. A manual of gynæcology and pelvic surgery, for students and practitioners. ion which it is expected to occupy, when theposterior bar will be found in front of the cervix. By insertingone finger between the anterior bar and perineum, and thenthrough the lumen of the pessary and over the posterior bar, itis hooked downward and backward and readily slips into place. RETROVERSION AND RETROFLEXION: PESSARIES 271 A pessary should never fit so tightly that the finger cannot beinserted between it and the vaginal wall in any direction. In removing the pessary, slight downward traction should bemade u


. A manual of gynæcology and pelvic surgery, for students and practitioners. ion which it is expected to occupy, when theposterior bar will be found in front of the cervix. By insertingone finger between the anterior bar and perineum, and thenthrough the lumen of the pessary and over the posterior bar, itis hooked downward and backward and readily slips into place. RETROVERSION AND RETROFLEXION: PESSARIES 271 A pessary should never fit so tightly that the finger cannot beinserted between it and the vaginal wall in any direction. In removing the pessary, slight downward traction should bemade upon its anterior end. It is then rotated into an obliqueposition and comes away without difficulty. The patient shouldbe shown the proper method of removing the pessary and in-structed to do so at once if at any time it causes pain. Ifretroversion or retroflexion is discovered accidentally yearsafter labor, or if pregnancy has never occurred, the propriety ofany sort of treatment is doubtful unless there are symptomsdefinitely referable to the displacement. Most women are.


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Keywords: ., bookcentury1900, bookdecade1910, bookidman, booksubjectgynecology