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 . 9. Tell her, on removing a pessary to test the result, that the perma-nence of the benefit obtained therefrom cannot be determined for severaldays or weeks. 20. Always direct your patients to relieve all superincumbent pressureon the pessary by a proper support of their skirts; and if the displace-ment be anterior, aid the internal supporter by an abdominal (suprapubic)pad. All pessaries may be introduced in the knee-
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 . 9. Tell her, on removing a pessary to test the result, that the perma-nence of the benefit obtained therefrom cannot be determined for severaldays or weeks. 20. Always direct your patients to relieve all superincumbent pressureon the pessary by a proper support of their skirts; and if the displace-ment be anterior, aid the internal supporter by an abdominal (suprapubic)pad. All pessaries may be introduced in the knee-chest position when it isdesirable or possible to replace the uterus only in that position. A Simsspeculum elevates the perineum, the air enters and expands the vagina,and the pessary (chiefly in retroversion and prolapsus) is introduced by PESSAEIES. 359 touch and sight, and the patient laid on her left side. For aggravatedretroversion, and for prolapsus of ovaries or uterus, this position offersmany advantages over the left semiprone decubitus. Care must be takento remember that the position of the patient is reversed, and that thepessary must be introduced
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