Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . poses of diagnosis (except, perhaps, mere localinspection), the straight lateral position, in my opinion, is decidedly infe-rior to the dorsal which, moreover, permits the use of either hand for in-dagation without change of position. It is also evident that whateverdisplacement of the pelvic organs possibly occurs on the side, is not usualto the patient, and can therefore but serve to confuse the diagnosis. Neverthel
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . poses of diagnosis (except, perhaps, mere localinspection), the straight lateral position, in my opinion, is decidedly infe-rior to the dorsal which, moreover, permits the use of either hand for in-dagation without change of position. It is also evident that whateverdisplacement of the pelvic organs possibly occurs on the side, is not usualto the patient, and can therefore but serve to confuse the diagnosis. Nevertheless, the majority of English gynecologists persist in usingthe left lateral position both for indagation and examination with the cyl-indrical and bivalve speculum. c. Latero-ahdominal Position. Next to the dorsal, the latero-abdominal, or semiprone, position, is un-questionably the most useful; not, however, for a digital examination, butfor the employment of the speculum, and chiefly one particular speculum,the duck-bill of Sims. A digital examination can, it is true, be performed, and the other va-rieties of specula introduced quite as successfully (and more advantage-. Fig. 5.—Latero abdominal (Sims) position. (Hegar and Kaltenbach.) ously, as will be shown hereafter) in this position as in the straight late-ral; but it is chiefly for the exposure of the whole vaginal tract by theduck-bill that this position is useful. The patent lies on her side (right or left; the left is the one usuallyemployed, and is recommended by the discoverer of this position, Sims,because the nurse can best hold the speculum with her right hand), on aperfectly flat, hard table, the head on a low pillow, the lower (we will takethe left) shoulder and that half of the thorax touching the table, the othershoulder but slightly raised from it, the left arm thrown out behind andhanging over the edge of the table; the left hip touching the lower edge 24 A TREATISE ON MINOR SURGICAL GYNECOLOGY. of the ta
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
