Clinical notes on uterine surgery : with special reference to the management of the sterile condition . s are repre-sented in fig. 92, page 236. It was but the other daythat a friend of great eminence in the profession askedmy opinion in reference to a fibroid suspected to be inthe posterior wall of the uterus. He was hesitatingwhether to attack it through the cavity of the uterus orthi ough the cul-de-sac of the vagina. By this bi manualmethod of palpation alone, I was able in a moment tosay that the tumour, nearly as large as the foetal head atterm, was pedunculated, and that the pedicle, ab
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . s are repre-sented in fig. 92, page 236. It was but the other daythat a friend of great eminence in the profession askedmy opinion in reference to a fibroid suspected to be inthe posterior wall of the uterus. He was hesitatingwhether to attack it through the cavity of the uterus orthi ough the cul-de-sac of the vagina. By this bi manualmethod of palpation alone, I was able in a moment tosay that the tumour, nearly as large as the foetal head atterm, was pedunculated, and that the pedicle, about aninch long and three-fourths of an inch thick, was attachedto the posterior face of the uterus, about half-waybetween the insertion of the vagina and the fundusuteri (fig. 94). It is not necessary to say more aboutthe peculiarities of the case here, except that in the UTERINE DISPLACEMENTS. 243 course of a few minutes my friend was perfectly con-vinced of the exactness of the diagnosis. But to return to the subject of anteversion. So faras the mechanical treatment of anteversion per se is COn-. FlG. 94. cerned, I know of but one instrument that has the powerof rectifying the position perfectly and at once, and thatis the intra-uterine stem (with disk) of Dr. unfortunately the risks of the instrument are toogreat; and I know but three practitioners in my owncountry who have not, after repeated trials, discarded italtogether. These are Professor Peaslee and ProfessorConant, of New York City, and Professor Mack, ofBuffalo. In the practice of the Womans Hospital, Dr. Emmetand myself were long ago compelled to discontinue itsuse, on account of frequent accidents, such as haemor-rhage, metritis, and pelvic cellulitis. Sometimes a smallMeigss gutta-percha ring will afford relief, not so muchby rectifying the position as by elevating the organslightly in the pelvis, and taking some of its weightfrom the bladder. Sometimes we derive considerablecomfort from a small glob
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