Clinical notes on uterine surgery : with special reference to the management of the sterile condition . absolutely necessary to use an intra-uterine force. Dr. Simpson was the first to teach us how to dia-gnose, and how to rectify a retroversion. He passes hisuterine sound to diagnose the position, and then turning UTERINE DISPLACEMENTS. 257 it half a circle, the retroverted fundus is necessarilyelevated towards the promontory of the sacrum. Butas I have frequently said before, this operation oftenproduces great suffering, and sometimes haemorrhage,and I have not for many years used Simpsons s
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . absolutely necessary to use an intra-uterine force. Dr. Simpson was the first to teach us how to dia-gnose, and how to rectify a retroversion. He passes hisuterine sound to diagnose the position, and then turning UTERINE DISPLACEMENTS. 257 it half a circle, the retroverted fundus is necessarilyelevated towards the promontory of the sacrum. Butas I have frequently said before, this operation oftenproduces great suffering, and sometimes haemorrhage,and I have not for many years used Simpsons soundas a redresser. I have not seen any more seriousaccident from it. Some object to the instrument, andostracize it altogether; because perforation of the fun-dus and death have followed its injudicious use. Thisis not wise or logical. I object to it only as a whole principle of action is wrong; and hence thepain and suffering it produces. I only wonder it hasnot done greater mischief. Let us for a moment its modus operandi. Fig. 104 represents a retroverted uterus with Simp-. FlG. 104. :sons sound introduced as a redresser. Now, if weturn the handle of the instrument a on its own axishalf a circle, the distal end will elevate the uterus fromits abnormal position to that shown by the dottedfigure c; but in doing this it will describe a semicircleof but little less than two inches and a half radius, 17 258 UTERINE SURQERY. sweeping the fundus round with, the whole weight ofthe organ, supported principally on the very end of theinstrument, which in its gyration changes its point ofpressure from the posterior to the anterior face of theuterine cavity. To elevate the fundus still more, wepush the handle b back towards the perineum, whichthrusts the uterine end upwards. Is it to be wonderedat, then, that we occasionally meet with patients wholook upon the uterine sound with the most painfulrecollections ? Seeing that an intra-uterine force wasoccasionally abso
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