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 . g within agiven time. My nurse has strict orders always to remind patients againbefore they leave, of the presence of the tampon, and that it must be re-moved within twenty-four hours. It is also well to impress upon themnot to use too much or sudden force in traction on the cord, for fear ofbreaking it, and that traction should be made downward toward the peri-neum, the fingers grasping the cord as closely to the vul
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 . g within agiven time. My nurse has strict orders always to remind patients againbefore they leave, of the presence of the tampon, and that it must be re-moved within twenty-four hours. It is also well to impress upon themnot to use too much or sudden force in traction on the cord, for fear ofbreaking it, and that traction should be made downward toward the peri-neum, the fingers grasping the cord as closely to the vulva as should generally be removed after twenty-four hours. If allowedto remain longer, they are very liable to become offensive, even when car-bolized. This is especially the case when a number of tampons have beenintroduced for uterine hemorrhage and left untouched for forty-eighthours, as is frequently necessary in dispensary practice ; the blood grad-ually saturates the cotton, decomposes, and the tampons, in spite ofcarbolization, are exceedingly offensive when removed—the more so ifthe weather is warm. When circumstances permit in such cases, it is. TAMPONADE OF THE VAGINA, 179 advisable to renew the tampons every day, even at the risk of re-exci-ting the hemorrhage. It is not practicable to carbolize the tampons sostrongly as to effectually prevent decomposition, since the acid, togetherwith the pressure, would excoriate the vagina. In this respect the otherdisinfectants, chiefly solution of thymol, are preferable, since they can beused in a more concentrated solution without cauterizing. In removingtampons, when a number have been introduced, care should be taken notto overlook one ; I have seen a chill and rise of temperature simulatingsepticemia follow the accidental retention of a small tampon soaked in adilute solution of the chloride of iron, in a case of amputation of the cer-vix, symptoms which at once subsided when the tampon was detected andre
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