Treatise on gynæcology : medical and surgical . Fig. 83.—a, 6, Palmers Dilators (b, latest model); c, Gcodells Dilator. elusive of the flat handle (about two inches). The diameter of No. 1is two millimetres and they increase by one millimetre per bougie(three millimetres in circumference); this increase is a little too rapidfor the higher numbers, and, according to Hegars own advice, it iswell to have some bougies for difficult cases, which increase only byhalf-millimetres. They should be kept in strong carbolic solution. To use them, the patient is anaesthetized and placed in the dorso-sacral
Treatise on gynæcology : medical and surgical . Fig. 83.—a, 6, Palmers Dilators (b, latest model); c, Gcodells Dilator. elusive of the flat handle (about two inches). The diameter of No. 1is two millimetres and they increase by one millimetre per bougie(three millimetres in circumference); this increase is a little too rapidfor the higher numbers, and, according to Hegars own advice, it iswell to have some bougies for difficult cases, which increase only byhalf-millimetres. They should be kept in strong carbolic solution. To use them, the patient is anaesthetized and placed in the dorso-sacral position (Hegar prefers Sims position), the fourchette is de-pressed with a short blade, the anterior cervical lip is seized and fixed 116 CLINICAL AISTD OPERATIVE GYNAECOLOGY. with a hooked forceps, the position of the uterus having been previ-ously determined by the aid of bimanual palpation and the the first bougie is covered with vaselin and passed in, and shouldbe of a calibre which enters with but little resistance. Immedia
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
