. Atlas and epitome of gynecology . Fig. 4?. Lith. , Miiiidien. PESSARIES. 89 Ed.] . retrofixatio colli or vaginofixation is indicated ; ifit is markedly adherent, ventrofixation (suspensio uteri) isto be performed. (See p. 67.) The Applicability of Pessaries with Respect to CertainComplications of Retroversion. 1. Retro-uterine Adhesions.—These are to be slowlystretched by massage three or four times for at least twelvesittings. First elevate in retroposition, to stretch or tearthe adhesions, then anteflex the uterus, introduce a ring,and keep the patient in bed with an


. Atlas and epitome of gynecology . Fig. 4?. Lith. , Miiiidien. PESSARIES. 89 Ed.] . retrofixatio colli or vaginofixation is indicated ; ifit is markedly adherent, ventrofixation (suspensio uteri) isto be performed. (See p. 67.) The Applicability of Pessaries with Respect to CertainComplications of Retroversion. 1. Retro-uterine Adhesions.—These are to be slowlystretched by massage three or four times for at least twelvesittings. First elevate in retroposition, to stretch or tearthe adhesions, then anteflex the uterus, introduce a ring,and keep the patient in bed with an ice-bag upon thehypogastrium (remember the possible production of ahematocele !). The tamponade of the posterior vaginalvault is a palliative measure. 2. Chronic perimetritis furnishes a noli me tangere ; itmust be cured first (absorption cure). 3. Parametritic bands and scars from lacerations (Plate55, Fig. 1) are excised, the longer diameter of the denu-dation being transverse, and the edges are so brought to-gether that the row of su


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