. Pelvic inflammation in women. ef Fig. 38.—Placing the Gauze Roll Drains. The Posterior Vaginal Incision HeldOpen with Long Bladed Retractors. Vaginal examination seldom reveals more than local tenderness andexquisite sensitiveness on motion of the cervix; we have seldom foundbulging of the cul de sac, notwithstanding this, on opening the ciil de sac,we have invariably liberated a considerable quantity of seropurulentmaterial, containing cocci. By widely opening the cid de sac and allow-ing this exudate to escape, and then isolating the pelvis by placingtwisted gauze drains from pelvic wall t

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. Pelvic inflammation in women. ef Fig. 38.—Placing the Gauze Roll Drains. The Posterior Vaginal Incision HeldOpen with Long Bladed Retractors. Vaginal examination seldom reveals more than local tenderness andexquisite sensitiveness on motion of the cervix; we have seldom foundbulging of the cul de sac, notwithstanding this, on opening the ciil de sac,we have invariably liberated a considerable quantity of seropurulentmaterial, containing cocci. By widely opening the cid de sac and allow-ing this exudate to escape, and then isolating the pelvis by placingtwisted gauze drains from pelvic wall to pelvic wall, we not only takecare of the exudate already formed, but relieve the patient from theabsorption of toxins. By the presence of the gauze we excite a localperitoneal reaction, which walls off the pelvis from the general abdominal. Fig. 39,—Counter Incision and Drainage ThroughTHE Loins in Purulent Peritonitis.

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Keywords: ., bookcentury1900, bookdecade1920, bookpublishernewyo, bookyear1921