. The Principles and practice of gynecology : for students and practitioners. adjustment is complete when the inner end ofthe pessary is in contact with the anterior wall of the cervix second step is to pass the left index-finger, the palmar surfacebeing in contact with the perineum, under the pessary, and push theupper end under the cervix and then backward into its place in thepost-vaginal fornix. See Figures 377, 378, and 379. The curves of the pessary demand careful attention in its applica-tion. When the uterus is below the normal level, the broad ligamentsnecessarily are render
. The Principles and practice of gynecology : for students and practitioners. adjustment is complete when the inner end ofthe pessary is in contact with the anterior wall of the cervix second step is to pass the left index-finger, the palmar surfacebeing in contact with the perineum, under the pessary, and push theupper end under the cervix and then backward into its place in thepost-vaginal fornix. See Figures 377, 378, and 379. The curves of the pessary demand careful attention in its applica-tion. When the uterus is below the normal level, the broad ligamentsnecessarily are rendered more tense than natural, and the bloodvessels,more especially the veins, which are looped one upon the other, andwhich traverse these ligaments to and from the uterus, are made tocollapse. This causes venous congestion and consequent increase inweight of the uterus—a condition favorable to malposition, uterinecatarrh, and pathological changes in structure. A pessary which willraise the uterus to the health level clearly fulfils an indication. A Figure 380. Figure
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
