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

This textbook has its ongm in a longstanding overseas profes­ sional and private dating of the authors. The luck of the German variation used to be as a result of the the curiosity of the German authors, Dr. okay. Knorr and Dr. C. Lauritzen, in synthesizing simple and medical details in a textbook, the dimensions and scope of that are acceptable to the trendy undergraduate clinical scholar. a different characteristic of the quantity was once the addition of yank gynecological considering through Dr. F. okay. Beller, who spent 12 years at big apple college sooner than returning to Germany. The English version, that's geared toward the yank scientific pupil, has enlisted the companies of Dr. R. M. Wynn, whose educational profession has been within the usa, even supposing he's completely accustomed to ideas and practices of German gynecology. The English variation isn't basically a translation of the German textual content. fairly, it accommodates lots of the fabric, yet with really appropriate deletions, additions, and substitutions it brings the educating into the mainstream of yank clinical schooling. We recognize with gratitude the specialist editional tips of Dr. Henriette Knorr-Gartner. Dr. R. Schuh­ mann and Mr. H. Brandt of Springer-Verlag have been accountable for the histological sketches. The overdue Dr. H. Roemer ready the part on psychosomatic issues; 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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All steroid hormones share a common structural nucleus which consists of a four-ring structure known as cyclopentanoperhydrophenanthrene. It consists of three rings of six carbon atoms each (phenanthrene) and one ring of five carbon atoms (cyclopentane) (Fig. 30). Compounds derived from this basic structure are known as steroids. If one or more oxo groups are present, the compound is called a steroid. The rings are deSignated by letters (A to D) and the carbon atoms are numbered 1 to 17 (C I -C 17 ).

Care must be taken to place the clamp very close to the uterus to avoid damage to the ureters, which lie just lateral to the vessels. Especially in pregnancy the ureters cross the uterine arteries very near to the uterus. Since the hypogastric artery gives rise to the uterine artery and several other branches, its ligation often achieves relative hemostasis even when bleeding points in the pelViS cannot be identified. The upper vagina is supplied by the descending branches of the uterine artery.

The mucosa consists of a Single layer of columnar cells, some ciliated and others secretory (Fig. 25). The cyclic changes are much less evident than those in the endometrium. The current produced by the cilia is in the direction of the uterus. The ampulla is the wide lateral part of the tube that widens into the infundibulum, with its characteristic fibriated extremities. The narrow proximal portion of the tube is the isthmus. A short section of the tube is intrauterine or interstitial. The ovary is contracted during ovulation by the fimbriated extremities of the tube.

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