The diseases of women : a handbook for students and practitioners . Fig. 42.—The Hodge pessary. modifications of the original Hodge pattern are found (), but the important element of success in treatment by. Fig. 43—A glycerin pessary, Hodge pattern. means of pessaries is that the instrument should fit. 150 DISEASES OF WOMEN. Modes of Action.—Like the ring, the Hodge pessaryshould not touch any bony points. The action is describedas that of a lever, the middle portion of the pessary restingagainst the posterior vaginal wall and forming the fulcrum;the intrapelvic pressure acts in a direc


The diseases of women : a handbook for students and practitioners . Fig. 42.—The Hodge pessary. modifications of the original Hodge pattern are found (), but the important element of success in treatment by. Fig. 43—A glycerin pessary, Hodge pattern. means of pessaries is that the instrument should fit. 150 DISEASES OF WOMEN. Modes of Action.—Like the ring, the Hodge pessaryshould not touch any bony points. The action is describedas that of a lever, the middle portion of the pessary restingagainst the posterior vaginal wall and forming the fulcrum;the intrapelvic pressure acts in a direction downward andbackward, mainly against the lower portion of the pessary,and this tends to tilt the upper end forward and upwardagainst the posterior surface of the body of the influence is exerted also: when the posteriorvaginal fornix is pushed upward, the cervix is drawn back-ward, and if the uterus be fairly rigid, the fundus is in thisway tilted forward. The backward pressure of a heavyuterine body is also resisted, through the lever action of theHodge pessary, by the anterior vaginal wall, as long as thisis not much relaxed. It is in harmony with this explana-tion that the cresce


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgen, booksubjectwomen