Gynaecology for students and practitioners . Fig. 413. Jayles Vaginal Retractor and Auvards Speculum in Fig. 414. Jayles Vaginal Retractor. GENERAL CONDUCT OF THE OPERATION 737 walls, while the self-retaining weighted speculum of Auvard {see ) depresses the posterior vaginal wall and perineum. Theexposure of the depths of the vaginal canal which is thus afforded,enables manipulation to be carried out with ease under direct observa-tion, and obviates the risk of infection resulting from contact ofinstruments, etc., with the skin-surfaces of the vulva which are sodifficult to s
Gynaecology for students and practitioners . Fig. 413. Jayles Vaginal Retractor and Auvards Speculum in Fig. 414. Jayles Vaginal Retractor. GENERAL CONDUCT OF THE OPERATION 737 walls, while the self-retaining weighted speculum of Auvard {see ) depresses the posterior vaginal wall and perineum. Theexposure of the depths of the vaginal canal which is thus afforded,enables manipulation to be carried out with ease under direct observa-tion, and obviates the risk of infection resulting from contact ofinstruments, etc., with the skin-surfaces of the vulva which are sodifficult to sterilize. Intra-abdominal technique. There are certain general principles tobe borne in mind in all internal manipu-lations of the abdominal viscera. Thesecan only be mentioned without elabora-tion, and their importance will, it ishoped, be sufficiently apparent. (1) Allviscera should be handled as little aspossible, and as gently as possible.(2) Haemorrhage should be reduced toa minimum by seciu-ing vessels whenpossible before dividing them ; it is oftenof advantage to secure the blood-vesselssupplying an ar
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
