The practice of surgery . useful in some cases. The technic is to introduce steam drawnfrom a small steamer and carried through a 3- or 4-foot tube, armed1 Amer. Med., April 15, 1905. TIMOUS OF THE UTERUS 297 with a glass nozzle, through an intra-titcrine speculum, directly intothe cavity of the uterus. Let a stream of cold water play over the spec-ulum to prevent its becoming superheated; inject the steam for fortyseconds, then withdraw the nozzle for a couple of minutes, and introduceit again for thirty seconds. This treatment brings about a necrosis ofthe entlometrium and results in thicken
The practice of surgery . useful in some cases. The technic is to introduce steam drawnfrom a small steamer and carried through a 3- or 4-foot tube, armed1 Amer. Med., April 15, 1905. TIMOUS OF THE UTERUS 297 with a glass nozzle, through an intra-titcrine speculum, directly intothe cavity of the uterus. Let a stream of cold water play over the spec-ulum to prevent its becoming superheated; inject the steam for fortyseconds, then withdraw the nozzle for a couple of minutes, and introduceit again for thirty seconds. This treatment brings about a necrosis ofthe entlometrium and results in thickening and scar formation—enough,often, to prohibit subsequent hemorrhage. Do not waste time withstyptics to control hemorrhage, nor weary yourself and the patient withelectrohsis, which is often dangerous as well as useless. Surgical operations for these myomata may be performed throughthe vagina or by abdominal section. The latter is preferable in mostcases. ]\Ioreover, these operations may be conservative or destructive. Fig. 178.—Steamino; the uterus. —that is to say, they may be designed to remove the tumors or to re-move the uterus with the tumors; and in the latter case the removal ofthe uterus may be total (panhysterectomy) or partial (supravaginalhysterectomy). In addition to these operations, authors have claimed great thingsfor milder measures. Gojttschalk, of Berlin, ties the uterine arteriesand claims thus to check the progress oFthe growths. ^Martin ties thebroad ligaments, but does not include the uterine arteries. Battey,Tait, and others have claimed good things through the removal of thetubes and ovaries; but such procedures have not borne out their firstpromise. Vaginal operations have their place in the treatment of myomata,and usually are applicable to small tumors. By the vaginal route one 298 FEMALE ORGANS OF GENERATION may remove sul)niuc()us polypi. By the same route one may removethe whole uterus or may enucleate tumors and leave the uterus. M}experi
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