. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. and involves the least risk. This method consists in forcible dilatation of theuterine canal with a strong pair of dilators. It has latelybeen brought into general use \>y Dr. Goodell, of Phila-delphia. For this operation he uses Ellingers dilators(Fig. 4297), and a much stronger pair which he has hadmade. (Fig. 4298.) The blades open parallel and donot feather. This operation is done by Goodell with the patientlying on the back, the cervix being exposed with
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. and involves the least risk. This method consists in forcible dilatation of theuterine canal with a strong pair of dilators. It has latelybeen brought into general use \>y Dr. Goodell, of Phila-delphia. For this operation he uses Ellingers dilators(Fig. 4297), and a much stronger pair which he has hadmade. (Fig. 4298.) The blades open parallel and donot feather. This operation is done by Goodell with the patientlying on the back, the cervix being exposed with a bi-valve is also oftendone with the pa-tient in Sims po-sition. As in alloperations for thisdeformity, all in-flammatory pro-cesses must firstbe excluded, es-pecially the pres-ence of pus in thetubes or patient being etherized, the vagina and cervix shouldbe thoroughly sponged with corrosive sublimate solution1 to 2,000. Antiseptic precautions are especially impor-tant, and the instruments and handsshould be carefully cleaned. Thecervix being exposed, the canal isat first dilated with the small dila-. tors. If they do not pass readily they are opened a little to stretch the lower part, then pushed further in and again opened, and so on until they pass the internal os. If the internal os is too narrow for the small dilators, a probe is passed in and followed by a pair of sharp-pointed scissors which are opened to stretch the opening. The larger dilators are 448 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. I urine-Displacements. then used. The dilatation is done slowly, about fifteenminutes being consumed in opening the blades to thepoint marked, one and one-fourth inch. They are thenheld at this point for ten minutes longer. The patientshould be kept in bed for a week or ten days after the
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
