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 . erize the cervical canal, the knife to remove a portion or thewhole of the cervix, etc. The platinum tip requires to be heated to a redheat in a spirit-lamp, while the benzine flame is blown upon it until itignites. The compression of the rubber bulb keeps the platinum at therequired degree of heat. For the purpose of protecting the neighboringparts from the radiating heat, in long operations on the cervix, chieflyamp
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 . erize the cervical canal, the knife to remove a portion or thewhole of the cervix, etc. The platinum tip requires to be heated to a redheat in a spirit-lamp, while the benzine flame is blown upon it until itignites. The compression of the rubber bulb keeps the platinum at therequired degree of heat. For the purpose of protecting the neighboringparts from the radiating heat, in long operations on the cervix, chieflyamputation, a very ingenious contrivance has recently been devised by P. C Wilson, of Baltimore, which consists of a hollow metal shield forthe cautery shaft and tip, through which shield a current of cold water iskept running by means of an Eguisiers irrigator at one end, and an exit-tube at the other. The accompanying cuts give a good representation ofthe antithermic shield, as its inventor calls it, and its attachment to thecautery. In long operations which must be performed through Sims specu-lum, this protective is indispensable; for mere styptic or escharotic ap-. Fia. 119.—Paquelins thermocautery apparatus with Wilsons antithermic shield. plications of the cautery, which may be made through any form of specu-lum which exposes the diseased part, no such addition is needed. I havealways used the Sims speculum; but a large tubular speculum, or a widelyexpanded bivalve, will answer very well when only a momentary causticapplication is intended. Tubes of horn have been constructed for this pur-pose, but the hard rubber is almost as good a non-conductor of heat; whenthe application is momentary, however, an ordinary glass tube will do,since the application is too short to crack the glass. After the application of the cautery to the cervix, a cleansing injec-tion should be made through the speculum to remove all debris, but notampons are necessary. The cautery is attended
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
