Download e-book for kindle: Gynecology: A Textbook for Students by Fritz K. Beller, Karl Knörr, Christian Lauritzen, Ralph M.

By Fritz K. Beller, Karl Knörr, Christian Lauritzen, Ralph M. Wynn (auth.)

ISBN-10: 038790087X

ISBN-13: 9780387900872

ISBN-10: 1461571286

ISBN-13: 9781461571285

This textbook has its ongm in a longstanding overseas profes­ sional and private courting of the authors. The good fortune of the German version used to be end result of the the curiosity of the German authors, Dr. ok. Knorr and Dr. C. Lauritzen, in synthesizing simple and medical details in a textbook, the scale and scope of that are acceptable to the trendy undergraduate clinical pupil. a distinct characteristic of the amount was once the addition of yankee gynecological considering by way of Dr. F. ok. Beller, who spent 12 years at long island college ahead of returning to Germany. The English variation, that's geared toward the yankee scientific scholar, has enlisted the providers of Dr. R. M. Wynn, whose educational profession has been within the usa, even though he's completely conversant in rules and practices of German gynecology. The English variation isn't really in basic terms a translation of the German textual content. quite, it contains lots of the fabric, yet with really apt deletions, additions, and substitutions it brings the instructing into the mainstream of yankee scientific schooling. We recognize with gratitude the professional editional suggestions of Dr. Henriette Knorr-Gartner. Dr. R. Schuh­ mann and Mr. H. Brandt of Springer-Verlag have been liable for the histological sketches. The overdue Dr. H. Roemer ready the part on psychosomatic problems; Dr. F. W. Ahnefeld assisted within the part on surprise; and Dr. H. Breinl helped to arrange the bankruptcy on anatomy within the German edition.

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After cessation of ovarian function, the epithelium atrophies and the subepithelial connective tissue appears cellular and thick. may be found at the end of a deep scar that extends into the lateral fornices. A noncornified, stratified squamous epithelium normally covers the portio vaginalis. The endocervix, however, is lined by a single layer of mucus-producing columnar epithelium. The high pH of the mucus (between 7 to 8) serves as a barrier to infections. The hormone-dependent changes in physical and chemical characteristics of the mucus have great influence on the penetration of sperm.

During ovulation, the cumulus oophorus, including the oocyte, separates from the follicle wall. The precise mechanism by which the egg escapes from the ovary remains unclear. In any case, the oocyte with its surrounding granulosa cells (corona radiata) is taken up by the fallopian tube. The ovum undergoes the first meiotic division before ovulation and starts the second division, which is carried out to the metaphase. The second meiotic division is completed only upon fertilization. Unfertilized eggs become atretic and degenerate.

The majority become atretic and degenerate. Only the tertiary follicles ever develop hyperplasia of the theca interna, which produces estrogens that affect the endocrine changes during the menstrual cycle. Innervation of the Genitalia Contractility of the uterus does not depend primarily on nerve supply, for hemiplegic patients may still have normal uterine contractions. 42 Gynecology: A Textbook for Students Fig. 29. Structure of the ovary. On the periphery the so-called germinal epithelium is still visible for the most part.

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Gynecology: A Textbook for Students by Fritz K. Beller, Karl Knörr, Christian Lauritzen, Ralph M. Wynn (auth.)


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