Clinical notes on uterine surgery : with special reference to the management of the sterile condition . en removed, the cut or sorewill be as clear of pus as if it were just washed andwiped dry. Much has been written on the diagnosis of polypoustumours. I do not intend to open the subject hererbut I would only say that the Gordian knot is easilycut, if my method of exploration be adopted ; for,with the patient on the side (or knees, if necessary),with ray speculum everything is brought so plainly OP MENSTRUATION. 73 into view that there is no possibility of making a mis-take. Dr. Graily Hewitt
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . en removed, the cut or sorewill be as clear of pus as if it were just washed andwiped dry. Much has been written on the diagnosis of polypoustumours. I do not intend to open the subject hererbut I would only say that the Gordian knot is easilycut, if my method of exploration be adopted ; for,with the patient on the side (or knees, if necessary),with ray speculum everything is brought so plainly OP MENSTRUATION. 73 into view that there is no possibility of making a mis-take. Dr. Graily Hewitt and Dr. Greenhalgh have relatedcases where physicians were in doubt, and had even mis-taken a common polypus for carcinoma. I have seenseveral cases of mucous polypi slightly protruding fromthe cervix that had been treated for granular erosion byrepeated applications of nitrate of silver; and a fewyears ago I saw a woman, forty-eight years of age,,greatly reduced by prolonged haemorrhages, who pre-sented almost exactly the cachectic physiognomy ofcarcinoma. She had none of the lancinating pains of. Fig. 24. cancer, but when the finger was passed into the vagina,it found a knobby hard growth occupying the place ofthe cervix, and the os could not be felt. When the ordinary speculum was used, this growth n UTERINE SURGERY.
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