The diseases of women : a handbook for students and practitioners . patient is placed underan anaesthetic and steady pressure made by the fingers onthe walls of the uterus, near the cervix. The principle onwhich taxis is applied for this condition is the same as thatin reducing a hernia, namely, the part last inverted shouldbe returned first. When inversion is chronic there appears to be more riskand difficulty in immediate reduction, and it is customary touse an instrument called a repositor (Fig. 48). This instru-ment consists of a perforated cup-shaped disk fitted on astem which may be stra
The diseases of women : a handbook for students and practitioners . patient is placed underan anaesthetic and steady pressure made by the fingers onthe walls of the uterus, near the cervix. The principle onwhich taxis is applied for this condition is the same as thatin reducing a hernia, namely, the part last inverted shouldbe returned first. When inversion is chronic there appears to be more riskand difficulty in immediate reduction, and it is customary touse an instrument called a repositor (Fig. 48). This instru-ment consists of a perforated cup-shaped disk fitted on astem which may be straight or furnished with a perineal and 153 DISEASES OF WOMEN. a pelvic curve. The lower end of the repositor permits ofthe attachment of elastic bands connected to a waist-beltsupported by braces which pass over the shoulder. Whenin use the waist-belt is fitted to the patient and secured bythe braces. The cup of the repositor is adjusted to thefundus of the inverted uterus, and the elastic bands fixed tothe repositor and waist-belt maintain a continuous Fig. 48.—A uterine repositor. The patient is kept in bed, and, if the proceeding causespain, morphia injections may be given. At intervals of afew hours the amount of progress is observed and thebands are readjusted. As soon as the fundus is reducedto the level of the internal os it is desirable to change thecup of the repositor for a smaller one, for when reductionis complete a large cup is imprisoned in the uterine cavity DISEASES OF THE UTERUS. 159 and is sometimes so firmly held as to cause difficulty andanxiety in its extraction. By means of the repositor an in-verted uterus may be reduced in twenty-four or forty-eighthours, even when the inversion has existed for some inversion is due to a polypus the latter is excisedbefore reduction is attempted. CHAPTER XVIII. DISEASES OF THE UTERUS (Continued). INJURIES OF THE UTERUS; DISEASES RE-SULTING FROM GESTATION. laceration of the Cervix.— Causes.—Lace
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