. Gynecology : . ble. In some cases tamponssoaked in glycerin and ichthyol are useful if employed in connection withdouches and iodin. Vaginal suppositories of ichthyol may be used in the sameway, but are not very efficacious. Senile vaginitis, if not the result of obstruc- GENERAL INFLAMMATORY PROCESSES 239 tion of secretions is best controlled by painting the vagina with iodin withoutthe use of tampons. The progress of vaginitis, as far as complete cure is concerned, is often un-favorable. It is best to treat the intractable cases in a hospital, where com-petent nursing and systematic treatm


. Gynecology : . ble. In some cases tamponssoaked in glycerin and ichthyol are useful if employed in connection withdouches and iodin. Vaginal suppositories of ichthyol may be used in the sameway, but are not very efficacious. Senile vaginitis, if not the result of obstruc- GENERAL INFLAMMATORY PROCESSES 239 tion of secretions is best controlled by painting the vagina with iodin withoutthe use of tampons. The progress of vaginitis, as far as complete cure is concerned, is often un-favorable. It is best to treat the intractable cases in a hospital, where com-petent nursing and systematic treatment will often accomplish in a short timeresults that weeks of office or out-patient treatment fail to secure. Vaginitis Emphysematosa.—This is a special disease that occurs almostexclusively during pregnancy and disappears after delivery. There is little orno discharge resultant from it, and few symptoms, so that it often passes un-noticed. It is characterized by small blebs of the vaginal surface, which some-. Fig. 54.—Chronic power. Near the top are five cervical glands in cross-section, lined by the typical cylindricepithelium. The tissue around them is infiltrated with leukocytes. To the right of these glands andin the lower part of the section are areas of squamous epithelium which has grown down into theglands, filling them. These areas are typical stratified squamous epithelium and must be differenti-ated from carcinoma. times reach the dimensions of small cysts. Upon incising them a small amount ofgas escapes. The etiology of this condition has not been clearly proved, but it is sup-posed, on fairly good evidence, that it is the result of some gas-forming bacillus. The clinical importance of this disease is insignificant. 240 GYNECOLOGY Garrulitas Vaginae.—This is a condition which is characterized by the audibleescape of gas from the vagina following certain quick changes of bodily position,and which has been thought to be the result of gas-fo


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