American medical digest. . injections, having the bladder fre-quently emptied, especially if a cystoceleis associated with the prolapse, which is DISEASES OF WOMEN AND C HILDREN, AND OBSTETRICS. 35 frequently the case, and apply a suitableelastic ring pessary ; if the pessary isuncomfortable or cannot be worn, alarge tampon of absorbent wool dippedin a solution of tannin and glycerin,introduced in the morning and removedat night, suffices.—Col. and Clin. Record. A Modification of the Perineum Distend-er, to Avoid its Interference With Res-piration. Dr. W. W. Keen says, in JournalA merican Medi


American medical digest. . injections, having the bladder fre-quently emptied, especially if a cystoceleis associated with the prolapse, which is DISEASES OF WOMEN AND C HILDREN, AND OBSTETRICS. 35 frequently the case, and apply a suitableelastic ring pessary ; if the pessary isuncomfortable or cannot be worn, alarge tampon of absorbent wool dippedin a solution of tannin and glycerin,introduced in the morning and removedat night, suffices.—Col. and Clin. Record. A Modification of the Perineum Distend-er, to Avoid its Interference With Res-piration. Dr. W. W. Keen says, in JournalA merican Medical Association : In the frequent use of the perinealdistender, I have found the strapwhich passes under the nape of the neckvery objectionable. This strap flexesthe legs and supports their doing so the weight of the legspulls the head and neck strongly for-ward, and thus often seriously embar-rasses the respiration. To avoid this, Ihave had the wooden shoulder-piece ofthe old Days apparatus for fracture of. the clavicle slightly shortened, and findit answers admirably. Under its loops,over each shoulder, two straps arepassed, with a buckle turned wrong sideforemost at one end. The other freeend, after passing through this bucklein the armpit, then is buckled to thecross-piece between the legs. By thismeans the pressure is brought on theshoulders instead of the neck, and res-piration is entirely unimpeded. I have also had two straps attachedat right angles to the straps for the this means the leg straps can besecured above the calf as usual or at the ankle. In this last position the newstraps, by passing under the foot-soles,more completely flex the legs, and getthe feet out of the way of the operator. Divulsion of the Cervix. Dr. G. F. Hulburt, in the Si. LouisCourier of Med., concludes an article onthis subject as follows : 1. We see manifest in the form, struct-ure and surroundings of the uterus, asa whole, conformity with uniform orderof things. 2. Th


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188