. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... w would you differentiate inversion of the uterus fromcomplete prolapse ? This rarely causes difficulty. It is made by finding in the latter 196 ESSENTIALS OF OYNjECOLOOY. the external os. the obhteration of the fornices. and b\ ])assing thesound into the uterine canal. What are the results of an untreated inversion ? Very rarely it reduces itself. Rarely the patient sufiers littleinconvenience from it. Usually the patient dies from hemorrhage or sepsis. What is the treatm
. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... w would you differentiate inversion of the uterus fromcomplete prolapse ? This rarely causes difficulty. It is made by finding in the latter 196 ESSENTIALS OF OYNjECOLOOY. the external os. the obhteration of the fornices. and b\ ])assing thesound into the uterine canal. What are the results of an untreated inversion ? Very rarely it reduces itself. Rarely the patient sufiers littleinconvenience from it. Usually the patient dies from hemorrhage or sepsis. What is the treatment ? The object sought is the of the fundus uteri. Emmets method (see Fig. 54) consists in inserting the right handinto the vagina, grasping the fundus in the palm, inserting thefingers into the cervix and jDushing upward ; at the same time sepa-rating the fingers as much as possible. The left hand meanwhileexercises through the abdomen counter-pressure on the cervical ring. Noeggerath begins the reposition by dimpling in one horn of theutenis, and then uses this as a wedge to dilate the ceiTix. Fig. Eeposition of the Inverted Uterus with the Hand alone (after Emmet). Instead of the hand alone, cup-shaped repositors are often madeuse of In all these methods the patient is usually best prepared for themanipulation by the administration of prolonged hot-water douches, POLYPI. 197 and tlie introduction of a vaginal elastic bag, to be distended withair or water, and worn twelve to twenty-four hours. The manipulations are best performed under anesthesia. When the above methods fail, hysterectomy probably offers thebest result. Fig. 55. Polypi. What is meant by the term uterine polypus, and whatare the varieties ? A polypus is a pedunculated tumor attached to the uterine mucousmembrane. The following varieties are recognized :— 1. Fibrous polypi. 2. Mucous polypi. 3. Pedunculated Na- bothian follicles. 4. Placental polypi. 5. Papillomata of the cervix. Describe br
Size: 1680px × 1486px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubje, booksubjectgynecology
