The Humboldt medical archives . nting such symptoms, on whom a bi-lateralsection of the cervix and internal os is to be performed,is placed upon a bed or table of convenient height, andput in the left lateral semi-prone position. This positionis a substitute for the hands and knees, and consists inlying on the left side with the left arm flexed upon theback, the chest rotated, the sternum well down on thebed, the left parietal bone on a line with the spinal columnwhich should be almost straight; the thighs flexed upon theabdomen, the right one more so than the left. The patientbeing well place
The Humboldt medical archives . nting such symptoms, on whom a bi-lateralsection of the cervix and internal os is to be performed,is placed upon a bed or table of convenient height, andput in the left lateral semi-prone position. This positionis a substitute for the hands and knees, and consists inlying on the left side with the left arm flexed upon theback, the chest rotated, the sternum well down on thebed, the left parietal bone on a line with the spinal columnwhich should be almost straight; the thighs flexed upon theabdomen, the right one more so than the left. The patientbeing well placed, anaesthetics are administered or not, asmay be required, when a Sims speculum, (or my modifica-tion), well soaped* is introduced behind the cervix uteritowards the Douglas cul-de-sac or utero-rectal space, andthe perineum retracted. The air then rushes in, distendingthe vagina to its utmost capacity, and the cervix uteri isexposed in situ, usually lying almost at right angles, andrising and falling with each respiratory •::Siius suggestion concerning the use of soap instead ef grease, as a lubricant for rhe speculum, is most valuable, and any one who will try it, will at once appreciatethe superiority. 7 Humboldt Medical Arch>v^. When the patient is well placed in this position, with herclothing loosened and her breathing easy, the intestines grav-itate towards the diaphragm, and a^ a consequence all super-incumbent weight is lifted from, the uterus, which is amaterial aid to the vaginal atmospheric pressure. A tenacu-lum is then hooked in the anterior lip of the cervix inorder to steady the organ, and a pair of stout, narrow-bladed. loner-handled scissors are u>ed to divide it from the O external os to the intravaginal junction on either is usually done at one stroke each, care being takennot to divide the mucous membrane of the vagina. Shouldany bleeding of consequence ensue, it is checked by cold wetsponges; however, this rarely interferes with the
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Keywords: ., bookcentury1800, bookdecade1860, bookidhumbo, booksubjectmedicine
