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 . lar or bivalve might answer very well. Counter-indications and dangers.—The counter-indications to the ap-plication of caustics, or the curette to the cervical cavity, are always (be-sides the invariable one of pregnancy) the presence of acute or subacuteinflammation of the uterus or its adnexa. The dangers are the rekind-ling of such inflammation, if it once existed, or of producing it for the firsttime, if the patie
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 . lar or bivalve might answer very well. Counter-indications and dangers.—The counter-indications to the ap-plication of caustics, or the curette to the cervical cavity, are always (be-sides the invariable one of pregnancy) the presence of acute or subacuteinflammation of the uterus or its adnexa. The dangers are the rekind-ling of such inflammation, if it once existed, or of producing it for the firsttime, if the patient happens to be in a susceptible condition. Thus, in acase of operation for laceration of the cervix last summer, in which a smallcervico-vaginal fistula remained at the angle of the laceration, the remain-der of the rent having fully united, the cauterization of the fistulous trackwith the stick of nitrate of silver resulted in a circumscribed pelvic cel-lulitis of the size of half a lemon in the supra-vaginal cellular tissue im-mediately adjoining the fistula. This exudation disappeared in two weeksand the fistula then proved to be healed. There are the same counter-. Fig. 129—Dilatation of cer-vical cavity and retention ofmucus in endotrachelitis bynarrow external os. Pottedlines show incisions. (P. F. M.) APPLICATIONS TO THE ENDOMETRIUM. 201 indications to, and the same dangers from, any application to the careful examination, and perhaps previous experience with the case willenable the physician to judge whether his patient is likely to bear localtreatment well. The precautions to be employed will, therefore, depend upon theexigencies of each case. Still, the general rule should be observed, notto apply any caustic agent so thoroughly as to cause a mutilation of thecervix by the slough it produces, therefore to be careful to apply suchcaustics as are followed by cicatricial contraction (nitric acid, chromicacid, solid nitrate of silver, acid nitrate of mercur
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