Treatise on gynæcology : medical and surgical . y part of the pelvis. The patient must alwaysbe told that she is wearing a pessary, and that she must remove it byhooking her finger over the anterior bar and pulling downward if itcauses pain at any time. She must keep the parts clean by a dailycleansing warm injection, with a little soda bicarbonate added. In-jections of alum or any sulphate are to be avoided, as they soon causethe pessary to become roughened by incrustations. The pessaryshould be removed at least once in three months, to be cleaned andpolished. So far, no better material has b
Treatise on gynæcology : medical and surgical . y part of the pelvis. The patient must alwaysbe told that she is wearing a pessary, and that she must remove it byhooking her finger over the anterior bar and pulling downward if itcauses pain at any time. She must keep the parts clean by a dailycleansing warm injection, with a little soda bicarbonate added. In-jections of alum or any sulphate are to be avoided, as they soon causethe pessary to become roughened by incrustations. The pessaryshould be removed at least once in three months, to be cleaned andpolished. So far, no better material has been found than polished hard-rubber of good quality. While it is truly said that very few perma-nent cures result from the use of these instruments, they are most DISPLACEMENTS OF THE UTERUS. 449 valuable as a palliative and adjunct to other treatment, and when prop-erly and intelligently used do not cause harm. A rjroperly fitting bar pessary does not interfere with coitus orimpregnation; and should the latter occur the pessary should be worn. Fig. 241.—Cradle Pessary in Place after Reduction of a Retrodeviation. until the uterus has become so large that there is no longer dangerof its possible retroversion and incarceration.] The preceding pessaries act indirectly upon the cervix by the ten-sion of adjacent parts; other forms of the instrument have a directaction upon the organ. Schultze uses pessaries of the form of the
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