. Operative gynecology. rrection of retroflexions of the uterus by anabdominal operation has been widely and fully tested, and has undergone indifferent hands a series of modifications more or less useful. Simpler Methods of treating Retroflexion.—S u s p e n si o n of the uterusshould be resorted to only in cases of persistent retro-flexion which refuse to yield to simpler plans of treat-ment through the vagina, and then only when the dis-comforts of the retroflexion are sufficient to interfereseriously with health. In many cases the physician will be justified in extending his treatment over
. Operative gynecology. rrection of retroflexions of the uterus by anabdominal operation has been widely and fully tested, and has undergone indifferent hands a series of modifications more or less useful. Simpler Methods of treating Retroflexion.—S u s p e n si o n of the uterusshould be resorted to only in cases of persistent retro-flexion which refuse to yield to simpler plans of treat-ment through the vagina, and then only when the dis-comforts of the retroflexion are sufficient to interfereseriously with health. In many cases the physician will be justified in extending his treatment oversome months in the endeavor to bring the uterus into anteposition and keep it U9 150 SUSPENSION OF THE UTERUS. tliere. One or more of the three following plans of treatment are serviceableto this end: 1. Manual reduction. 2. Packs and pessaries. 3. Resection of a lax outlet. For manual reduction^ the vagina should be cleansed and the anteriorlip of the cervix caught by a corrugated tenaculum or tenaculum forceps ( Fig. 342.—Suspension of the Dtekus, seen fhom Above ; from a Case opened ovkb Si.\ Monthsafter the suspensory operation. Notice the long fibrous bands uniting the posterior surface of the uterus to the anterior abdominal 6,18J«. 225) and drawn down toward the vaginal outlet (Fig. 226); wliile it is held inthis position the index finger is introduced into the rectum, and used to raisethe fundus up into the pelvis, reducing the angle of flexion (Fig. 229). Thereis sometimes a sensible jump as the body of the uterus escapes from betweenthe utero-sacral folds where it had lain incarcerated, often giving the false im-pression that there is a retroflexion witli adhesions. As soon as the fundus iselevated in this way the cervix is carried back into the sacral hollow by means SIMPLER METHODS OF TREATING RETROFLEXION. 151 of the forceps, thus rotating tlae uterine body forward (Fig. 227). The rest ofthe reduction is now effected bimanually through the vagin
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
