. Gynecology : . been stated (see page 466), the use of intra-uterine pessaries is un-surgical in principle, and may be followed by inflammatory processes in thetubes, of which we have observed two instances. Nevertheless, even with thisrisk the procedure is regarded as justifiable and is very widely employed. Ifapplied to the proper cases the results gained by pessaries, both for dysmenor-rhea and sterility, are comparatively good. Numerous forms of pessaries are in use, some of which require sutures inthe cervix to keep them in place, others being self-retaining in principle. Wegreatly prefe
. Gynecology : . been stated (see page 466), the use of intra-uterine pessaries is un-surgical in principle, and may be followed by inflammatory processes in thetubes, of which we have observed two instances. Nevertheless, even with thisrisk the procedure is regarded as justifiable and is very widely employed. Ifapplied to the proper cases the results gained by pessaries, both for dysmenor-rhea and sterility, are comparatively good. Numerous forms of pessaries are in use, some of which require sutures inthe cervix to keep them in place, others being self-retaining in principle. Wegreatly prefer the latter type, as the sutures used for sewing in the instrumentinevitably cause a greater or less inflammatory reaction in the cervix that some-times continues in the form of a chronic cervicitis or endocervicits after theremoval of the pessary. In using the other type of intra-uterine pessary it is important to insertalso a vaginal pessary, which not only prevents the intra-uterine instrument 692 GYNECOLOGY. \: ^ Fig. 348.—Uterine Stem-pessary Contain-ing Groove for Drainage.
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