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 . Fig. 57.—Manner of holding Simsspeculum according to Sims and Em-met. Fig. 58.—Manner of holding Sims speculum, modified.(P. F. M.) also be caused by allowing the lower, rather sharp, edge of the blade torest heavily against the lower labium, as is the case when traction is notmade in the prescribed direction. This question of traction and holding the speculum is exceedingly sim-ple to the expert, but full of difficul


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 . Fig. 57.—Manner of holding Simsspeculum according to Sims and Em-met. Fig. 58.—Manner of holding Sims speculum, modified.(P. F. M.) also be caused by allowing the lower, rather sharp, edge of the blade torest heavily against the lower labium, as is the case when traction is notmade in the prescribed direction. This question of traction and holding the speculum is exceedingly sim-ple to the expert, but full of difficulty to the beginner. A nurse un-trained in this particular is a source of annoyance and positive disturbanceto the operator. It is obvious that, in order to give the nurse the properdirections, the physician should himself know how to use the this reason I have been rather prolix, perhaps, in the above descrip-tion. The necessity for such minute detail has frequently been illustratedto me in my private classes, when gentlemen (often older practitioners)could not succeed in exposing the cervix, simply because they madestraight backward traction, and drew to


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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology