. The Principles and practice of gynecology : for students and practitioners. s. preparation for those operations. See Chapter II. In addition tothe above, iron may be required for anaemia, and hot water or asep-tic gauze tamponade in the vagina may be needed for hemorrhage. 712 DISFLA CEMENTS. In a very ansemic case several weeks or even months of recuperativetreatment may be essential. Reposition with the Hands, Emmets Method/—The patient,anesthetized, is in the lithotomy position. The left hand is passedinto the vagina, the fingers and thumb are forced as far as possibleinto the angle of re
. The Principles and practice of gynecology : for students and practitioners. s. preparation for those operations. See Chapter II. In addition tothe above, iron may be required for anaemia, and hot water or asep-tic gauze tamponade in the vagina may be needed for hemorrhage. 712 DISFLA CEMENTS. In a very ansemic case several weeks or even months of recuperativetreatment may be essential. Reposition with the Hands, Emmets Method/—The patient,anesthetized, is in the lithotomy position. The left hand is passedinto the vagina, the fingers and thumb are forced as far as possibleinto the angle of reflexion, so as to encircle the part of the corpusuteri that is close to the constricted cervical ring. The fundus is incontacrt with the palm of the hand, and is pressed firmly upward by it,while the fingers are separated to their utmost to open the cervix. Atthe same time the right hand behind the pubes slides the abdominalwall back and forth over the peritoneal depression. This effort, theobject of which is to open out the contracted ring, is put forth con- FlQUKE Reposition of the inverted uterus by the method of J. H. Tate. The left index-finger is inthe bladder having been passed from the vagina to the bladder through a vesicovaginal fistulamade for the purpose. The right index-finger is in the rectum. tinuously. Finally, the rigid cervix uteri may begin to dilate, thecorpus may grow shorter, and the extent of inversion may lessenproportionately. After the corpus has been forced partially withinthe cervix by steady upward pressure, the tips of the fingers arebrought together as a wedge, passed through the os, and made to com-plete the reposition. Emmets method is much facilitated by keeping, for a few daysprevious to replacement, a widely distended Barnes elastic bag in thevagina. The bag is secured firmly by a T-bandage. This dilates thevagina, makes room for the hand, and, by the elastic upward pressure » Loc. cit. INVERSION OF THE UTERUS. 713 wliich it exerts,
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