. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. er agents are chloral and bromids(per orem), which are often more effective and safer, used in conjunc-tion with an anesthesin ointment. For the chronic aching or neuralgicpain of this region a satisfactory combination is antipyrin, acetanilid,and codein administered internally. GYNECOLOGIC OPERATIONS The surgery of the female generative organs forms a lar
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. er agents are chloral and bromids(per orem), which are often more effective and safer, used in conjunc-tion with an anesthesin ointment. For the chronic aching or neuralgicpain of this region a satisfactory combination is antipyrin, acetanilid,and codein administered internally. GYNECOLOGIC OPERATIONS The surgery of the female generative organs forms a large part ofthe operative work of the present time. Much of this work on the 394 LOCAL ANESTHESIA external and readily accessible parts may be quite easily and satis-factorily performed under local methods of anesthesia, and even someof the more complicated procedures on the deeper parts may, with skilland gentleness, be painlessly, or almost painlessly, accomplished insuitable subjects. Women, as a rule, are more apprehensive and fearful than men, andoften so extremely nervous, particularly when having suffered long anococcygeal nerves Sphincter am arlrrnnsmedial inferior cluneal ncrviinferior Itaemorrhoidalinternal pndicOluftteuS mo:. hcfitocavernosns Fig. in.—The nerves and vessels of the female perineum. Upon the right sidethe bulbocavernosus has been partly removed and the vestibular bulb exposed, thetransversus perinei superficialis divided, and the urogenital diaphragm incised. ** = Theorigin of the internal pudic vein from the vestibular bulb (vena bulbi vestibuli).(Sobotta and McMurrich.) from their various affections, that they make poor subjects for anyform of local anesthesia. Many prefer to take a general anesthetic,and be treated as if they were really not there at all. It is, accord-ingly, advisable with the timorous and fearful not to attempt any butthe simpler operations on the exposed parts by local anesthesia, re-serving all complicated procedures for parasac
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