. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fig. 4418.—Thomass Method of Dilating the Cervical King. in its progress and requires a long time for its comple-tion ; consequently it would seem that the method of re-duction which imitates this course would be the best oneto employ. For as long a time as possible before reduction is at-tempted, vaginal douches of water as hot as possible—116° F. or higher—should be given twice a day to softenthe contracted uterine tissues. If there is haemorrhage er-got should
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. Fig. 4418.—Thomass Method of Dilating the Cervical King. in its progress and requires a long time for its comple-tion ; consequently it would seem that the method of re-duction which imitates this course would be the best oneto employ. For as long a time as possible before reduction is at-tempted, vaginal douches of water as hot as possible—116° F. or higher—should be given twice a day to softenthe contracted uterine tissues. If there is haemorrhage er-got should never be given, if reduction is to be attemptedsoon after its administration. The bleeding in suchcases may be arrested by the injection of very hot ulceration exists, hot water should be freely used andastringents faithfully employed. The patients general. Fig. 4419.—Emmets Method of Reducing an Inverted Barbour.) (Hart condition should be carefully attended to. The bowelsshould move each day. It was formerly supposed that reduction was hinderedby constriction of the cervix, but the cervix does notconstrict the inverted portion ; the constriction is in that part of the body immediately beyond the cervix, and iscaused by a contraction of the uterine muscles. Emmetstates that it is very doubtful whether the constrictingcervix has anything to do with preventing reposition. Dangers and Disadvantages of Rapid Reduction.—Per-itonitis or cellulitis may follow the necessarily forciblemanipulation of the inverted organ and adjacent struct-ures, and these affections may terminate fatally, or re-sult in the formation of adhesions between the peritonealsurfaces of the inverted uterus, or fixation of the organin its inverted position, and thus render reduction at afuture time impossible. If a cup is used it may unex-pectedly slip and
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
