Treatise on gynæcology : medical and surgical . Fig. 74.—Simons Speculum. Fig. 75.—Vaginal Retractor. use in operation. With only one it is easy to reach the vaginal wallopposite the instrument, and so with the patient in the Sims or genu-pectoral position, one can easily reach the cervix. With two singleblades, employed at the same time, we have the best possible methodof examining vagina and cervix, but it has the inconvenience of re-quiring assistance. Long before Sims made the use of the univalvespeculum common, such instruments had been employed by certainskilled practitioners. Eecamier,
Treatise on gynæcology : medical and surgical . Fig. 74.—Simons Speculum. Fig. 75.—Vaginal Retractor. use in operation. With only one it is easy to reach the vaginal wallopposite the instrument, and so with the patient in the Sims or genu-pectoral position, one can easily reach the cervix. With two singleblades, employed at the same time, we have the best possible methodof examining vagina and cervix, but it has the inconvenience of re-quiring assistance. Long before Sims made the use of the univalvespeculum common, such instruments had been employed by certainskilled practitioners. Eecamier, Piorry, Jobert de Lamballe, inFrance, made use of half-cylinders, sometimes of small metal splintsmounted on handles. The latter surgeon owed his success with vesico-vaginal fistula as 104 CLINICAL AND OPERATIVE GYNAECOLOGY. muck to his superior instruments as to the brilliance of his concep-tions. Sims speculum is to be employed in the semi-prone position whichbears his name. In his instrument two blades are joined end to endto lessen the
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
