Operative gynecology : . n Fig. 218are lightly made, with long shanks, for use through the speculum and larger sizes. It is best to have the mouth-piece at the end as shown, making them more efficient ingrasping a foreign body in the bladder. They are useful incleansing the lumen of the speculum from drops of urine,or in taking up a little urine out of the bladder with smallpledgets of cotton, or in wiping off small areas of the vesicalmucosa. The ureteral searcher is a small rod 18(7 inches) long with a little bulbousend 3 mm. by mm., and a handle6 cm. (2-J inches) long set at an a
Operative gynecology : . n Fig. 218are lightly made, with long shanks, for use through the speculum and larger sizes. It is best to have the mouth-piece at the end as shown, making them more efficient ingrasping a foreign body in the bladder. They are useful incleansing the lumen of the speculum from drops of urine,or in taking up a little urine out of the bladder with smallpledgets of cotton, or in wiping off small areas of the vesicalmucosa. The ureteral searcher is a small rod 18(7 inches) long with a little bulbousend 3 mm. by mm., and a handle6 cm. (2-J inches) long set at an angleof 120 degrees. It is used in touchingany part of the bladder wall, in explor-ing a sinus, and particularly in locat-ing the ureteral orifices in doubtfulcases. Applicator.—Any piece of flex-ible wire about 15 cm. long will do asan applicator to carry medicated cottonto all points on the bladder or the ure-thra. Other useful instruments are aspeculum graduated in centimeters formeasuring the distance between points. Fig. 218.—Alligator Forceps Used to CarryPledgets of Cotton into the Bladder toWipe off Pus or Clots of Blood, or toCleanse and Sterilize the Urethral Ori-fices Before Catheterization, or to DryOut a Little Residual Urine. Any Smallor Elongate Body Like a Piece of Cathe-ter CAN ALSO BE READILY GRASPED AND RE-MOVED WITH THESE FORCEPS. TECHNIQUE OF THE EXAMINATION. 359 on the bladder wall, the external or internal urethral orifices, and a flattenedsearcher, likewise graduated in centimeters and half centimeters. The Technique of the Examination.—Asepsis.—Asepsis must be main-tained throughout every examination by handling only aseptic instru-ments, introduced by clean hands, through a cleansed urethralorifice. All the instruments used must have been sterilized and must be laid in aclean tray on a sterilized towel. The external urethral orifice must be wiped
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
