Clinical notes on uterine surgery : with special reference to the management of the sterile condition . Fig. 42 would settle this point. On making the effort, it passedeasily more than eleven inches into the cavity of theuterus, measuring from the os tincse. But it is notalways easy to pass a bougie. If it is large enough not a 0=p=. Fig. 43. to bend on itself, it may not pass through some narrowpoint, and so will deceive us. And if it be too small, OF MENSTRUATION. 1 Q7 it will bend on itself in the vagina, and hence it will bedifficult to pass it at all. To overcome these objections,take a b
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . Fig. 42 would settle this point. On making the effort, it passedeasily more than eleven inches into the cavity of theuterus, measuring from the os tincse. But it is notalways easy to pass a bougie. If it is large enough not a 0=p=. Fig. 43. to bend on itself, it may not pass through some narrowpoint, and so will deceive us. And if it be too small, OF MENSTRUATION. 1 Q7 it will bend on itself in the vagina, and hence it will bedifficult to pass it at all. To overcome these objections,take a bougie about No, 6, sometimes smaller, and run astrong wire in it, and give it a gentle curvature at thedistal end, as shown in the diagram (fig. 43). Introducethis just within the os uteri, and then hold the handleof the wire, a, firmly in one hand, and push the bougie,#, along it with the other. The wire thus stiffens thebougie external to the uterus, but allows it to passonwards to the cavity, taking, of course, the easiestroute, and measuring accurately its depth. Whetherthis direction be in the central axis of the organ, ante-riorly or posteriorly, would be afterwards determinedby the sponge tent. In this case the bougie passednearly its whole length into the cavity of the womb,marking a depth of over eleven inches. This
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
