Treatise on gynæcology : medical and surgical . 1.—Basin-Shaped Pessary. enormously stout women, with pendulous abdomen, whose vagina anduterus seem to have lost all connection with the pelvic cavity, theonly resource seems to be a stem pessary24 supported by a belt. Verysimilar varieties have been devised by Scanzoni, Courty, and Grand-collot (Figs. 271 and 272). The Dumontpallier pessary may be fixedto a stem which has an abdominal support, but the ring must be veryunyielding to be of use. Borgnets cork pessary recommends itself,especially for hospital use, by its simplicity of construction,
Treatise on gynæcology : medical and surgical . 1.—Basin-Shaped Pessary. enormously stout women, with pendulous abdomen, whose vagina anduterus seem to have lost all connection with the pelvic cavity, theonly resource seems to be a stem pessary24 supported by a belt. Verysimilar varieties have been devised by Scanzoni, Courty, and Grand-collot (Figs. 271 and 272). The Dumontpallier pessary may be fixedto a stem which has an abdominal support, but the ring must be veryunyielding to be of use. Borgnets cork pessary recommends itself,especially for hospital use, by its simplicity of construction, its solid- PHOLAPSE OF THE GENITAL OKGANS. 495 ity, and its cheapness (Fig. 273). Whatever the pessary used, itsinsertion should be preceded by a reduction of the prolapse, andtreatment tending to diminish the congestion of the parts. If there beoedema or inflammation, the patient should be kept in bed; frequentbaths and prolonged tepid vaginal injections are to be given, tamponsapplied, and massage administered. As soon as the tissues have. Fig. 272.—The Roser-Scanzoni Pessary. lost some of their rigidity, reduction of the prolapse is attempted, thepatient being in the Sims or else the genu-pectoral position, bothof which favor the entrance of air into the vagina. The bladder andrectum must be empty. If much difficulty be experienced in restor-ing the prolapsed organs to place, it is better to wait patiently, andnot use force. [Much may be accomplished in the prophylaxis of these displace-ments by the avoidance of any exertion during the puerperium; con-finement to bed imtil involution is well under way; the avoidance of
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Keywords: ., bookcentury1800, bookdecade1890, booksubje, booksubjectgynecology
