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This portion of the maternal passages is situated in the pelvic cavity which continues the abdominal cavity posteriorly. The pelvic walls are formed by bones and ligaments that are covered by heavy muscles. As previously mentioned, the ligaments and muscles relax toward the end of pregnancy in order to prepare the way for the passage of the foetus.
The contents entered posteriorly, and in an oblique direction, forward and inward, literally blowing off integuments and muscles, of the size of a man's hand, fracturing and carrying away the anterior half of the sixth rib, fracturing the fifth, lacerating the lower portion of the left lobe of the lungs, the diaphragm, and perforating the stomach."
I had not provided myself with the 'torsion forceps', but relied on the hold I should have on the vessel by means of a pair of common artery forceps; and the effect of imperfect instruments beautifully established the power of torsion in arresting hemorrhage. Two elliptical incisions were made on the face of the tumour, and prolonged anteriorly and posteriorly about an inch from it.
On the anterior face of the bones, the capsular ligament is attached to the carpal bones in such manner that an imperfect partitioning of the three joint compartments is formed. Posteriorly, the capsule is very heavy and forms a sort of padding over the irregular surfaces of the bones, and also its reflexions constitute the sheaths of the flexor tendons.
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