The American text-book of obstetrics for practitioners and students . cases to reposit a recently-inverted uterus. Thus in 92 instancesof recent inversion reduction was effected in from five minutes to eight and ahalf hours. He gives the mortality as 20 per cent., whatever the treatment. The restoration of the inverted uterus is best made with the hands. Ofcourse the hands, as well as the vagina and the projecting uterus, must first becarefully disinfected. Then one hand is placed in the vagina, grasping, com-pressing, and pushing the organ upward, while the other hand is placed uponthe abdome
The American text-book of obstetrics for practitioners and students . cases to reposit a recently-inverted uterus. Thus in 92 instancesof recent inversion reduction was effected in from five minutes to eight and ahalf hours. He gives the mortality as 20 per cent., whatever the treatment. The restoration of the inverted uterus is best made with the hands. Ofcourse the hands, as well as the vagina and the projecting uterus, must first becarefully disinfected. Then one hand is placed in the vagina, grasping, com-pressing, and pushing the organ upward, while the other hand is placed uponthe abdomen, in part to make counter-pressure and in part to dilate the ring atthe mouth of the inversion funnel. In this effort the operator seeks torestore first that part of the uterus which came out last. According to Kalten-bach, the restoration is, as a rule, easily accomplished, even without narcosis. The objection to beginning the reduction at the fundus, depressing it, andthus restoring first that which came out first, is that thereby a greater thick- D YSTOCIA. 151. Fi<;. 119.—Inversion <.futerus: Improper method of restoration. ness of uterine walls rausl be passed through the constriction-ring. MClin-tock has said, in criticism of this method : By proceeding after this mannerwe should give the uterine walls a second inflection, and we should necessarilyrequire a greater dilatation of the constriction t<< :i<linitof reposition. The accompanying diagram Fig. 119) willhelp to bring out my meaning. Here a is the angle ofinflection caused by the inversion ; b indicates the positionof the os uteri; and e shows how the second angle ofinflection would be produced by depressing the fundus,which the dotted line represents. It would appear,there-fore, that in the attempt to re-invert the uterus we shouldaim at replacing the pari that has last come down, andso changing the angle of inflection according as each suc-cessive circle of the cervix and body is pushed up. Thesa
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