Operative gynecology : . of purulent fluid,and the enlarged soft uterus was removed. On section its walls were foundto contain numerous small abscesses; the alcoholic specimen measured 13 by9 by 6 cm.; its cavity was 9 cm. long and contained six pieces of wood (parts Fig. 321.—Goodell-El-linger Dilator, withSpring between theHandles, but with-out a Ratchet. The corrugations onthe blades prevent slip-ping during (he dilatation.•V ordinary size. METHOD OF DILATING. 581 of an elm tent), which, united, formed a perfect cone with a hole perforatingits base. The uterine walls were extensively necrot
Operative gynecology : . of purulent fluid,and the enlarged soft uterus was removed. On section its walls were foundto contain numerous small abscesses; the alcoholic specimen measured 13 by9 by 6 cm.; its cavity was 9 cm. long and contained six pieces of wood (parts Fig. 321.—Goodell-El-linger Dilator, withSpring between theHandles, but with-out a Ratchet. The corrugations onthe blades prevent slip-ping during (he dilatation.•V ordinary size. METHOD OF DILATING. 581 of an elm tent), which, united, formed a perfect cone with a hole perforatingits base. The uterine walls were extensively necrotic, and cocci were foundeverywhere in the vessels and in the thick sheet of fibrin which covered theuterus. In another case, the physician in attempting to induce an abortion, thrust awooden tent through the posterior wall of the uterus into the peritoneal cavity;the tent entered the uterine wall at its junction with the cervix, and transfixedit obliquely, emerging through the peritoneal surface near the fundus. The. Fig. 322.—Criminal Abortion, with Separated Elm Tent in situ partially perforating theUterine Wall. Septicemia and Death. Specimen removed at Autopsy. patient was brought to Dr. W. E. Ashtoii, of Philadelphia, who opened theabdomen (March, 1889) and removed the uterus, tubes, and ovaries. Thepatient recovered. The antiseptic preparations for dilatation and curetting consist ina thorough preliminary cleansing of the vagina, as described in Chapter XII. I always precede dilatation and curettage by a careful bi-manual examination to determine the condition of the organsand the exact position of the uterus. If the direction of the uterinecanal is known it aids greatly the introduction of the uterine dilator. In the virgin the index finger must be introduced into thevagina slowlyand gently, to avoid injuring the hymen. When the finger touches the cervixa pair of tenaculum forceps is introduced and the cervix firmly grasped by itsanterior lip. The finger is now wit
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
