Pathology and treatment of diseases of women . Fig. 54.—Retroflexio Uteri Puerperalis with Incom-plete Expulsion of the Placenta, Attached to theAnterior Wall. 92 DISEASES OF WOMEN thorough scraping of the placental site. This offers, as a rule, no diffi-culty for the inserted finger. Curette or placenta forceps are uterus contracts powerfully after this, with bimanual massage, hotirrigation (50° C. = 122° F.) repeated subcutaneous injections of ergotin() or secale cornutum () per os. The uterus remains, as a rule, inthe replaced position. I have introduced a pessary duri
Pathology and treatment of diseases of women . Fig. 54.—Retroflexio Uteri Puerperalis with Incom-plete Expulsion of the Placenta, Attached to theAnterior Wall. 92 DISEASES OF WOMEN thorough scraping of the placental site. This offers, as a rule, no diffi-culty for the inserted finger. Curette or placenta forceps are uterus contracts powerfully after this, with bimanual massage, hotirrigation (50° C. = 122° F.) repeated subcutaneous injections of ergotin() or secale cornutum () per os. The uterus remains, as a rule, inthe replaced position. I have introduced a pessary during the first weekin two cases of retrodeviation of the uterus and allowed it to remain forfour weeks. B. If the cases which follow the puerperium do not come undertreatment so soon, that is during the second to the sixth week, so thatc ne cannot advance with the finger without effort to the placental site. Fig. 55.—Retroflexio Uteri. (Preparation of the womens clinic of Greifswald.) , fundus uteri; P. V., portio vaginalis; V., vagina; R., rectum; S., symphysispubis; B., bladder. The plica peritonei transversa shows plainly on the bladderwall. The separation of the peritoneum posterior to the plica as far as the corpusis an artefact. through the internal os, then one must determine whether a retention ofparts of the ovum exists. Ill-smelling secretions, expulsion of shreds ofdecidua, bloody flow, which stops for a time, then returns abundantly,;and excessive size and softness of the uterus point to it. E,3tained products of gestation must be removed immediately. Thefinger can always be inserted with slight force, without anesthesia,otherwise with it. The hemorrhages stop as soon as the uterine wall is scraped off com-pletely. The uterus contracts strongly and can be fixed in the normalposition with a pessary, if it falls again into reflexion without it. C. Most of the puerperal ret
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Keywords: ., bookcentury1900, bookdecade1, booksubjectgynecology, bookyear1912
