Gynaecology for students and practitioners . Fig. 304. Method of Digital Replacement of a Retrovertbd step, in which the fundus is drawn forwards away from the sacrum,and the cervix pushed upwards and backwards. position, it has failed in its purpose, and must be discontinued. Failureof the pessary to effect this purpose forms one of the strongest indica-tions for operation. Before attempting to replace the uterus preparatory treatment issometimes necessary. It is essential that the lower bowel should beempty, and in patients habitually constipated a course of aperientsmay be nec
Gynaecology for students and practitioners . Fig. 304. Method of Digital Replacement of a Retrovertbd step, in which the fundus is drawn forwards away from the sacrum,and the cervix pushed upwards and backwards. position, it has failed in its purpose, and must be discontinued. Failureof the pessary to effect this purpose forms one of the strongest indica-tions for operation. Before attempting to replace the uterus preparatory treatment issometimes necessary. It is essential that the lower bowel should beempty, and in patients habitually constipated a course of aperientsmay be necessary ; if the displaced uterus is very tender, replacementwithout an ansesthetic cannot be carried out, owing to the pain which themanipulation causes. The patient may then be sent to bed for a. Fig. o05. Method of Digital Replacement of a Reteovekted step, in which the fundus is drawn forwards to the pubes, and the whole uterus elevated.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectgynecology, bookyear1
