. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. g dilatation,version, or extraction ; increased risk of septic infection ;and greatly increased risk of col-apse from shock. The gravityof the operation in any givencase is proportionate to the rigid-ity and small size of the os, anddecreases with each advance to-ward spontane-ous lacera-tion of the edgesof the os is al-ways an unfavor-able element insuch a case. If the operationbe decided upon,manual dilata-tion is the meth-od which shouldusu
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. g dilatation,version, or extraction ; increased risk of septic infection ;and greatly increased risk of col-apse from shock. The gravityof the operation in any givencase is proportionate to the rigid-ity and small size of the os, anddecreases with each advance to-ward spontane-ous lacera-tion of the edgesof the os is al-ways an unfavor-able element insuch a case. If the operationbe decided upon,manual dilata-tion is the meth-od which shouldusually be chos-en ; but in thisoperation, aboveall others, pa-tience and gen-tleness are abso-lutely essentialto success, andshould never beexchanged for even the least degree of force or hurry. If labor be absent, or but little advanced, at the timeof operation, the hand is passed into the vagina, and thetip of the forefinger is inserted into the os as far as ispossible without force, and is then held immovable un-til the os has relaxed sufficiently to admit its further pas-sage. When the second joint of the forefinger occupies. Fig. -Direct Method of Seizing(Lusk.) Foot. 632 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. the cervical canal and is loosely grasped by it, the firstjoint should be hooked around the edge of the internalos, and a gentle but persistent effort made to insert asecond finger. The insertion of this second finger shouldbe as slow and forceless as was the introduction of thefirst. This is the most tedious portion of the operation,is often painful to the enclosed hand, and may require along time. When two fingers are in position, and looselyheld, a third and then a fourth are introduced by a rep-etition of the same manoeuvre. The four fingers are thenheld in position, but without any attempt at forcible ex-pansion until relaxation sufficient to admit the thumbhas been secured. As soon as the size of the os permitsthe whole hand to be fla
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
