Clinical notes on uterine surgery : with special reference to the management of the sterile condition . ElG. 13. ready for use. These diagrams represent the tents aboutthe size and shape that I usually make them. I neverallow them to project more than an eighth of an inchfrom the os uteri into the vagina. Beinoj introduced OF MENSTRUATION. 4y without grease, except a little suet just on the point,they seldom slip out of position. If, however, there isa disposition on the part of the cervix to eject the tent,a small pledget of lint or cotton laid on the cervix afterthe tent is introduced, will
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . ElG. 13. ready for use. These diagrams represent the tents aboutthe size and shape that I usually make them. I neverallow them to project more than an eighth of an inchfrom the os uteri into the vagina. Beinoj introduced OF MENSTRUATION. 4y without grease, except a little suet just on the point,they seldom slip out of position. If, however, there isa disposition on the part of the cervix to eject the tent,a small pledget of lint or cotton laid on the cervix afterthe tent is introduced, will effectually prevent thisaccident. I have seen a great deal of suffering producedby sponge tents, and with all due deference to thedexterity of surgeons, I must insist that this is whollyunnecessary. The commercial tents, as said before, aretoo large, and being introduced without a speculumalways induce more or less pain. My plan is this :—The. Fig. 14 represents the speculum elevating the posterior wall of the vagina ;the tenaculum fixing the uterus by being hooked into its anterior lip ;and the forceps holding the tent, which is introduced up to the osinternum. patient being on the left side, my speculum is introduced ;the os uteri is pulled gently forwards by a delicatetenaculum hooked into the anterior lip, which fixes theuterus, while the tent held. by the forceps is passed 50 UTERINE SURGERY. easily and gently into the cervix to the required depth,without producing pain. I make it a point never tointroduce a tent that is larger than the canal that is toreceive it, and thus, if it be gently done, it is impossibleto give pain ; and why should we ever inflict one singleunnecessary pang? If we have the selection of the time for the intro-duction of the tent, let it be in the morning, say by orbefore ten oclock. We should explain to thepatient,— 1st: That it may possibly produce a little uneasiness,which is usually very b
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
