. The diagnosis and treatment of diseases of women. Fig. 634. Another Method of Arranging a Cross-piece on the End of a Drainage-tube, tokeep the tube from slipping out of the cavity. (Reed—Text-hook of Gynecology.) 696 ACUTE PELVIC INFLAMMATION tiire (see page 86). The tube should be left in as long as there is a dischargefrom the cavity. The douche should be continued every day for a week or ten days after the tubeis removed and all ap-parent discharge hasceased. 4. If a collection ofpus is found high inthe pelvis and the in-flammation is spread-ing, remove the collec-tion of pus by abdom-in


. The diagnosis and treatment of diseases of women. Fig. 634. Another Method of Arranging a Cross-piece on the End of a Drainage-tube, tokeep the tube from slipping out of the cavity. (Reed—Text-hook of Gynecology.) 696 ACUTE PELVIC INFLAMMATION tiire (see page 86). The tube should be left in as long as there is a dischargefrom the cavity. The douche should be continued every day for a week or ten days after the tubeis removed and all ap-parent discharge hasceased. 4. If a collection ofpus is found high inthe pelvis and the in-flammation is spread-ing, remove the collec-tion of pus by abdom-inal section. 5. If the inflamma-tion is spreading ra-pidly to the generalperitoneum with littleor no limiting exudate,the peritoneal cavityshould be opened anddrained, either by vag-inal section or by ab-dominal section. Such cases are seenprincipally in pelvic. Fig 635 Vaginal Section foi Acute Pehic Inflammation, showing theGauzmg Packing in place. (Kelly—Operative Gynecology.) inflammation follow-ing labor or miscar-riage, and constitutethe most severe casesof puerperal such cases the in-flammation may haveextended directlythrough the wall ofthe uterus to the pe-ritoneum, or first tothe Fallopian tubesand from there to theperitoneum. In eithercase, there is a rapid-ly spreading periton-itis of virulent typeand the patient is ina desperate are two methodsof dealing with thesecases:


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