. A reference hand-book of gynecology for nurses . diet being restricted to beef-juice andalbumin water. On the eighth day calomel and podophyllin aregiven in capsule, followed after four hours by awineglassful of Hunyadi water, to be repeatedevery two hours. An oil enema is given with thefirst dose of Hunyadi water and is retained. Whenthe patient feels an inclination for a movement,a soap and water enema is given. Vaginal Evacuation of a Pelvic Abscess.—The routine preparation is followed. Steps in the Operation.—The vaginal vault isexposed and incised over the abscess; the abscessis opened,
. A reference hand-book of gynecology for nurses . diet being restricted to beef-juice andalbumin water. On the eighth day calomel and podophyllin aregiven in capsule, followed after four hours by awineglassful of Hunyadi water, to be repeatedevery two hours. An oil enema is given with thefirst dose of Hunyadi water and is retained. Whenthe patient feels an inclination for a movement,a soap and water enema is given. Vaginal Evacuation of a Pelvic Abscess.—The routine preparation is followed. Steps in the Operation.—The vaginal vault isexposed and incised over the abscess; the abscessis opened, its cavity flushed and packed. Instruments (Fig. 40): Weight speculum. Vaginal retractors. Tenaculum forceps. Knife. Long scissors, straight and curved. Two sizes of Goodell dilators for enlarging theopening. Long, slender packing forceps, curved andstraight. Short, straight scissors. Have ready for irrigation a douche-bag and MINOR GYNECOLOGIC OPERATIONS 73 tubing, intra-uterine nozzle, two-way catheter,salt solution or boric-acid Fig. —Instruments required for vaginal evacuationof a pelvic abscess: 1, Weight speculum; 2, vaginal retractor;3, tenaculum forceps; 4, knife; 5, long scissors, straight andcurved; 6, short straight scissors; 7, Goodell dilators; 8, long,slender packing forceps. Provide rubber drainage-tubing, J and J inchwide, and folded iodoform gauze packing. The after-care is the same as for dilatation andcurettage. Douches may or may not be ordered;the patient stays in bed several weeks. The abscess cavity is repacked, and possiblyirrigated, every twenty-four to forty-eight hours,or at longer intervals until healed. For thesedressings place the patient in the dorsal positionacross the bed, facing a good light, and with herhips on a Kelly pad. Disinfect the vulva before the packing is removed;after it is removed give a bichlorid vaginal douche. Instruments: Weight speculum. Vaginal retractors. Two tenaculum forceps. Two dressing forceps. Sma
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