Clinical notes on uterine surgery : with special reference to the management of the sterile condition . atly prostrated uterus was felt to be enlarged, but the os was notlarger than the point of a connuun probe. A smallsponge tent was introduced, and on the next a largerone. This dilated the canal of the cervix sufficiently,but the os barely admitted the end of the finger, andfelt as inelastic as if bound by wire. Of course, nofurther effort could then be made. Eight or ten daysafter this we succeeded in dilating the cervix, so as toexplore most satisfactorily the cavity of the uterus,
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . atly prostrated uterus was felt to be enlarged, but the os was notlarger than the point of a connuun probe. A smallsponge tent was introduced, and on the next a largerone. This dilated the canal of the cervix sufficiently,but the os barely admitted the end of the finger, andfelt as inelastic as if bound by wire. Of course, nofurther effort could then be made. Eight or ten daysafter this we succeeded in dilating the cervix, so as toexplore most satisfactorily the cavity of the uterus,when we found a hard fibrous polypus, with a broad,thick pedicle, attacked to the posterior wall, close to thefundus (fig. 35). This was in May, 1862. I failed toput the chain around the pedicle. Two weeks afterwardsanother series of sponge tents was followed by another OF MENSTRUATION. 89 failure. The tumour was unfortunately lacerated a gooddeal by the vulsellum, which was used to draw it down-wards and to fix it while efforts were made to chain around it. Two or three days after this Fig. 35. chill ushered in an irritative fever, which unhappilyterminated fatally. Here a valuable life was lost becauseour art did not furnish the proper surgical appliancesfor relief. With the ecraseur, as now supplied with theporte-chaine, there is every reason to believe that wewould have succeeded in our first efforts. In cases like this, occurring in advanced life, we oftenfind it difficult to dilate the os externum. The tentmay expand the canal of the cervix to the size of thefinger, while the os tincse may not become larger than aNo. 10 bougie. Under these circumstances, if weattempt to force the finger into the cervix, the contractedos feels rigid and resisting as if bound round by a finewire. And here, instead of repeating the tents, it issafer and better to divide with the knife the sharp, well-
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
