. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fig. 4369.—Fowlers Pessary. 475 I Kill*. Uterus. REFERENCE HANDBOOK OF THE MEDICAL Fig. —Cup Pessary, with Inflexible Stemand Bands for Attachment to Waist Belt. There is danger in the use of this pessary, and the patientshould be carefully and constantly kept under observa-tion. The occurrence of a vesico-vaginal fistula from itsuse is not unknown. The intra-uterine stem pessary at times may be suc-cessfully to retain thecervix


. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fig. 4369.—Fowlers Pessary. 475 I Kill*. Uterus. REFERENCE HANDBOOK OF THE MEDICAL Fig. —Cup Pessary, with Inflexible Stemand Bands for Attachment to Waist Belt. There is danger in the use of this pessary, and the patientshould be carefully and constantly kept under observa-tion. The occurrence of a vesico-vaginal fistula from itsuse is not unknown. The intra-uterine stem pessary at times may be suc-cessfully to retain thecervix in place bythe above measures,resort should be hadto amputation of theelongated amputation maybe performed witheither the ecraseur,the galvano-cautery,or the knife. Thetwo former are un-safe, because of theliability that the loopwill include a por-tion of the bladderor of the rectum, or that the peritoneum itself may beopened. By the knife several methods are open forchoice. The simplest is known as the circular method(Fig. 4371). In this there is no dissection of the mucous membrane,but the cervix is simply amputated at the level desired ;the stitches passed across the face of the same bring to-gether th


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188