Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . d off at the inner extremity partly to facilitate introduc-tion and partly on account of the greater depth of the posterior pouch of the vagina into which the bev-elled point fits. Some specula aremade square cut at the inner end,but the bevelled ones are prefer-able. The tubular speculum will al-ways retain its popularity withthe general practitioner, who butrarely has to make a specular ex-amination and merely desir
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . d off at the inner extremity partly to facilitate introduc-tion and partly on account of the greater depth of the posterior pouch of the vagina into which the bev-elled point fits. Some specula aremade square cut at the inner end,but the bevelled ones are prefer-able. The tubular speculum will al-ways retain its popularity withthe general practitioner, who butrarely has to make a specular ex-amination and merely desires tocatch a glimpse of the cervixuteri, often with no particularobject in view and hence with no result; besides not requiring assis-tance, and being simple in construction and cheap, it naturally answersseveral requirements. As already stated, for inspection of the vaginalwalls and cervix, for application of fluid or pulverized medicinal substancesto these parts, for the introduction of medicated tampons, for the appli-cation of leeches (where, indeed, it is almost indispensable) for scarificationof the cervix, and even for division of the external os; for the introduce. Fig. 35.—Thomas telescopic speculum. GYNECOLOGICAL EXAMINATION. 65 tion of the sound or probe, and frequently of cotton-wrapped and medi-cated applicators, the cylindrical speculum (especially the larger sizes)answers every purpose, and is thus by no means to be discarded, even bythe specialist. But with these uses its field of utility ends. The opera-tion for laceration of the cervix, or for vesico-vaginal fistula, or of divi-sion of the os internum, would be impossibilities, if we had to attemptthem through a tubular speculum. Even the introduction of the soundor applicator may be difficult or impossible through the tube, if the uterinecanal is tortuous, as in anteflexion, or narrow. The size of speculum most commonly called for is that correspondingto No. 3 of my hard rubber set, one and a quarter inch o
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
