Clinical memoirs on the diseases of women . applied the articulated pessary of M. GrandcoUot,and the result Avas most satisfactory. On the 13th of April, 1862, the patient reported that she had re-appliedthe instrument thiee times since she left the Hospital, because it had gotout of order. It had kept the uterus in good position, and enabled thepatient to do some Avork: she had not suflered from any incontinence ordifficult micturition, but generally she suffered some pain from pressure onsitting doAvn. In other respects she Avas greatly improved. 240 UTERINE DEVIATIONS. The pessary, which is
Clinical memoirs on the diseases of women . applied the articulated pessary of M. GrandcoUot,and the result Avas most satisfactory. On the 13th of April, 1862, the patient reported that she had re-appliedthe instrument thiee times since she left the Hospital, because it had gotout of order. It had kept the uterus in good position, and enabled thepatient to do some Avork: she had not suflered from any incontinence ordifficult micturition, but generally she suffered some pain from pressure onsitting doAvn. In other respects she Avas greatly improved. 240 UTERINE DEVIATIONS. The pessary, which is figured here, consists of a metal plate (P),having a slot in the middle, by which it is fitted at any requiredheight by a set-screw to the plate of an abdominal belt. Thisslotted plate, wdiich on my patient is almost vertical, can be set atany angle required by the corpulency or size of the abdomen of thewearer. A hinge at B, which allows of a certain amount of lateralmotion articulates it with the swan-necked rod ADC. This last Fig. (A D C) is a strong rod •005 millimetres thick (j inch), bent in thefire to the shape figured in tlie woodcut, to permit of the patientstooping forwards or sitting on a hard seat. The intra-vaginalportion of this stem from D to C is vertical and only 05 millimetres(2 inches) long; it ends in a metal ball at C. A C is covered withvulcanised india-rubber tubing, and carries at the intra-vaginalextremity a thick india-rubber ball, measuring transversely from 03millimetres to Ol millimetres, and being from 05 millimetres to•06 millimetres long. This egg-shaped ball is filled with air, whichis kept in by a string which fastens the ball to the rod at point F,exactly half way up the ascending branch. The pessary has its defects, and I shall say nothing further in 241 its favour, as I have only tried it on one patient. But it is clicaj),and does not cause more discoinfort, nor vulval irritation to thepatient, th:in tli(> air pessa
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Keywords: ., bookauthorbern, bookcentury1800, bookdecade1860, booksubjectwomen
