A system of gynecology . -plication to the individual case or condition;3. Thoroughness of application; 4. Proper in-tervals between application-; 5. Careful atten-tion to the approach of an oncoming menstrualepoch and to that which has just closed. The first is to be secured by a copious warmor hot vaginal injection preceding the introduc-tion of the speculum. The cervix uteri, nowbeing engaged by a speculum, i- cleansed withsmall pieces of dry absorbent cotton, or by soft,clean, fresh sponge squeezed out of hot water,pure or medicated with sodium chloride, firmlyseized with the dressing-forc
A system of gynecology . -plication to the individual case or condition;3. Thoroughness of application; 4. Proper in-tervals between application-; 5. Careful atten-tion to the approach of an oncoming menstrualepoch and to that which has just closed. The first is to be secured by a copious warmor hot vaginal injection preceding the introduc-tion of the speculum. The cervix uteri, nowbeing engaged by a speculum, i- cleansed withsmall pieces of dry absorbent cotton, or by soft,clean, fresh sponge squeezed out of hot water,pure or medicated with sodium chloride, firmlyseized with the dressing-forceps. The cervicalcanal requires particular attention. If it is muchdilated the above means answer, hut if narrow-it is better managed with the cotton-wrappedprobe. Thomas recommends a syringe lor thepurpose of removing the tenacious secretionwhich plugs the cervical canal. Whatevermethod is used, thoroughness is of the utmost importance, not only onthe exterior of the cervix, hut in the interior canal, for the medicament. Peaslees Dilators (graduated). 560 THE INFLAMMATORY AFFECTIONS OF TIIF CTEBUS. is generally to be carried to within the latter. It is ever to be held inmind that the disease on the vaginal face of the cervix is rarely thewhole affected surface. Usually, it is only pathognomonic of the glan-dular inflammation within, which, if untouched and uncontrolled, willsurely cause a relapse of the erosion and granular degeneration, itmatters not how effectually they may have been removed. The disease itself so often opens up the cervical canal that dilatationby artificial means is comparatively rarely required. A successful issue,however, in cases of chronic catarrh of the cervical canal, where thevaginal lace remains healthy and the OS externum is not rendered patu-lous, makes dilatation necessary. We have for this purpose the metallicdilators fashioned after the patterns of Peaslee (Fig. 182), or Ellinger,or some of their modifications. Preference is given to those wit
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectwomen, bookyear1887
