. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. cut in a direction corresponding to C, D (Fig. 4300).Strict antiseptic precautions should be used in this op-Vol. VII.—29 Fig. Sime Knife. last thirty years, and some of the very best gynaecolo-gists have written monographs advocating its use. Mostauthorities have, however, been shy of it on account ofthe dangers above referred to. The great increase of ourknowledge, of late years, in regard to the danger of theextension of endometritis to the tubes and ov


. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. cut in a direction corresponding to C, D (Fig. 4300).Strict antiseptic precautions should be used in this op-Vol. VII.—29 Fig. Sime Knife. last thirty years, and some of the very best gynaecolo-gists have written monographs advocating its use. Mostauthorities have, however, been shy of it on account ofthe dangers above referred to. The great increase of ourknowledge, of late years, in regard to the danger of theextension of endometritis to the tubes and ovaries has, Ithink, given the final death-blow to stem pessaries. Ishall therefore not recommend their use. The use of vaginal pessaries in anterior displacementsis a much disputed subject. Graily Hewitt • andThomas are enthusiastic as to their value, whileEmmet, Schroede, Winckel, Hart and Barbour, Goodell,and others, consider them of no use. As there is aninfinite variety of opinions on this subject, and an in-finite variety of pessaries in use, we shall speak hereonly of the most useful forms, and the reader is referred. Fig. 4:j,02.—Posterior Section of Or (Sims.) for further information to the article on Pessaries inVol. V. As anteversion and anteflexion often exist incombination, and as they are-practically the same thingso far as they are affected by a vaginal pessary, verynearly the same pessary may be used for both. The cor-rect principle of these pessaries is to distend the anteriorvaginal cul-de-sac, thereby lifting the fundus uteri anddrawing the cervix forward. The lifting of the con-gested fundus, so as to restore the natural circulation, is 440 UterineDisplacement*. REFERENCE HANDBOOK OF THE MEDICAL SCIENCES.


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188