Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . rtant that the surface on which the vessel rests should bemoderately hard and unyielding. If these methods do not answer, theinjections, being generally given night and morning, may be used in along bath-tub, the patients hips being raised on a rubber cushion. Variousgynecologists have endeavored to dispense with all these paraphernalia anddifficulties by constructing injection tubes with broad rubber cups or platesto
Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner . rtant that the surface on which the vessel rests should bemoderately hard and unyielding. If these methods do not answer, theinjections, being generally given night and morning, may be used in along bath-tub, the patients hips being raised on a rubber cushion. Variousgynecologists have endeavored to dispense with all these paraphernalia anddifficulties by constructing injection tubes with broad rubber cups or platesto fit over the vulva, and efferent tubes to conduct the water from thevagina. Those of Mathieu-Kisch, Frank P. Foster, and Scarff are the onlyones known to me. That of Foster, having the largest and best fittingcup, appears to me the most useful. I have not used it, but Dr. Emmet testi-fies to the tight fit of the cup and the entire absence of escape of fluid ex-cept through the efferent tube. Another advantage of these instrumentswith escape tubes is the protection of the vulva and perineum from theinjection fluid which, as is chiefly the case when injections of hot water. Fro. 114.—Apparatus for vaginal irrigation, with recurrent tube. (Mathieu-Kisch.) are used, may at first, until the parts become toughened, cause consider-able pain when it escapes. When such hot injections are used it is alwaysadvisable to protect the perineum by a large sponge or napkin wet in coolerwater. It should be remembered that water of a temperature which isperfectly comfortable to the comparatively insensitive vaginal mucousmembrane becomes scalding when it touches the highly innervated ex-ternal skin. The quantity of fluid to be injected at each sitting varies with theconstitution of the fluid and the object in view. If merely cleansing in-jections are intended, a pint or quart will suffice. If disinfection is de-sired besides, the quantity should be larger and the flow should continueuntil the
Size: 2117px × 1180px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpubli, booksubjectgynecology
