. Operative gynecology. Fig. 4S7.—Large Globular Myoma choking the Pelvis, cumpkessing Kectum and Bladder, andFORCING the Bladder up into the Abdomen. Note the retroflexion of the uterus. About half size. Autopsy, Jan. 15,1897. There should be no relaxation in the preparatory details, as described inChapter XIV, as curettage may be followed by a fatal termination, if greatcare is not observed in rendering the vagina and cervix as sterile as posterior vaginal wall is retracted with a Sims or Simon speculum, theanterior lip of the cervix is caught by a pair of bullet forceps, and th
. Operative gynecology. Fig. 4S7.—Large Globular Myoma choking the Pelvis, cumpkessing Kectum and Bladder, andFORCING the Bladder up into the Abdomen. Note the retroflexion of the uterus. About half size. Autopsy, Jan. 15,1897. There should be no relaxation in the preparatory details, as described inChapter XIV, as curettage may be followed by a fatal termination, if greatcare is not observed in rendering the vagina and cervix as sterile as posterior vaginal wall is retracted with a Sims or Simon speculum, theanterior lip of the cervix is caught by a pair of bullet forceps, and the uter-ine sound passed in to determine the length, the direction, and the size of the PALLIATIVE TREATMENT. 353 uterine cavity. Guided by this information, the smallest uterine dilator is in-troduced, and the cervix equably stretched in all directions as described. Theevidence of the thoroughness of the operation will be shown by the large. --^c Fig. 488.—The same myoma lifted up into the abdomen out of its bod, showing the hypertrophy of theanterior uterine wall, and the eomplete detachment of the bladder from the uterus and the upper also the eompression of the rectum. amount of tissue discharged through the os in the form of pale shreds andstrips of mucous membrane. If the cervix is displaced upward it will often be more readily exposed byplacing the patient in the left lateral position. In some of these cases, however,the displacement is so great and the uterine canal so distorted that neither soundnor dilator can be introduced, and curettage is utterly impracticable. 354 MYOMECTOMY—HYSTERO-MYOMECTOMY. Curettage performed under aseptic, conditions is free from danger andworthy of a more general use, as it often gives great temporary relief and doesnot prevent a subsequent radical treatment. The galvanic electric current, used for the same purpose, is prob-ably the most efficient means of controlling h
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
