. The diagnosis and treatment of diseases of women. Fig. 576. Self-retaining Speculum introduced, andweight (bottle with water in) attached. Theamount of weight may be varied as necessary for dif-ferent patients by. putting more or less water in tliebottle. Fig. 577. Sterile perineal sheet arranged about thefield of operation. debris is removed by swabbing with cotton in a forceps or by irrigation if pre-ferred. 4. When the cavity is free of fragments, it is packed with antiseptic gauze, tomaintain the dilatation of the cervix for forty-eight hours. If there is muchbleeding it may be diminishe


. The diagnosis and treatment of diseases of women. Fig. 576. Self-retaining Speculum introduced, andweight (bottle with water in) attached. Theamount of weight may be varied as necessary for dif-ferent patients by. putting more or less water in tliebottle. Fig. 577. Sterile perineal sheet arranged about thefield of operation. debris is removed by swabbing with cotton in a forceps or by irrigation if pre-ferred. 4. When the cavity is free of fragments, it is packed with antiseptic gauze, tomaintain the dilatation of the cervix for forty-eight hours. If there is muchbleeding it may be diminished by one or two apphcations of carbolic acid (95%)made to the endometrium before the packing. If the carbolic application ismade, care must be exercised to prevent the vagina being burned by it. CURETMENT 577 5. After the uterine cavity has been packed, cleanse the vagina, introducetwo fingers in the vagina, remove the speculum and bring the fundus uteri wellforward by bimanual manipulation (Fig. 582). In the curetment, the uterusis drawn cl o w n


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