. Atlas and epitome of gynecology . TREATMENT. 65 work for some time. When the genitalia are relaxed andthe vagina threatens to invert, support the perineum witha T-bandage; on the eighth day of the puerperium a pes-sary may be introduced. Catarrh, constipation, andtumors are to be appropriately Fig. 26.—Incomplete prolapse of the uterus ; inversion of thevagina from perineal tear of the third degree (into the rectum). Theos is notched (photograph from original water-color). If the prolapse is beyond the preventive stage, an ap-parently rational therapy—from our knowledge of thesuppo
. Atlas and epitome of gynecology . TREATMENT. 65 work for some time. When the genitalia are relaxed andthe vagina threatens to invert, support the perineum witha T-bandage; on the eighth day of the puerperium a pes-sary may be introduced. Catarrh, constipation, andtumors are to be appropriately Fig. 26.—Incomplete prolapse of the uterus ; inversion of thevagina from perineal tear of the third degree (into the rectum). Theos is notched (photograph from original water-color). If the prolapse is beyond the preventive stage, an ap-parently rational therapy—from our knowledge of thesupports of the internal genitalia (based upon the authorsexperiments and those of Kimmel 1)—would be the 1 Kimmel, Inaug. Dis., 1894, Heidelberg. 66 VAGINAL AND UTERINE PROLAPSE. strengthening of the muscles of the pelvic floor by mass-age. This has, nevertheless, been followed by but fewpermanent results. At the present time it is better to treatthese cases with the pessary or by operation. The operative treatment is radical and sure. In retro-deviations the uterus is brought forward into its normal
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