. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... r with air or water, according tothe instrument used. They consist of a hollow tube, with an elec-tric light attached to the end which enters the bladder and whichilluminates its interior. Into this tube is passedthe telescope of the instrument. These are oftwo kinds, the direct vision and indirect vis-ion cystoscopes. In the former one sees theportion of bladder wall lying in line with theaxis of the instrument; in the indirect visioncystoscope the object-glass is placed
. Essentials of gynecology, arranged in the form of questions and answers prepared especially for students of medicine ... r with air or water, according tothe instrument used. They consist of a hollow tube, with an elec-tric light attached to the end which enters the bladder and whichilluminates its interior. Into this tube is passedthe telescope of the instrument. These are oftwo kinds, the direct vision and indirect vis-ion cystoscopes. In the former one sees theportion of bladder wall lying in line with theaxis of the instrument; in the indirect visioncystoscope the object-glass is placed on theside of the telescope, hence one sees a portionof bladder wall at right angles to the axis ofthe instrument. Most of the instruments areequipped with ureteral catheterizing attach-ments. The Nitze and Otis instruments aregood examples of the simple indirect vision-examining cystoscope. Volsella, Describe it. The volsella. or vulselhim forceps (see Fig,The Volsella. l*^^)? consists of a pair of hooks with scissor handles and joint; the hooks usually con-sist of two or more teeth; the handles fasten with a What are the uses of the volsella ? In all operations on the cervix, trachelorrhaphy, dilatation, etc.,the volsella, or one of its substitutes, is almost indispensable, todraw down and hold the cervix. For apphcations to, or operations on, the interior of the body ofthe uterus, the volsella is also of great value. The use of the volsella to draw down the cervix, in connection INSTRUMENTS—UTERINE SOUND. 57 with the finger in the rectum, in the combined rectal examination,is of great importance. How would you introduce and apply the volsella? If used in operation on the cervix with the patient in the Simsposition, it may be introduced either without or witii the use of thespeculum ; if without the speculum, the first two fingers of the righthand are introduced till the anterior lip of the cervix is felt; thevolsella is then passed along them and applied to the ant
Size: 950px × 2630px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubje, booksubjectgynecology
