. Clinical gyncology, medical and surgical. rm thrown out behind her,the chest nearly flat upon the table, and the right hand and arm hangingover its edge. The hips should be near the lower left-hand corner of thetable, the body diagonally across it, so that the right shoulder is near itsright-hand edge, the thighs flexed upon the body, and the right knee drawnup more than the left, but lying close to it. For comfort, there should bea foot-rest extending out from the table at an ansle of forty-five decreeswith the lower edge. (Fig. 8.) In this position even more than in the dorsal it is impera


. Clinical gyncology, medical and surgical. rm thrown out behind her,the chest nearly flat upon the table, and the right hand and arm hangingover its edge. The hips should be near the lower left-hand corner of thetable, the body diagonally across it, so that the right shoulder is near itsright-hand edge, the thighs flexed upon the body, and the right knee drawnup more than the left, but lying close to it. For comfort, there should bea foot-rest extending out from the table at an ansle of forty-five decreeswith the lower edge. (Fig. 8.) In this position even more than in the dorsal it is imperative that theclothing should be loose. In order that air should enter the vagina, theabdominal viscera should have a chance to recede towards the diaphragm,and a single tight band will prevent this. In this position, with Simss speculum the walls of the vagina may beexamined, the condition of the cervix noted, and any instrumentation ofthe uterus may be proceeded with. All forms of treatment can also becarried out in this position. Fig. Sims position. (Iotter.) Pig. 9.


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