Operative gynecology : . Fig. 100.—Mundr Pessary or more properlyHodge-Thomas-Mtjnde Pessary. The peculiarity of this pessary is the reinforcedposterior bar. Fig. 101.—Gehrungs Pessary. Especially useful in descensus of the anteriorwall. The pessary ought to lie in closer relationto the symphysis pubis. a large one, but very little relief can be given beyond what is secured by rest-in bed and some preparatory glycerin packs before performing an operationfor pulling the uterus in place (see Chap. XXIX, Vol. II) and restoring thebroken outlet (Chap. XV, Vol. I). In cases where the vaginal outlet


Operative gynecology : . Fig. 100.—Mundr Pessary or more properlyHodge-Thomas-Mtjnde Pessary. The peculiarity of this pessary is the reinforcedposterior bar. Fig. 101.—Gehrungs Pessary. Especially useful in descensus of the anteriorwall. The pessary ought to lie in closer relationto the symphysis pubis. a large one, but very little relief can be given beyond what is secured by rest-in bed and some preparatory glycerin packs before performing an operationfor pulling the uterus in place (see Chap. XXIX, Vol. II) and restoring thebroken outlet (Chap. XV, Vol. I). In cases where the vaginal outlet is notextremely large, a ring pessary of large size or a Munde pessary (see ) may give much relief. There is one troublesome class of cases in which the vaginal wall rolls down-ward and outward, until it fits the vulvar orifice like an egg; these are bestrelieved by a peculiar pessary devised by Gehrung, of St. Louis. It can bemade by doubling one of the rectangular Hodge pessaries on itself, until theanterio


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1