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 . Fig. 367.—Fowlers retroversionpessarv- Fig. 268.—Fowlers retroversion pessary withanterior movable bow. In the latter spot the injury is generally a longitudinal sulcus cut by theslender side-bar of the pessary. c. Lateral displacements are but little benefited by vaginal ingenious gynecologists have endeavored to lift up the latero-vertedor flexed fundus by elevating the corresponding side of an anteve
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 . Fig. 367.—Fowlers retroversionpessarv- Fig. 268.—Fowlers retroversion pessary withanterior movable bow. In the latter spot the injury is generally a longitudinal sulcus cut by theslender side-bar of the pessary. c. Lateral displacements are but little benefited by vaginal ingenious gynecologists have endeavored to lift up the latero-vertedor flexed fundus by elevating the corresponding side of an anteversion cuppessary, or the bar of a retroversion pessary, but their efforts have notbeen very successful. The only supporter which really draws the dis-placed cervix back and pushes the latero-verted fundus up toward themedian line is one which gains it purchase in the uterine cavity. It is-. Fig. 269.—Hanks galvanic retroversion pessary Fig. 270.—Modified Thomas bulb pessary. shown in Fig. 297, and acts by straightening the uterus, the lower flangeon which the cervix rests being of unequal width, the wider on the sidetoward which the cervix points. The object is thereby to push the cervixtoward the median line. The origin of these lateral displacements, eitherin congenital shortening or cicatricial contraction (after cellulitis) of thebroad ligament of the affected side, usually prevents any efforts for therelief of this condition from being successful. d. For prolapsus of the ovaries certain modifications of lever pessarieshave been devised, all designed to prevent the recurrence of the prolapse 350 A TREATISE ON MINOR SURGICAL GYNECOLOGY. by stretching the posterior vaginal pouch in the antero-posterior directionor laterally, and by relieving pressure on a prolapsed and adherent former indication is more or less filled by Thomas bulb pessary with
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
