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Intra-Pelvic Technic OR Manipulative Surgery of the Pelvic Organs | by Percy H. Woodall, M.D., D.O.



The teachings of Major Thure Brandt (1822-1895) a layman and an officer in the Swedish army and Dr. Andrew Taylor Still (1828-1917) an American physician and their followers are related as massage as to osteopathy. Massage is by no means useless but is merely an adjunct. It lacks the definite, specific ideal of adjustment (the essential principle of osteopathy), but is sometimes useful as a means to accomplish this end. With a desire to aid in the further development of this most valuable therapeutic measure the following pages are presented.

TitleIntra-Pelvic Technic OR Manipulative Surgery of the Pelvic Organs
AuthorPercy H. Woodall, M. D., D.O.
PublisherWilliams Publishing Co.
Year1926
CopyrightDr. Percy H. Woodall
AmazonIntra-Pelvic Technic OR Manipulative Surgery of the Pelvic Organs

Percy H. Woodall, M. D., D O.

Member of the American Osteopathic Association.

Former President of the American Osteopathic Association.

Member of the Tri-State Osteopathic Association.

Former President of the Tri-State Osteopathic Association.

Member of the Alabama Osteopathic Association.

Former President of the Alabama Osteopathic Association.

Honorary member of the Tennessee Osteopathic Association

Associate Member New York Osteopathic Society.

Fellow American Academy of Ambulant Proctology.

Author of "A Manual of Osteopathic Gynecology" and "Osteopathy the Science of Healing by Adjustment".

Preface

Literature upon the manual treatment of pelvic pathology is surprisingly meager. It is by no means a new subject. During the same years two men in widely distant parts of the world were developing the treatment, Major Thure Brandt (1822-1895) a layman and an officer in the Swedish army and Dr. Andrew Taylor Still (1828-1917) an American physician.

These men were developing the treatment along different lines. Major Brandt, according to his training, along the lines of gymnastics and massage. Dr. Still with his newly discovered principle that mechanical perfection is the chief element in the maintenance of health, along the lines of mechanical adjustment of bodily structure. Nor did Major Brandt give any consideration to spinal maladjustment, with consequent disturbance of spinal innervation, as being related in any way to pelvic pathology.

So the teachings of these two men and their followers are related as massage as to osteopathy. Massage is by no means useless but is merely an adjunct. It lacks the definite, specific ideal of adjustment (the essential principle of osteopathy), but is sometimes useful as a means to accomplish this end.

With a desire to aid in the further development of this most valuable therapeutic measure the following pages are presented.

Percy H. Woodall, M. D., D. 0

Birmingham, Alabama November 25, 1925.

-Chapter I. Definition and Application
We shall limit the term intra-pelvic technic, as nearly as possible, to those manipulations applied with the hands directly to the organs and tissues within the pelvis, though occasionally it may be...
-Chapter II. Indications and Contraindications
Intra-pelvic technic is particularly valuable in the treatment of displacements, lessened mobility of the uterus, subinvolution, metritis, ovaritis, salpingitis, passive pelvic congestion and many cas...
-Chapter III. Anatomy
In considering the anatomy of the pelvic organs, only certain points will be mentioned that are particularly related to intra-pelvic technic. First we must visualize a pelvic cavity entirely filled w...
-Anatomy. Part 2
The muscle fibers in the broad ligament are of the unstriped variety, a continuation of the outer layer of the uterine muscle, and form a flat layer between the uterus, ovaries and tubes. The round l...
-Anatomy. Part 3
The pelvic colon begins at the superior strait of the pelvis and at about the middle of the third sacral vertebra becomes continuous with the rectum. Its average length is about sixteen inches, though...
-Chapter IV. Examination
The intra-pelvic examination should, as a general thing be the final examination. It should have been preceded by the oral examination, the anamnesis, which through its revelation of history and sympt...
-Examination. Part 2
The use of rubber gloves is recommended as a routine practice. Emergencies arise when they are not at hand and soap and water sterilization must be depended upon. Gloves should always be used when the...
-Examination. Part 3
The intra-vaginal fingers are now placed deeply in the pelvis just in front of the cervix and without relaxing its pressure the external hand, and the tissues with it, is moved toward the median line ...
-Chapter V. Adhesions
Adhesions (Figs. 10, 11, 13, 14, 19, 28, 29, 30, 31, 46) are scar tissue and are usually the end results of acute inflammation. This inflammation is either specific, due to the gonococcus, or septic a...
-Adhesions. Part 2
Should resolution occur and this condition pass into a stage of chronicity, at which time only would it be amenable to intra-pelvic technic, there would be found a conglomerate mass in one or both sid...
-Adhesions. Part 3
Symptoms The symptoms arising from pelvic adhesions may vary according to the location and severity of the primary attack and the amount of destruction of tissues and function it has caused, all the ...
-Adhesions. Part 4
Treatment Readjustment of organs and reconstruction of tissues with restoration of function is the ideal in treatment. Some time ago in an article on this subject I used the term ankylosis of the u...
-Chapter VI. Displacements
The uterus is balanced, or in a manner floats, in its normal position in the pelvic cavity in a state of equilibrium. Under natural conditions when this state of equilibrium is disturbed it is quickly...
-Lateral Displacements
Diagnosis While lateral displacements of the uterus are not frequent their occasional occurrence must be borne in mind for they may be mistaken for ether conditions. The laterally displaced uterus ma...
-Anteflexion
This is a condition in which the body of the uterus is bent forward on the cervix which occupies its normal position, or in which the cervix is bent forward on the body which remains in its proper loc...
-Anteflexion. Continued
Symptoms The most prominent symptoms of anteflexion are, dysmenorrhoea, sterility, irritable bladder and reflex nervous disturbances. The cause of the dysmenorrhoea in these cases has not been posit...
-Anteversion
This is a condition in which the uterus is rigid and the cervico-corporeal angle is either normal or extended, the fundus is turned forward and downward and the cervix passes upward and backward. The ...
-Backward Displacements
These are said not only to be the most frequent of displacements, but the most frequent of pelvic disorders. Of the backward displacements there are two: retroversion and retroflexion. In retroversi...
-Backward Displacements. Part 2
Pathology Remembering the course of the blood and lymph vessels and nerves that supply the uterus, as they pass between the layers of the broad ligaments, and the distortion and pressure that must en...
-Backward Displacements. Part 3
Treatment Replacement of a retro-displaced uterus depends upon free mobility. Unless the uterus is freely moveable, replacement if effected is but temporary. A most careful bimanual examination must ...
-Downward Displacement
Prolapse of the uterus ordinarily called falling of the womb is a condition in which the uterus permanently occupies a lower level in the pelvis than is normal (Figs. 37, 38). This condition varies ...
-Downward Displacement. Part 2
Pathology The uterine ligaments are stretched and the vaginal walls are congested, thickened and inverted, in proportion to the descent. As a consequence of their congestion, thickening and increase ...
-Downward Displacement. Part 3
Prognosis In those cases not due to severe lacerations of the perineum, tumors, ascites or absolute loss of tone, early relief and a possible ultimate cure are to be expected. A great deal has been d...
-Chapter VII. Endometritis
Chronic endometritis usually follows the acute form. The acute symptoms subside, but leave in their wake a very definite pathology and distressing symptoms of the chronic disorder. There are many case...
-Salpingitis
Chronic salpingitis is nearly always the result of the acute form. Pathology The tubal epithelium is diseased the walls are infiltrated and thickened by inflammatory exudate which may have become or...
-Chronic Ovaritis
This disease occurs more frequently associated with chronic inflammation of the pelvic peritoneum and connective tissues than as an affection of the ovaries alone. Both organs may be involved, but whe...
-Chapter VIII. Tampons
Tampons are useful, chiefly for two purposes: as media for the application of various medicaments to the cervix and vagina, and to support the uterus and the pelvic blood vessels. Tampons are made ei...
-Pessaries
A pessary is to the displaced uterus merely a crutch, an artificial support to be discarded as soon as the natural ones can function. Should the various agencies supporting the uterus fail to resume t...
-Pessaries. Part 2
Pessaries support the tissues either directly or indirectly. In their turn they are supported by the pubic arch, the muscles and fasciae about the vaginal entrance, the vaginal wails and the pelvic fl...
-Pessaries. Part 3
All of the ring pessaries have a tendency, after being worn for a short while, to shift their positions and turn edgewise to the vaginal entrance and to slip out. To prevent this a ring with a bar run...









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