Treatise on gynæcology : medical and surgical . this ingeni-ous method are very rare and that it is very inconvenient. I muchprefer to follow the curettage with the energetic application of therose or olive shaped actual cautery, by which the neoplastic processesare followed up and destroyed in the midst of the healthy, more re-sistant tissue. This procedure is practically that which has givensuch good results in the hands of Koerberle and Baker, and whichSchroder also recommends; I have obtained great benefit from This method of treatment may be repeated at intervals of a fewweeks or mo
Treatise on gynæcology : medical and surgical . this ingeni-ous method are very rare and that it is very inconvenient. I muchprefer to follow the curettage with the energetic application of therose or olive shaped actual cautery, by which the neoplastic processesare followed up and destroyed in the midst of the healthy, more re-sistant tissue. This procedure is practically that which has givensuch good results in the hands of Koerberle and Baker, and whichSchroder also recommends; I have obtained great benefit from This method of treatment may be repeated at intervals of a fewweeks or months. If we operate rapidly, after application of cocaine TREATMENT OF CANCER OF THE CERVIX. 385 to the vagina, and under continuous cold irrigation, anaesthesia may-be omitted, which is desirable, as the patients are usually much ex-hausted and have more or less advanced kidney lesions. The opera-tion causes but little pain, and only the preparation for it is some-what appalling. After the curettage a tampon of iodoform gauze is placed in the. Fig. 195.—CtrrrxG Curettes. A, B, and C, cutting spoons of Simon; D, Recamiers cutting curette; E,Sims model; F, fenestrated curette with malleable handle. G, Thomas1 serrated curette. cavity produced by the excision, and renewed at the end of two of sublimate 1:5,000, which appears to me the best, mayalso be employed. As soon as the granulations at the base of thevagina begin to secrete with some abundance I apply a small disc-shaped tampon wet with chloride of zinc (1: 10), kept solidly in placeand isolated by a large tampon of iodoform gauze saturated withbicarbonate of soda, the vagina being carefully tamponed with cottonso as to avoid any displacement. This dressing should be renewed 25 386 CLINICAL AND OPEKATIYE GYNAECOLOGY. every second day, and each time preceded by abundant irrigationwith sublimate. Chemical Cauterization.—Various agents have been employed forthis purpose, such as nitric or chromic acid, a
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