Treatise on gynæcology : medical and surgical . brane is already dull curette of Recamier, and weak injections of sublimate, arethe best means at hand. After thorough use of the curette, followed by a haemostatic injec-tion of perchloride of iron and antiseptic irrigation, the temperatureis seen to fall one or two degrees if it has been high before; one canprevent fever and insure rapid recovery where the decomposition of TREATMENT OF METRITIS. 185 the debris lias not yet begun. The ecouvillon (or scraper) whichhas been advocated for this purpose, is an altogether unsuitable in-st
Treatise on gynæcology : medical and surgical . brane is already dull curette of Recamier, and weak injections of sublimate, arethe best means at hand. After thorough use of the curette, followed by a haemostatic injec-tion of perchloride of iron and antiseptic irrigation, the temperatureis seen to fall one or two degrees if it has been high before; one canprevent fever and insure rapid recovery where the decomposition of TREATMENT OF METRITIS. 185 the debris lias not yet begun. The ecouvillon (or scraper) whichhas been advocated for this purpose, is an altogether unsuitable in-strument, as is shown by a case ending in death, published by oneof its It is evident, a priori, that it has not sufficientforce to detach by scraping the often firmly adherent debris. Before mentioning the special treatment suited to each case I willdescribe the therapy which is applicable to all alike. It has been recommended to immobilize the abdomen with a band-age of ticking, elastic tissue, or a band of flannel making two turns. Fig. 113.—Abdominal Bandages. A, Of elastic stocking tissue; B, of webbing for stout women who do not stand compression well. round the body, a little obliquely from above downward; this affordsmuch comfort in walking. All fatigue and all violent efforts must be forbidden, and the sexualrelation given up. The constipation is best combated by means of proper food (vege-tables, Graham bread, prunes, etc.), mild laxatives (mineral waters,rhubarb and magnesia, etc.) and enemata, to which we can add aspoonful of glycerin. Certain patients find it well to take at meals aspoonful of white mustard in water; this mechanically provokeshypersecretion and contraction of the intestine. Long-continued useof drastic purgatives, like aloes, podophyllin, etc., has its own incon-veniences, but we have to employ them at times. It is very import-ant to unload the large intestine and thus relieve the pelvic viscera. The patients general condition must be
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
