. Clinical gyncology, medical and surgical. Front view of usual Albert Smith pessary. Front view of same pessary spread bilaterally(Munde). more easily retained than when it is long and slender, as Dr. Thomas recom-mended it. As I have indicated, it is necessary to tit a particular pessaryto every particular vagina, therefore the assortment to be kept on handshould be varied not only in size, but also in difference of curve. I havefound it useful for some cases to spread the lateral diameter of the ordi-nary retroversion pessaries somewhat, so as to increase their power of reten-tion. My exper
. Clinical gyncology, medical and surgical. Front view of usual Albert Smith pessary. Front view of same pessary spread bilaterally(Munde). more easily retained than when it is long and slender, as Dr. Thomas recom-mended it. As I have indicated, it is necessary to tit a particular pessaryto every particular vagina, therefore the assortment to be kept on handshould be varied not only in size, but also in difference of curve. I havefound it useful for some cases to spread the lateral diameter of the ordi-nary retroversion pessaries somewhat, so as to increase their power of reten-tion. My experience, extending over more than twenty years, has taught 500 DISPLACEMENTS OF THE UTERUS. me that there is nothing more difficult in mechanical gynaecology than to fita pessary to a bad case of retroflexed and prolapsed uterus. If, therefore,one or two trials do not succeed, the attempt should not be given up solong as the uterus is movable and the patient bears the manipulation. Inthose cases in which, after repeated trials, the extent of
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