Gynaecology for students and practitioners . Fig. 462. Vagestal Myomectomy, showing the final stage of the operation. The vulva and vagina having been thoroughly swabbed anddouched under the anaesthetic, a careful bimanual examination of thepelvic organs should be made, as a routine procedure, before anythingelse is done. The most convenient speculum to use for depressing theperineum is that of Auvard {see Fig. 463), which is self-retaining. Thebest lateral retractor is that of Jayle, which is also self-retaining {seeFig. 414, p. 736). The cervix is then seized with a volsella and itscondition

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Gynaecology for students and practitioners . Fig. 462. Vagestal Myomectomy, showing the final stage of the operation. The vulva and vagina having been thoroughly swabbed anddouched under the anaesthetic, a careful bimanual examination of thepelvic organs should be made, as a routine procedure, before anythingelse is done. The most convenient speculum to use for depressing theperineum is that of Auvard {see Fig. 463), which is self-retaining. Thebest lateral retractor is that of Jayle, which is also self-retaining {seeFig. 414, p. 736). The cervix is then seized with a volsella and itscondition noted. Next, the sound is passed to observe the length andcapacity of the uterine cavity and the condition of its waUs. A firm. Fig. 463. Auvabds Self-Retaining Vaginal Speculum. The shank of the speculum is weighted with a ball of lead, and channelled to allow of the escape of douche fluids from the vagina.

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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1