. Clinical gyncology, medical and surgical. DISPLACEMENTS OF THE UTERUS. 485 canal remains straight and open or bends and contracts again. In themean time coition may be permitted, and .should even be enjoined. I will say that nothing, in my experience, but this operation and thewearing of a straight stem in the uterine cavity for a certain number ofmonths will ever cure a well-marked anteflexion of* the uterus. The risksof this treatment will naturally render the operator exceedingly careful asto when ami how he advises and employs it. The very slightest sign of aprevious inflammatory conditi
. Clinical gyncology, medical and surgical. DISPLACEMENTS OF THE UTERUS. 485 canal remains straight and open or bends and contracts again. In themean time coition may be permitted, and .should even be enjoined. I will say that nothing, in my experience, but this operation and thewearing of a straight stem in the uterine cavity for a certain number ofmonths will ever cure a well-marked anteflexion of* the uterus. The risksof this treatment will naturally render the operator exceedingly careful asto when ami how he advises and employs it. The very slightest sign of aprevious inflammatory condition in the uterine appendages or the pelvicperitoneum would counterindicate this treatment in the majority of , I have, well knowing the risks, seen some excellent results as regardsthe relief of dysmenorrhea, and even the cure of the sterility in several casesof subacute salpingitis. The operator must be careful never to promise the Fig. Anteflexion of the cervix. patient any positive benefit from his treatment, since nothing is more uncer-tain than the cure of sterility. In some cases the stem will absolutely not beborne, producing so much pain, so much uterine colic, and such .severe ner-vous symptoms, that it has to be removed almost as soon as introduced. Inthese cases, packing the uterine cavity with iodoform gauze may, to a certainextent, act as a substitute, particularly if there is a chronic endometritisalso present. Frequently the curetting of the uterine canal after dilata-tion and its cauterization with chloride of zinc (fifty-per-cent. solution),or iodized phenol, equal parts, for the cure of a chronic endometritis, mayhave to be employed immediately after discission and dilatation. In suchcases the iodoform gauze packing would have to be continued for a weekor more, until the uterine mucous membrane assumes a healthy condition,before the stem can be introduced. 486 DISPLACEMENTS OF THE UTERUS. Curability.
Size: 1587px × 1575px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksubjectgynecology, booksubjectwomen, bookyea
