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 . A TREATISE ON MINOR SURGICAL GYNECOLOGY. fibres about the tumor, and by Spiegelberg to the relief of tension of theuterine mucosa and the shrivelling- of its blood-vessels. The method is nowbut little used, having been supplanted by the, both for hemostatic purposesand ultimate recovery, more efficient division of the capsule of the tumor. Varieties of Division of the Cervix; their Technique and Special Indications. S
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 . A TREATISE ON MINOR SURGICAL GYNECOLOGY. fibres about the tumor, and by Spiegelberg to the relief of tension of theuterine mucosa and the shrivelling- of its blood-vessels. The method is nowbut little used, having been supplanted by the, both for hemostatic purposesand ultimate recovery, more efficient division of the capsule of the tumor. Varieties of Division of the Cervix; their Technique and Special Indications. Superficial Division of the External Os.—In endotrachelitis, with anarrow external os and dilated cervical cavity, the retention of the acrid,purulent discharge maintains the catarrh and inevitably entails is therefore indicated to enlarge the external os by dilatation or in-cision, the latter being decidedly more effectual and permanent. It canbe performed with an ordinary bistoury, or better with a long, straight-bladed scissors (such as Kuechenmeisters, Fig. 179; the knob at the tipof one blade is used to fix that blade at a certain point on the cervical. Fig. 179.—Kuechenmeisters scissors. surface and prevent its slipping, and to avoid cutting into the vaginalpouch) or better still with a metrotome, the blades of which cut on eitherside on being withdrawn. There need be no fear of profuse hemorrhage from these incisions,unless they are made unnecessarily deep. A quarter of an inch in eachdirection will generally suffice to make an orificequite large enough for all therapeutical and prac-tical purposes. The advantage of making a cru-cial incision is, that the os remains open and itslips do not touch, as is generally the case whenonly a bilateral incision has been made. The ap-pearance of the os after crucial incision and im-mediate dilatation with a steel dilator is shown inthe accompanying cut. As soon as the circularfibres of the external os are divided the
Size: 2797px × 894px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
