Treatise on gynæcology : medical and surgical . pose the reduction. He describes minutely the method of freeingthe uterus from pseudo-ligaments and adhesions which fix it behindor laterally or on its surface to the rectum. Under anaesthesia heclaims that he can feel the ovaries and destroy their bold practice has found imitators, but it has also been condemnedSchroder). It is true that Schultze has obtained very remarkablesuccess in this way, but if the tubes should be inflamed, the method,it seems to me, would be very dangerous. DISPLACEMENTS OF THE UTERUS. 443 3. Redaction by
Treatise on gynæcology : medical and surgical . pose the reduction. He describes minutely the method of freeingthe uterus from pseudo-ligaments and adhesions which fix it behindor laterally or on its surface to the rectum. Under anaesthesia heclaims that he can feel the ovaries and destroy their bold practice has found imitators, but it has also been condemnedSchroder). It is true that Schultze has obtained very remarkablesuccess in this way, but if the tubes should be inflamed, the method,it seems to me, would be very dangerous. DISPLACEMENTS OF THE UTERUS. 443 3. Redaction by tlie Sound.—This is the method which is generallyemployed, and which even Schultze advises whenever it is neces-sary to overcome resistance of unusual degree. Either the genu-pec-toral or Sims position may be adopted. A large smooth metallicsound is selected and introduced many times consecutively to reducethe deformity to a retroversion; then the sound is made to describean arc of a circle, and the beak of the instrument within the uterine. Fig. 233.—Replacement of a Retroflexed Uterus by the Sound. cavity performs a rotation which carries its concavity forward. Theuterus is thus straightened but is still in the retro-position; to bringit forward, the handle of the sound is depressed toward the fourchette(Fig. 233). In all these manoeuvres no sadden rough movements should beperformed, but the pressure should be gentle and continuous. It iswell to precede the reposition of the organ by dilatation with lami-naria tents, which gives suppleness to the tissues, and the mucous 444 CLINICAL AND OPERATIVE GYNECOLOGY. membrane which is so often diseased at the isthmns shonld be cu-retted; the reduction may then be completed in one session. At othertimes it is of advantage to divide the treatment over several sittings,repeating them every two or three days: after each one the amount
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