A system of gynecology . ble, so that, as a further step, it is necessary to draw themwell down to the edge. The hands may now grasp the lateral edgesof the table, and the patient is in position. She should be covered bya sheet, which is tucked around the superior (right) leg and thigh, the PHYSICAL SIGNS. 309 left leg ami thigh being covered by a towel, the vulva, perineum, andanus alone remaining exposed. The table should be so placed that thelight may strike slantingly, from before backward, on these parts. Ifthe table have the lateral inclination referred to in the remarks on thissubject,
A system of gynecology . ble, so that, as a further step, it is necessary to draw themwell down to the edge. The hands may now grasp the lateral edgesof the table, and the patient is in position. She should be covered bya sheet, which is tucked around the superior (right) leg and thigh, the PHYSICAL SIGNS. 309 left leg ami thigh being covered by a towel, the vulva, perineum, andanus alone remaining exposed. The table should be so placed that thelight may strike slantingly, from before backward, on these parts. Ifthe table have the lateral inclination referred to in the remarks on thissubject, it is obvious that the force of gravity may still further be calledinto play by utilizing it. This inclination, however, whilst a decidedadvantage if the examiner have no assistant, is not indispensable. Before proceeding to a description of the methods of examination inthe left-lateral position, it seems proper to consider very briefly theobjections to this position advanced, in particular, by our transatlantic Fig. 119. The Left-lateral Position after Mundg, from Begarand Kaltenbaeh.) brethren. These objections are three in number: 1. There is greaterexposure of the patient than in the dorsal position. 2. The change tothis position from the dorsal requires extra time and trouble. 3. Theuse of the left-lateral position necessitates the presence of an first objection is not founded on fact, and, even though it weretrue, the patient would not object to greater exposure if assured thatat the same time she receive- greater benefit. The truth is, that in theleft-lateral position, the patient being properly arranged, the vulva,perineum, and anus are alone exposed, and these parts it is essentialto expose also in the dorsal position in order to introduce a tubular orvalvular speculum. The second objection—to grant for a moment thatit i- worthy of serious consideration—falls to the ground in the face ofthe assertion, not to be denied to-day, that the extra trouble si
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
