A system of gynecology . ation by intro-ducing one tent after another is very great. As already stated, thealarming results have generally followed the use of the second or thethird tent, seldom the first. A tent should not he allowed to remainin the uterus more than twentv-foiir hours under any circumstances,and generally not more than twelve. GRADUATED SOUNDS.—The uterus, like the urethra, may he dilatedby means of graduated sounds. Fig. 168 shows Fritschs uterine dila-tors. Peaslee, Hegar, and Hanks have devised similar instrumentswhich arc equally serviceable. They are particularly adapted
A system of gynecology . ation by intro-ducing one tent after another is very great. As already stated, thealarming results have generally followed the use of the second or thethird tent, seldom the first. A tent should not he allowed to remainin the uterus more than twentv-foiir hours under any circumstances,and generally not more than twelve. GRADUATED SOUNDS.—The uterus, like the urethra, may he dilatedby means of graduated sounds. Fig. 168 shows Fritschs uterine dila-tors. Peaslee, Hegar, and Hanks have devised similar instrumentswhich arc equally serviceable. They are particularly adapted to casesin which the abdominal walls are thin and lax, so that the uterus mayhe easily fixed by the hand over the abdomen, while one sound after 358 GENERAL CONSIDERATION OF GYNECOLOGICAL SURGERY. another is forced into the canal until the required dilatation is accom-plished. If the abdominal walls arc thick and tense, it is necessary toplace the patient in the latero-prone position, to use Sirnss speculum, Fig. Fritschs Uterine Dilators. and during dilatation to fix the cervix with the vulsellum forceps. Insuch cases the diverging instruments are preferable. Diverging Instruments.—Innumerable instruments have been Fig. 169.
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
