Treatise on gynæcology : medical and surgical . Fig. 272.—The Roser-Scanzoni Pessary. lost some of their rigidity, reduction of the prolapse is attempted, thepatient being in the Sims or else the genu-pectoral position, bothof which favor the entrance of air into the vagina. The bladder andrectum must be empty. If much difficulty be experienced in restor-ing the prolapsed organs to place, it is better to wait patiently, andnot use force. [Much may be accomplished in the prophylaxis of these displace-ments by the avoidance of any exertion during the puerperium; con-finement to bed imtil involut
Treatise on gynæcology : medical and surgical . Fig. 272.—The Roser-Scanzoni Pessary. lost some of their rigidity, reduction of the prolapse is attempted, thepatient being in the Sims or else the genu-pectoral position, bothof which favor the entrance of air into the vagina. The bladder andrectum must be empty. If much difficulty be experienced in restor-ing the prolapsed organs to place, it is better to wait patiently, andnot use force. [Much may be accomplished in the prophylaxis of these displace-ments by the avoidance of any exertion during the puerperium; con-finement to bed imtil involution is well under way; the avoidance of. Fig. 273.—Borgnets Pessary. constipation or the use of clothing which compresses the waist, andthe immediate suture of perineal lacerations. Any relaxation of thevaginal tissue should be treated by hot astringent injections. Chroniccases of slight degree are benefited by the tonic effect of the hotdouche and by astringent tamponade, and according to many writersby elevation of the uterus and massage by Thure Brandts method. Pes-saries in general are unsatisfactory, as stated above, though many casesof cystocele receive great benefit and relief from the pessary devisedby Gehrung (Fig. 274). This instrument, while most efficient, needs to 496 CLINICAL AKD OPEEATIVE GYNCOLOGY.
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