The practice of obstetrics, designed for the use of students and practitioners of medicine . vix may be raised by tenacula at its thinnest point, and a crucial incisionmade. The superficial incisions are made by a blunt-pointed bistoury or apair of blunt-pointed scissors. During a pain, the patient being in thelithotomy position, the instrument is carried into the vagina under theguidance of the fingers, and the stretched cervical rim is incised in severalplaces to the depth of cm. (Fig. 1095). Dilatation sometimes occurs withsurprising rapidity after this procedure. Care should be taken t


The practice of obstetrics, designed for the use of students and practitioners of medicine . vix may be raised by tenacula at its thinnest point, and a crucial incisionmade. The superficial incisions are made by a blunt-pointed bistoury or apair of blunt-pointed scissors. During a pain, the patient being in thelithotomy position, the instrument is carried into the vagina under theguidance of the fingers, and the stretched cervical rim is incised in severalplaces to the depth of cm. (Fig. 1095). Dilatation sometimes occurs withsurprising rapidity after this procedure. Care should be taken that such 908 OBSTETRIC SURGERY. incisions are really superficial, since when carried further they are likely toextend and to result in disastrous lacerations of the lower uterine segment.(2) Deep incisions: Incisions of the cervix extending to the utero-vaginal junc-tion and involving the entire vaginal portion were first proposed by Skutschand first performed by Duhrssen. Indications: Those usually given are: anyemergency which requires immediate delivery in the presence of an undilated.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectobstetrics, bookyear1