Treatise on gynæcology : medical and surgical . n. We must grope gently with thesound a great many times before the diagnosis can be established withcertainty. Prognosis.—Congenital cervical stenosis, which is the most fre-quent form, disappears after fecundation and labor, not so much fromthe excessive dilatation as from the structural changes undergone bythe uterus in pregnancy. The efforts of the surgeon should be directedtoward favoring fecundation, and the various methods of artificialdilatation are to be regarded as merely temporary and palliative. Treatment.—Slow dilatation with laminar
Treatise on gynæcology : medical and surgical . n. We must grope gently with thesound a great many times before the diagnosis can be established withcertainty. Prognosis.—Congenital cervical stenosis, which is the most fre-quent form, disappears after fecundation and labor, not so much fromthe excessive dilatation as from the structural changes undergone bythe uterus in pregnancy. The efforts of the surgeon should be directedtoward favoring fecundation, and the various methods of artificialdilatation are to be regarded as merely temporary and palliative. Treatment.—Slow dilatation with laminaria tents, or rapid pro- 536 CLINICAL AXD OPERATIVE GYNAECOLOGY. gressive dilatation with graduated bougies, gives merely ephemeralresults, yet it may be used to advantage before each menstrual prefer Hegars dilating bougies, and believe that their frequent usemay stimulate the vitality of a more or less incompletely developeduterus (for details, see page 112 et seq.). This operation, although a minor one, must be considered worthy.
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
