. Atlas and epitome of gynecology . Fig. 30.—Hodges lever pes-sary in retroflexion of the uterus,first degree. It effects a normalposition chiefly by causing tensionof the posterior vaginal Fig. 31.—Schultzes 8-shapedpessary fixes the cervix in normalposition ; it is supported by thevaginal wall and the pelvic floor. If the free uterus can not be replaced by this method,the bullet forceps of Kustner is used, or the sound iscautiously employed. (See explanation to Figs. 1 and 2,Plate 20*) When the uterus is brought back into its normal posi-tion, a lever-pessary is introduced as a reten
. Atlas and epitome of gynecology . Fig. 30.—Hodges lever pes-sary in retroflexion of the uterus,first degree. It effects a normalposition chiefly by causing tensionof the posterior vaginal Fig. 31.—Schultzes 8-shapedpessary fixes the cervix in normalposition ; it is supported by thevaginal wall and the pelvic floor. If the free uterus can not be replaced by this method,the bullet forceps of Kustner is used, or the sound iscautiously employed. (See explanation to Figs. 1 and 2,Plate 20*) When the uterus is brought back into its normal posi-tion, a lever-pessary is introduced as a retentive measure.(See Figs. 30—33.) Cold douches to the cervix and sacrum,alternate hot and cold vaginal douches, ergotin subcutane-ously, and tamponade to stpengthen the uterine walls andtheir ligaments are useful adjuvants. 84 RETROVERSION AND RETROFLEXION. The lever=pessaries are tried in the following order : 1. The S-shaped Hodge pessary (rather sharply curved),when the sacro-uterine ligaments are not sensitive. 2. The 8-shaped Schultze pessary, when the pelvic flooris normal and the vagina is not too relaxed. Sometimesthe instrument must be quite long. 3. The sledge-shaped pessary of
Size: 1549px × 1613px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidatlasepi, booksubjectwomen
