Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . y open to admit it. It is not used with ascraping motion when the whole placenta is to be removed, but pries theorgan off from the uterine wall by gentle oscillatory movements, until the Fig. 200.—R,6camier,s subacute curette. whole is detached, when it is removed by long broad-bladed forceps. Ifonly small lobes of placenta or diffuse villosities are to be removed, theusual scraping action is employed. The subacute cu
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . y open to admit it. It is not used with ascraping motion when the whole placenta is to be removed, but pries theorgan off from the uterine wall by gentle oscillatory movements, until the Fig. 200.—R,6camier,s subacute curette. whole is detached, when it is removed by long broad-bladed forceps. Ifonly small lobes of placenta or diffuse villosities are to be removed, theusual scraping action is employed. The subacute curette (Hecamiers), is represented in the cut. It is usedvery much in the same manner as the dull scoop, except that the scrapingaction is exercised from side to side, and not from above downward. Thepeculiar shape of the instrument and lateral situation of its subacute edgeaccounts for this. The indications are precisely the same as those for the dull curette,and need not therefore be repeated. I decidedly prefer the former in-strument, as more safe while quite as efficient. Recamier himself metwith three cases of death from perforation of the uterus by his curette; De-. Fig. 201—Emmets curette-forceps. marquay with two; Chamberlain, of New York, saw a case of hystericaltetanus therefrom; Peaslee a death from collapse; Thomas a narrow es-cape from the same cause, and Barker a case of peritonitis. Nevertheless, it is still kept in the shops and used by many operators. Emmet has devised a curette-forceps, which resembles a double Re-camiers curette. With it he crushes and removes the uterine vegetations,as he claims, quite as effectually as can be done by the ordinary curette. The sharp curette with flexible shank (Sims) consists of a steel loopwith sharp, cutting edge, and with a steel shank sufficiently flexible topermit its being bent in any case to suit the uterine canal, and to preventtoo much force being exerted during the operation. It may be made ofseveral sizes, the
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
