology, vol. i. p. 135Google Scholar.
page 361 note ¶ Kölliker, , Anatomie, s. 449 (Connective Tissue)Google Scholar; s. 455 (Veins and Arteries).
page 361 note ** Cent.f. Gynec., No. 1, 1885, Jan. 3, from Il Morgagni, 1884.
page 361 note †† “Beiträge zur Kentniss der glatten Muskeln, von. A. Kölliker,” Zeit. f. Wissen. Zool., Erster Band, 1849, s. 73.
page 362 note * “Untersuchungen über das Verhalten des menschlichen Uterus nach der Geburt,” Heschl, von Dr, Zeit. der Kais. kön. Gesellschaft. der Aerzte zu Wien, Achter Jahrgang, 1852, Bd. ii. s. 228, &cGoogle Scholar.
page 362 note † Kölliker, Mikroskopische Anatomie, s. 452.
page 362 note ‡ Dict. Encyc. de Med., Art. “Musculaire,” 1876, 2me série, vol. x. pp. 537, 541Google Scholar.
page 362 note § Luschka, , Die Anatomie des Menschen, 1864, 2 Bd. 2 Abtheilung, s. 365Google Scholar.
page 362 note ∥ Cent. f. Gyn., No. 1, 1885, Jan. 3; and Il Morgagni, 1884.
page 362 note ¶ Beiträge zur Path. Anat. und Klin. Med., Leipzig, 1888Google Scholar.
page 362 note ** Arch, de Physiologie Normale et Pathol., No. 8, 15th Nov. 1887, p. 568, &c., Troisième série, tome dixième, 1887.
page 362 note †† Beneke, “Zur Lehre von der hyalinen Degen. der glatten Muskelfasern,” Virch. Arch., Bd. IC. Heft 1, s. 71.
page 363 note * Balin, , Archiv f. Gyn., xv.Google Scholar; also Friedländer, Physiologisch-anatomische Untersuchungen über den Uterus, 1870; Leopold, , Arch. f. Gyn., xii.Google Scholar; Patenko, , Arch.f. Gyn., xiv. s 422.Google Scholar
page 363 note † “Die Structur des Uterus bei Thieren,” DrKilian, von F. M., Zeitschrift für rationelle Medicin, Band ix. Heft 1, 1846Google Scholar; s. 9, 15, 32, 33–35, 40–41.
page 364 note * Schmidt's, Jahrbuch, 1886.Google Scholar
page 365 note * I find that this appearance has been noted by Dr Julius Elischer, who, in a paper on “The Finer Anatomy of the Muscle-fibre of the Uterus” (Arch. f. Gynec. Band ix., 1876, s. 15Google Scholar), says—“My observations of the contractile substance show a decided difference according as the muscle of a non-pregnant, or, on the other hand, of a pregnant uterus is taken. Without further treatment with reagents, only teased in amniotic fluid, the muscle fibres of the non-pregnant uterus show the contractile substance more markedly striated, and have an appearance (Glanz) much darker than those of the pregnant organ, whose appearance, I might say, reminds one of that of slight amyloid degeneration.”
page 372 note * “Die Structur des Uterus bei Thieren,” Dr Kilian, von F. M., Zeit. f. ration. Med., ix. Bd. 1 Hft, 1849Google Scholar.
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page 374 note * “Researches on the Intracellular Digestion of Invertebrates,” by Dr Metschnikoff, Elias, Quart. Jour. Micr. Sci., 1884, vol. xxiv. p. 109Google Scholar.
