. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. ble to walkany distance for three years. She became quite able to walk onwearing the air-pessary, and after asterility of four years is now a mother. Latterly I have contrived an instru-ment which, judging from the eftects ofits employment in many cases, willprove a most valuable one in the treat-ment of cases of anteflexion, or in anycase where the uterus has an inclina-tion to one side. I endeavored first toadjust Hodges horseshoe pessary sothat pressure was made upwards infront of the cervix
. The diagnosis, pathology and treatment of diseases of women including the diagnosis of pregnancy. ble to walkany distance for three years. She became quite able to walk onwearing the air-pessary, and after asterility of four years is now a mother. Latterly I have contrived an instru-ment which, judging from the eftects ofits employment in many cases, willprove a most valuable one in the treat-ment of cases of anteflexion, or in anycase where the uterus has an inclina-tion to one side. I endeavored first toadjust Hodges horseshoe pessary sothat pressure was made upwards infront of the cervix instead of behind it,but this was found to slip out of place. I next added to one of Hodges pes-saries a bridge-shaped piece about itsmiddle which projected upwards. This was unwneldy, and distended the vagina too much. At last thepessary of the form now to be described occurred to me. It con-sists of a largish ring bent first into a long oval, and then bentagain and again until it assumes a sinuous outline, and presents onone side two nipple-shaped eminences (see Fig. 77). These pro- FiG. 77.*. * Fig. 77 is a representation in outline of the anteflexion pessary. The dis-tance between the arms eto e, as also the distance from a to &, must be regulatedaccording to the case. 524 PATHOLOGY AND TREATMENT. ject upwards, one on each side of the cervix, and between it andthe bladder. The upper extremity of the pessary [d) which isround, fits behind the os uteri; the lower end corresponds with theostium vaginae within which it lies. The effect of the instrumentwhen in position is to give the vagina a wavy outline. It main-tains the canal its proper length, but does not unduly distend it,while it affords support to the roof. The uterus cannot fall for-ward, the instrument forming a kind of cage, and supporting itmost effectually. The copper wire rings covered with gutta perchadescribed already as having been made for me by Mr. Coxeter,
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