. Fig. 76—Colin's scalpel. hand unctuous and readily introduced through the vulva. Armed with the guarded sterilized scalpel. Fig. 76, intro- duce the hand into the vagina promptly and when the organ is well "ballooned," unsheath the knife. Place it just above the OS uteri, parallel to the long axis of the uterus, a few mm. to the right or left of the median line in order to avoid a loose fold of mucous membrane generally existing there. Hold the blade vertical—that is, with the cutting surface parallel to the longitudinal muscular fibers of the vagina— and, guarding the possible ext
. Fig. 76—Colin's scalpel. hand unctuous and readily introduced through the vulva. Armed with the guarded sterilized scalpel. Fig. 76, intro- duce the hand into the vagina promptly and when the organ is well "ballooned," unsheath the knife. Place it just above the OS uteri, parallel to the long axis of the uterus, a few mm. to the right or left of the median line in order to avoid a loose fold of mucous membrane generally existing there. Hold the blade vertical—that is, with the cutting surface parallel to the longitudinal muscular fibers of the vagina— and, guarding the possible extent of its introduction with the thumb and fingers, push it directly forward with a quick thrust through the vaginal mucosa, the muscular walls, and the peritoneum, until the disappearance of resistance indicates that the latter has been penetrated. This is the most critical step in the operation. If the hand is introduced into the vagina immediately after the injection of the sterile saline solution, the vagina
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Keywords: ., bookauthorwilliams, bookcentury1900, bookdecade1920, bookyear1921
