The American text-book of obstetrics for practitioners and students . Fig. 135.—Exploratory vaginal syringe. be made having an attachment to the case and the piston-(Fig. 135).* Ifthere is pus, the needle may be used as a guide for the knife. The incisionmust be made behind a line drawn transversely through the cervical canal,in order to keep clear of the ureter and the uterine artery. The surgeon. Fig. 136.—Garrigues blunt expanding perforator. should likewise feel for and avoid vaginal arteries. Often one or more drain-age-tubes are inserted. If the abscess points above Pouparts ligament, th


The American text-book of obstetrics for practitioners and students . Fig. 135.—Exploratory vaginal syringe. be made having an attachment to the case and the piston-(Fig. 135).* Ifthere is pus, the needle may be used as a guide for the knife. The incisionmust be made behind a line drawn transversely through the cervical canal,in order to keep clear of the ureter and the uterine artery. The surgeon. Fig. 136.—Garrigues blunt expanding perforator. should likewise feel for and avoid vaginal arteries. Often one or more drain-age-tubes are inserted. If the abscess points above Pouparts ligament, the incision should bemade there, parallel to the ligament. Then a finger should be introduced, * A very satisfactory instrument of this kind has been made for the writer by Mr. Campbell,cor. Lexington Ave. and Thirty-fourth Street, New York. PATHOLOGY OF THE PUEBPERIUM. 249 ami, if the bottom is fell to be near tin- vaginal vault, an opening should bemade here and through-drainage established with a rubber tube with sideholes. [f the abscess, on the other hand, i- within reach from the vagina, thewriter makes a transverse incision behind the cervix, separates the tissuesbluntly from it, places the index-finger on tin- abscess, ami perforates it with


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectobstetrics, bookyear1