Treatise on gynæcology : medical and surgical . Fig. 234.—Annular Pessary op Dumontpallier in Place, in a Case of Retroflexion Which it isChanging to Retroversion; Reduction may Follow Spontaneously. of improvement obtained may be preserved by carefully filling theposterior vaginal pouch with iodoform gauze; finally the pessary maybe introduced. The most simple instrument for reducing the uterusis the sound; I prefer it to all the various repositors which have Fig. 235. —Hodge Pessary with Anterior Depression to Avoid Compressing the Urethra. [It is to be remembered that this
Treatise on gynæcology : medical and surgical . Fig. 234.—Annular Pessary op Dumontpallier in Place, in a Case of Retroflexion Which it isChanging to Retroversion; Reduction may Follow Spontaneously. of improvement obtained may be preserved by carefully filling theposterior vaginal pouch with iodoform gauze; finally the pessary maybe introduced. The most simple instrument for reducing the uterusis the sound; I prefer it to all the various repositors which have Fig. 235. —Hodge Pessary with Anterior Depression to Avoid Compressing the Urethra. [It is to be remembered that this method of instrumental repositionis only to be employed after a most careful examination has shown theprobable absence of any recent parametritic trouble or of marked dis-ease of the uterine appendages, and that in its employment the mostscrupulous asepsis is to be maintained. With these precautions, andremembering that to avoid mechanical injury to the uterine tissue the DISPLACEMENTS OF THE UTERUS. 445 sound should be inserted only to within a quarter of an inch of thefundus and the finger tip in the vagina and not the cervix used asa fulcrum, the method is comparatively safe.] Fixation of tlie Reduced Uterus.—For this purpose we may em-ploy either prothetic measures (pessaries) or various operations. Pessaries.—A simple tampon of cotton in the posterior pouch isa means of maintaining the uterus and is easily renewed, but it is bet-
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
