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. 137.—Applicator and canula, for intra-nterine medication, of Lombe Atthill. cervical canal from which the slough and secretions can readily escape, isno greater than after iodine or carbolic acid ; and the benefit, in theproper cases, is most decided. The advantages of these applications on cotton-wrapped applicatorsare the ease, rapidity, painlessness, with which they are performed, andthe absence of the necessi
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. 137.—Applicator and canula, for intra-nterine medication, of Lombe Atthill. cervical canal from which the slough and secretions can readily escape, isno greater than after iodine or carbolic acid ; and the benefit, in theproper cases, is most decided. The advantages of these applications on cotton-wrapped applicatorsare the ease, rapidity, painlessness, with which they are performed, andthe absence of the necessity for previous dilatation of the uterine canal. The disadvantages, however, are quite sufficient to induce us to seek. Fig. 138.—Woodburys canula for intra-uterine application. other and better means. These disadvantages may really be summed upin one word—inefficiency. In the cases where a widely dilated cervicalcanal permits the easy, unhindered introduction of a large cotton swab,the application can be made thoroughly and the result will be proportion-ately rapid and good. But when the canal is narrow, that is, when it hasthe normal width and merely admits the sound, it is unavoidable that byfar the largest portion of the fluid in which the applicator was dippedmust be pressed out and trickle out of the os, and what little reaches the APPLICATIONS TO THE ENDOMETRIUM. 217 uterine cavity proper is so neutralized by its contact with the secretionsof the cervix as to be almost inert. In the vast majority of cases withnormal cervical canals, I really believe that the effect of the agent is ex-pended entirely on the mucous lining of the cervi-cal canal, and that the endometrium proper istouched merely
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
