Operative gynecology : . Fig. 184:—Childs Bangle Removed fromthe Uterus by Dr. Anna L. Church inMadras, India. It was inserted within the uterus after con-finement by a native midwife to prevent pro-lapse. Four or five months later the patientcomplained of pain, and Dr. Church found oneend of the ornament in the external os, whilethe rest of it lay within the uterus. It was re-moved by Fig. 185.—Atresia of the Vagina due to aCup and Stem Pessary. Above the atretic area the vagina is filledwith pus. The stem of the pessary is outlinedwhere it lay buried in the tissues to the righ
Operative gynecology : . Fig. 184:—Childs Bangle Removed fromthe Uterus by Dr. Anna L. Church inMadras, India. It was inserted within the uterus after con-finement by a native midwife to prevent pro-lapse. Four or five months later the patientcomplained of pain, and Dr. Church found oneend of the ornament in the external os, whilethe rest of it lay within the uterus. It was re-moved by Fig. 185.—Atresia of the Vagina due to aCup and Stem Pessary. Above the atretic area the vagina is filledwith pus. The stem of the pessary is outlinedwhere it lay buried in the tissues to the right. them. The effect of a hard rubber pessary, which is too large, is to imbeditself in the posterior vaginal wall. On removing such a pessary a deep semi-circular sulcus may be seen back of the cervix and extending out on the lateralwalls. If granulations meet over the posterior bar, this part of the pessaryis completely buried, and must be cut out to be removed. In more extreme cases the ulceration extends through into the rectum be-hind, and the anterior bar pushes through the vesico-vaginal wall into thebladder in front, forming recto-vaginal and vesico-vaginal fistula?. Instancesof ulceration even into the peritoneum are also recorded. Fig. 184 shows a childs bangle, removed from the uterus by Dr. AnnaL. Church, of Madras, India. This curious article had been inserted withinthe uterus a
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
