American medical digest. . include too much of the tissues, so asto avoid injuring the uterus or bladder. Use of Pessaries. Dr. Wallace A. Briggs, in a paperread before the Sacramento Society forMedical Improvement, says that pes-saries must always be regarded as foreignbodies and their irritating qualitiesreduced to a minimum. This is to beaccomplished : 1. By using thick, polished, non-absorbent pessaries. A rough absorbentsurface not only irritates mechanicallybut also furnishes conditions extremelyfavorable to decomposition and conse-quent chemical irritation and even. 130 septic infection


American medical digest. . include too much of the tissues, so asto avoid injuring the uterus or bladder. Use of Pessaries. Dr. Wallace A. Briggs, in a paperread before the Sacramento Society forMedical Improvement, says that pes-saries must always be regarded as foreignbodies and their irritating qualitiesreduced to a minimum. This is to beaccomplished : 1. By using thick, polished, non-absorbent pessaries. A rough absorbentsurface not only irritates mechanicallybut also furnishes conditions extremelyfavorable to decomposition and conse-quent chemical irritation and even. 130 septic infection. A pessary with thinbars is much more likely to abrade andperforate the vaginal walls and to inter-fere with the pelvic circulation than onewith thick bars. 2. By educating the vaginal mucousmembrane and the neighboring tissuesto a tolerance of the pressure, friction,and other causes of irritation conse-quent on the use of pessaries. Thismay be done by the use of either anti-septic cotton or antiseptic lambs woolsupport. Either of these materials, in-deed, but especially the latter, onaccount of its elasticity, makes an ad-mirable pessary. Previous to packing,astringents, either in powder or solutionmay be applied to the vagina for thepurpose of hardening it. Some pre-fer the use of elastic pessaries to testthe tolerance of the pelvic tissues. Hehas not, however, found them altogetherfree from objection, and ordinarily pre-fers the antiseptic packing. 3. By accurate adjustment. By nomeans should the instrument be toolarge, otherwise the vagina will beunduly disten


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188