. Atlas and epitome of gynecology . Fig. 32.—Rarer application ofSchultzes sledge-pessary withfirm pelvic Fig. 33.—Usual application ofSchultzes sledge-pessary. It issupported by the vaginal walland the symphysis. The cervixis fixed between the anterior andthe posterior bar. Employed inretroflexed descended uterus. Directions for the Application of Pessaries.—The appropriate pessary is to be introduced with the patient inthe dorsal or knee-elbow position, and the vagina shouldbe held open by a duck-bill speculum, allowing the uterusand adnexa to fall forward. 1. The round, flexible cao
. Atlas and epitome of gynecology . Fig. 32.—Rarer application ofSchultzes sledge-pessary withfirm pelvic Fig. 33.—Usual application ofSchultzes sledge-pessary. It issupported by the vaginal walland the symphysis. The cervixis fixed between the anterior andthe posterior bar. Employed inretroflexed descended uterus. Directions for the Application of Pessaries.—The appropriate pessary is to be introduced with the patient inthe dorsal or knee-elbow position, and the vagina shouldbe held open by a duck-bill speculum, allowing the uterusand adnexa to fall forward. 1. The round, flexible caoutchouc ring of Mayer iscompressed with the fingers or the Fritsch forceps (Plate20, Fig. 2), introduced beyond the constrictor vaginae, andplaced so that the cervix rests within its opening, whichshould not be too small. The ring should slightly dilatethe vagina. PESSARIES. 85 2. The S-shaped pessary of Hodge and the more curvedone of Thomas with a bulbous enlargement of the upperbar (made of hard rubber or celluloid, rendered flexibleby hot water, or of copper wire covered with caoutchouc)are introduce
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