A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . of Treatment under various Circum-stances.—Sometimes after we have severed the pedicle in theuterus the tumor is not readily extracted through the os, andit may become necessary to seize the tumor with the vulsettwnforceps and incise it freely in order to extract it. This is not, UTERINE POL YPI. 369 however, absolutely necessary, for if we wait a few daysuterine contractions will come on and expel the polypus, whichis lying loose in the uterine cavity. Sometimes the tumor is so large as to distend t
A treatise on the medical and surgical diseases of women, with their homopathic treatment .. . of Treatment under various Circum-stances.—Sometimes after we have severed the pedicle in theuterus the tumor is not readily extracted through the os, andit may become necessary to seize the tumor with the vulsettwnforceps and incise it freely in order to extract it. This is not, UTERINE POL YPI. 369 however, absolutely necessary, for if we wait a few daysuterine contractions will come on and expel the polypus, whichis lying loose in the uterine cavity. Sometimes the tumor is so large as to distend the vaginaseverely, and it may become necessary to relax the os vaginamwith Bell, ointment and the inhalation of Chloroform, while weextract the tumor with the ordinary obstetrical forceps. In case we dilate the os uteri fully, and find the polypusattached to the fundus by a broad, short pedicle, what is to bedone? First, Ave may attempt to pass the chain of the ecra-seur around it, and for this purpose Edwards ecraseur is thebest (in our opinion), using Sims guide to raise the chain into. Fig. No. 40.—Edwards Ecraseur. position. Should we fail in adjusting the chain around thetumor properly we may incise the polypus and enucleate itwith the vuUellum forceps, or we may incise it and push intothe incision with a long probe, or uterine sound, a good sizedpiece of lint, and leave it there several days, to establish sup-purative or ulcerative action in the tumor. Or we may inserta long sponge tent up by the side of the tumor, and therebyexcite uterine contractions, and hence exert great pressureupon the polypus, which may cut off its supply of blood, andstrangulate it, causing it to soften and decay, when we maytake it away piecemeal with the vulsellum forceps, or we mayallow nature to slough it off. To Dr. J. Marion Sims * are we indebted for a knowledgeof the efficacy of sponge tents in destroying fibroid accidentally made the discovery by placing a sponge tentin the
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishere, booksubjectwomen
