Clinical notes on uterine surgery : with special reference to the management of the sterile condition . er position, andif the os tincae is ulcerated, as here represented, or ifthe vagina is dry, scaly, and skin-like, it will be well toapply glycerine on a tampon of cotton, for a few days,till the ulcerations are healed and the vagina assumesmore of a normal appearance ; after whichthe operation may be performed. Forthis purpose, the patient is to be placedon the left side, as so often before de-scribed, with my speculum introduced topull back the perineum and posterior wallof the vagina. We c
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . er position, andif the os tincae is ulcerated, as here represented, or ifthe vagina is dry, scaly, and skin-like, it will be well toapply glycerine on a tampon of cotton, for a few days,till the ulcerations are healed and the vagina assumesmore of a normal appearance ; after whichthe operation may be performed. Forthis purpose, the patient is to be placedon the left side, as so often before de-scribed, with my speculum introduced topull back the perineum and posterior wallof the vagina. We can then get anaccurate idea of the dimensions of theover-distended vagina, and with a smalltenaculum hooked into the mucous mem-brane on each side of the middle line ofthe anterior wall, we can approximatethese surfaces, and thus determine whetherwe should make the denudation of tissueto a greater or less extent on either was at first some little trouble inmaking the two arms of the V equilate-ral ; sometimes one would diverge a littlemore from the median line on one side than the other;. Pig. 125. UTERINE DISPLACEMENTS. 307 but this was overcome by using an ordinary malleableuterine sound curved as represented in fig. 125. Itsconvexity rests centrally along the middle line of theanterior wall, the distal end pushes back the cervix uteri,while the counter-curvature lies in contact with the ure-thra. By thus pushing the neck of the uterus back in astraight line, while the anterior wall is depressed cen-trally, the curvature of the sound is hidden from view bythe lateral folds of the vagina, which fall over it and meetin the middle line, showing us exactly where the tissueis to be removed for the purpose of uniting the partsthat thus so naturally and easily come together. Withthe parts thus held, it is very easy to denude two sur-faces a third of an inch wide or more, extending, seem-ingly, almost in parallel lines from the neck of the blad-der upon each side of the ce
Size: 883px × 2830px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
