. Operative gynecology. nds uniting the posterior surface of the uterus to the anterior abdominal 6,18J«. 225) and drawn down toward the vaginal outlet (Fig. 226); wliile it is held inthis position the index finger is introduced into the rectum, and used to raisethe fundus up into the pelvis, reducing the angle of flexion (Fig. 229). Thereis sometimes a sensible jump as the body of the uterus escapes from betweenthe utero-sacral folds where it had lain incarcerated, often giving the false im-pression that there is a retroflexion witli adhesions. As soon as the fundus iselevated in th
. Operative gynecology. nds uniting the posterior surface of the uterus to the anterior abdominal 6,18J«. 225) and drawn down toward the vaginal outlet (Fig. 226); wliile it is held inthis position the index finger is introduced into the rectum, and used to raisethe fundus up into the pelvis, reducing the angle of flexion (Fig. 229). Thereis sometimes a sensible jump as the body of the uterus escapes from betweenthe utero-sacral folds where it had lain incarcerated, often giving the false im-pression that there is a retroflexion witli adhesions. As soon as the fundus iselevated in this way the cervix is carried back into the sacral hollow by means SIMPLER METHODS OF TREATING RETROFLEXION. 151 of the forceps, thus rotating tlae uterine body forward (Fig. 227). The rest ofthe reduction is now effected bimanually through the vagina and the abdominalwalls. The fundus is caught with the abdominal hand pressing deep down intothe pelvis, di-awn forward and held there, while the vaginal finger indents the. Fig. 343.—Steps ix the Keduction of the Uterus in the Palliative Tkeatment of Retroflexion,The anterior \\\> of the cervix is grasped with a tenaculutu forceps and drawn in the direction of the aiTOW. uterus on its anterior surface at the junction of the cervix and body, and so bringsit into complete anteflexion (Fig. 228). By further jDUshing the cervix high uptoward the promontory of the sacrum and the fundus down behind the symphy-sis, the anterior position isexaggerated (Fig. 230). A Hodge, or a Thomas,or a Munde pessary will insome cases so far alleviatethe symptoms of a retro-flexion, even though theflexion is not cured, as toobviate the necessity foran operation. Wool a7id boroglycer-ide cotton packs, used fora time, will also often tidethe patient over a periodof discomfort without op-eration. A marked relaxation of the vaginal outlet is often as,sociated with retroflexion where the flexion has followed parturition;in such patients the discomforts
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