Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . Fig. 264.—Introduction of lever pessary (AlbertSmiths), second step, first action. The arrows showthe direction of rotation of either end. (P. F. M.) Fig. 265.—Introduction of leverpessary (Albert Smiths), secondstep, second action. (P. F. M.) crosses the vulvar cleft diagonally. This is done in order to place the rightupper curve of the posterior arch, RP, more in reach of the finger. Theindex finger is now introduce
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . Fig. 264.—Introduction of lever pessary (AlbertSmiths), second step, first action. The arrows showthe direction of rotation of either end. (P. F. M.) Fig. 265.—Introduction of leverpessary (Albert Smiths), secondstep, second action. (P. F. M.) crosses the vulvar cleft diagonally. This is done in order to place the rightupper curve of the posterior arch, RP, more in reach of the finger. Theindex finger is now introduced above the pessary, and with palmar surfaceupward passed under the posterior arch P, and the point RP, seized bythe first joint of the finger. It is of vital importance that the finger shouldbe assured of a perfectly firm grasp of this spot of the pessary. If neces-sary, the left hand may seize the projecting beak of the pessary A, androtate the instrument to suit the internal finger. The first joint of theright index finger having firm grasp of the pessary at RP, and the opera-tor standing behind the patients sacrum, with his left arm resting on herright hip, lifts
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Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
