Diseases of women and abdominal surgery . tis set up bytoo rough handling. If the tumour be a fundus, it will probablybe easily dealt with; but if it be an ovary, very great difficultyindeed may be met with in treating it satisfactorily. If the glandis not adherent, it may be replaced by a pessary adapted so as tokeep it in place, or least far enough up to be out of harms way ;but if it be adherent, it may be taken as certain that no pessarycan be borne. The best pessary for this purpose is one which Iintroduced many years ago, under the name of the wedge pessary,and which is here figured. I h
Diseases of women and abdominal surgery . tis set up bytoo rough handling. If the tumour be a fundus, it will probablybe easily dealt with; but if it be an ovary, very great difficultyindeed may be met with in treating it satisfactorily. If the glandis not adherent, it may be replaced by a pessary adapted so as tokeep it in place, or least far enough up to be out of harms way ;but if it be adherent, it may be taken as certain that no pessarycan be borne. The best pessary for this purpose is one which Iintroduced many years ago, under the name of the wedge pessary,and which is here figured. I have frequently had cases brought to me in which the sufferingsof the patient had been greatlyincreased by well - intendedefforts to replace by pessary anadherent ovary. The general treatment shouldconsist of physiological rest, ascomplete as can be obtained;that is to say, that duringthe menstrual period the patientshould be confined absolutely tobed, and that there should be 42-Taifs Wedge pessary. ccssatiou of intercourse. Any 19. 290 TKEATMENT OF kind of treatment which will tend to improve the patientsgeneral health should be employed, and by far the most effectualremedy will be a judicious administration of ergot and the salts ofpotash. What has proved in my experience to be the best methodof giving these drugs is to put tlie patient on a prolonged course ofbromide and chlorate for alternate months, in doses of from five totwenty grains twice daily, and taken continuously ; and to this isto be added a pill containing from half a grain to two grains ofergotin, to be taken for a few days before the appearance ofmenstruation, and during the whole of the period. I am boundto say that no other treatment by drugs has seemed to me to beof the slightest use. Professor Goodell speaks in high praise of acombination of the ammonic and mercuric chlorides, but 1 havefound them absolutely useless. He gives them in the followingformula:— I^. Hydrargyri chloridi corrosivi gr. j. A
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