Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . ed witha tenaculum, and the straight blade of Sims metrotome set in the han-dle with blade backward, is passed into the cervical canal until the pointpasses through the internal os. If the flexion is marked, the knife willnot pass easily; a fine grooved director, bent at the required curve, shouldthen be introduced and the knife passed in along the groove. The di-rector is then removed and the constriction divided; wi


Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . ed witha tenaculum, and the straight blade of Sims metrotome set in the han-dle with blade backward, is passed into the cervical canal until the pointpasses through the internal os. If the flexion is marked, the knife willnot pass easily; a fine grooved director, bent at the required curve, shouldthen be introduced and the knife passed in along the groove. The di-rector is then removed and the constriction divided; with gentle cutting18 274 A TREATISE ON MINOR SURGICAL GYNECOLOGY. posterior portion of the cervix is split in a straight line backs tincie nearly to the insertion of the vagina. The knife is motion thefrom the os then withdrawn, the blade is turned in the handle so as to cut anteriorly,and again passed into the canal of the cervix as before, and in withdraw-ing it the obstruction at the point of greatest flexure, at the os internum,is incised anteriorly. The blood is sponged away, and thetrivalve dilatoris used, and the plug introduced, and the wound dressed as already de-.


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