. Pelvic inflammation in women. r all temperature has subsided and the local symptoms havebecome subacute, hot vaginal douches of 120° F. may be given twicedaily. These douches do not need to contain any medicant, but shouldbe of such quantity that it takes from fifteen to twenty minutes to admin-ister, , four to eight quarts. The douche should be given with thereservoir at low elevation. This supplies prolonged heat without pro-ducing trauma. Counterirritation to the vaginal vault by the application of the tmc-ture of iodin or, as suggested by 111, the employment of cantharides incollodio
. Pelvic inflammation in women. r all temperature has subsided and the local symptoms havebecome subacute, hot vaginal douches of 120° F. may be given twicedaily. These douches do not need to contain any medicant, but shouldbe of such quantity that it takes from fifteen to twenty minutes to admin-ister, , four to eight quarts. The douche should be given with thereservoir at low elevation. This supplies prolonged heat without pro-ducing trauma. Counterirritation to the vaginal vault by the application of the tmc-ture of iodin or, as suggested by 111, the employment of cantharides incollodion, applied to the posterior fornix over the exudate, may aid reso- 152 PELVIC INFLAMMATION IN WOMEN lution. When the exudate is large, dry heat, such as can be supplied withthe Robinson thermolite lamp or the Gellhorn baker, hastens the ab-sorption of the mass. It will be seen, therefore, that the fundamentals in the treatment ofa^ute salpingitis are rest, posture, opium, inhibition of peristalsis (intes-tinal rest), and Fig. 51.—Technic of Posterior Vaginal Section: ALaking the Incision Through THE Vaginal Mucosa. Under this general plan of treatment, more or less complete resolu-tion takes place. Unfortunately, in a few cases, instead of the protec-tive exudate being absorbed, an abscess forms in the eul de sac of Doug-las. When this occurs, the acute peritoneal symptoms subside, the tem-perature becomes remittent or intermittent, the polymorphonuclear per-centage falls, and the patient usually complains of pressure symptoms inthe pelvis, as evidenced by rectal and vesical tenesmus. The vaginal findings show a bulging and soft spot in the posteriorfornix, while the uterus is displaced upward behind the pubis. When SALPINGITIS 153 the diagnosis of pelvic abscess is made, its contents may be evacuated byposterior vaginal section. Vaginal section is also of value in acute spreading peritonitis of pelvicorigin due to abortion or tubal leakage. Our index for surgical int
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