. The diagnosis of diseases of women . ved in curettage are by no means curette is a formidable instrument, and curettage is not to beregarded as a minor operation and without danger. 1. As with all operations, there is the risk of septic infectionthrough the wounded surface. The liability to infection is notgreat when the uterus is firmly contracted; but in the puerperaluterus, with large venous sinuses and possible infection alreadyexisting therein, all the conditions are present favoring a woundinfection. 2. Hemorrhage is an unlooked-for complication, yet in puerperaland maligna
. The diagnosis of diseases of women . ved in curettage are by no means curette is a formidable instrument, and curettage is not to beregarded as a minor operation and without danger. 1. As with all operations, there is the risk of septic infectionthrough the wounded surface. The liability to infection is notgreat when the uterus is firmly contracted; but in the puerperaluterus, with large venous sinuses and possible infection alreadyexisting therein, all the conditions are present favoring a woundinfection. 2. Hemorrhage is an unlooked-for complication, yet in puerperaland malignant cases the loss of blood may be alarming and fatal. 3. The danger of exciting an acute exacerbation of a pre-existingpelvic inflammation is always imminent. 4. Perforation of the uterus by the curette is an accident that mayhappen to the most skilled and cautious surgeon. I venture theassertion that not an operator of large experience has escaped thismisfortune. We are not to be assured by the statements frequently PLATE XI. FIG. 1,. Gradxxated. bougies are used for the dilatation of the cervix. This methodis preferable to that shown in Fig. 2, FIG. 2.
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