. Clinical gyncology, medical and surgical. Steel dilator. the vulva, the vagina, and the cervical canal are cleansed most thoroughly,exceeding, if possible, the suggestions already given in connection with theacute disorders. Dilatation of the cervix is the next step; this is followedby the introduction of the uterine cylindrical speculum (Fig. 14), throughwhich the cavity of the uterus is now copiously flushed, using a warm Fig. Volsella for grasping cervix. bichloride of mercury solution (1 to 2000), to the amount of one or twopints. Curettage is the next step. This is performed with t
. Clinical gyncology, medical and surgical. Steel dilator. the vulva, the vagina, and the cervical canal are cleansed most thoroughly,exceeding, if possible, the suggestions already given in connection with theacute disorders. Dilatation of the cervix is the next step; this is followedby the introduction of the uterine cylindrical speculum (Fig. 14), throughwhich the cavity of the uterus is now copiously flushed, using a warm Fig. Volsella for grasping cervix. bichloride of mercury solution (1 to 2000), to the amount of one or twopints. Curettage is the next step. This is performed with the sharp curette(Sims), aided by the double curette-forceps of Emmet. (Figs. 12, 13.)With the first the entire cavity is scraped, the persistence and vigor with Fig. 12. Sharp curette. which this is done being governed by the conditions present, the hemor-rhagic forms calling for greater persistence and vigor than recent sub-involution and the endometritis of simple stenosis, as in anteflexion. Theanterior wall, the posterior wall, the lateral sulci where these two cometogether, the fundus, and the recesses of the cornua are scraped in special attention to the fundus and cornua, and call to aid the doublecurette-forceps, using this instrument to pinch or bite off all excrescences. INFLAMMATION OF THE FEMALE GENITAL ORGANS. 531 Then use them finally to clean out all debris from the cavitv as a curettage the
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