American medical digest. . th month of on which she is lying (the operatorgestation, as brutal and unscientific, and i sitting in a chair facing the bed). It I maintain that other methods compara- is understood that a thorough cleansing tively painless, more scientific, sure to of the external genitals and vagina, as remove all the contents of the uterus, well as of the hands and instrument of the and less dangerous, can be substituted, operator, with the customary antiseptic As a means to these ends, and being fully solutions must precede this operation, convinced that it is safest for the pa
American medical digest. . th month of on which she is lying (the operatorgestation, as brutal and unscientific, and i sitting in a chair facing the bed). It I maintain that other methods compara- is understood that a thorough cleansing tively painless, more scientific, sure to of the external genitals and vagina, as remove all the contents of the uterus, well as of the hands and instrument of the and less dangerous, can be substituted, operator, with the customary antiseptic As a means to these ends, and being fully solutions must precede this operation, convinced that it is safest for the patient One index finger is then passed into the to have the uterine cavity evacuated at vagina to the os, to serve as a guide to the earliest possible moment, after abor- the instrument, which is passed closed tion had become inevitable, I began into the uterus, then gently opened as using six years ago, the instrument far as the uterine walls will permit and which I here show you. gently closed, pressed a little to one (or. Since that time I have used it in every the other) side of the uterus. If any case demanding manual treatment, have thing is felt within the grasp of the in- tamponned but once, and have been I strument, it is withdrawn and deposited obliged to see my patients but two or in a vessel placed conveniently near the three times. edge of the bed. The forceps are to be Generally, the instrument has been , repeatedly inserted and every part ofused at the first visit, and another visit the uterine cavity explored until the re-has been made the first or second day moval of every portion of placenta isfollowing, to ensure safety. As a rule assured. After this operation, whichthe second visits have not been necessary. , can be accomplished in from fifteen toThe exception was a case of anteversion | thirty minutes, the patient can be con-in a fleshy patient where it was impossi- fidently assured that the contents of theble to use the straight forceps, and I womb have bee
Size: 2512px × 995px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
