. Chicago medical journal and examiner. marksthe site of a joint, which allows of the end being turned awayduring the act of defecation, and being held thus supporting theuterus at a time when it is most needed. These stems must be used with care. It is not enough to sendfor a stem pessary, and apply it to the first case that comes underobservation. A process of preparation should precede its use. The diagnosis of simple flexion should be assured. Thereshould be no metritis, or perimetritis, nor any complications ofdiseased conditions. The patient should be willing to lie in bed for a week, if
. Chicago medical journal and examiner. marksthe site of a joint, which allows of the end being turned awayduring the act of defecation, and being held thus supporting theuterus at a time when it is most needed. These stems must be used with care. It is not enough to sendfor a stem pessary, and apply it to the first case that comes underobservation. A process of preparation should precede its use. The diagnosis of simple flexion should be assured. Thereshould be no metritis, or perimetritis, nor any complications ofdiseased conditions. The patient should be willing to lie in bed for a week, ifnecessary. The general health should be cared for with the propergenerous diet and medicine. A compliance with the conditionsnamed above, implies an examination with the uterine sound. Ifconducted properly, it throws light upon most of the doubtfulpoints. At the same time, the depth of the uterine cavity shouldbe noted, and also the distance from the os uteri to the stem pessary should Ire selected after due consideration of. 28 CHICAGO MEDICAL JOURNAL AND EXAMINE It. existing conditions. Its stem should be one half or one quarterof an inch shorter than the depth of the uterine cavity ; and itscylinder should be half an inch longer than the measurementfrom the os to the perineum. When every preliminary is arranged rightly, the patient mayrecline laterally on the padded top of a dining-table. The leftarm should project behind, and the knees be drawn up. Thesound may then be introduced, straightening out the flexion, andthe patient, resting her right fore arm on her right thigh, shouldhold it in place ; or an assistant may do the same thing. Unlessthe fore arm is resting upon something, the hand will insensiblymove, and the uterine sound be expelled by the contraction ofthe uterus. Next the disc of the pessary is pushed down to theproximal end, and the left forefinger of the operator placed onthe os, when the stem is passed over the finger, and engaged inthe os by the
Size: 2045px × 1221px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, bookpublish, booksubjectmedicine
