A system of gynecology . OF TIIF CTEBUS. is generally to be carried to within the latter. It is ever to be held inmind that the disease on the vaginal face of the cervix is rarely thewhole affected surface. Usually, it is only pathognomonic of the glan-dular inflammation within, which, if untouched and uncontrolled, willsurely cause a relapse of the erosion and granular degeneration, itmatters not how effectually they may have been removed. The disease itself so often opens up the cervical canal that dilatationby artificial means is comparatively rarely required. A successful issue,however, in
A system of gynecology . OF TIIF CTEBUS. is generally to be carried to within the latter. It is ever to be held inmind that the disease on the vaginal face of the cervix is rarely thewhole affected surface. Usually, it is only pathognomonic of the glan-dular inflammation within, which, if untouched and uncontrolled, willsurely cause a relapse of the erosion and granular degeneration, itmatters not how effectually they may have been removed. The disease itself so often opens up the cervical canal that dilatationby artificial means is comparatively rarely required. A successful issue,however, in cases of chronic catarrh of the cervical canal, where thevaginal lace remains healthy and the OS externum is not rendered patu-lous, makes dilatation necessary. We have for this purpose the metallicdilators fashioned after the patterns of Peaslee (Fig. 182), or Ellinger,or some of their modifications. Preference is given to those with expand-ing blades. The authors (Fig. 183), which he has used since 1874, is Fig. Palmer* Uterine Dilator. simple in mechanism, easy of introduction, and if properly constructedsecures an absolute parallelism of dilatation, from out to out, of three-fourths of an inch. A larger size also is now made when greater dila-tation is desirable under other circumstances. If free dilatation is sought in order to provide for a thorough applica-tion of some caustic agent, the choice is given to tents of sponge, tangle-weed, or tupelo. The superior advantages of the tupclo tent, introducedto the profession by Dr. G. E. Sussedorff, over the other materials arenow generally recognized by gynecologists. It possesses the betterqualities of both sponge and the tangle, without some of the disad-vantages of cither. Bv it the cervix can beeffectually expanded, at the same time softened,and, being free from fetor and not tearing themucous membrane, the dangers of septicemicinflammation are reduced to a minimum. Incisions of the mucous membrane with aknife before
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
