. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. t the expiration of twenty-four, thirty-six, or atthe most forty-eight hours. No sudden traction shouldbe made on the thread lest it break. It must be drawnsteadily downward toward the perineum, and when anyastringent has been used on the pledget it is well to instructthe patient or nurse to pass her finger into the vaginaalongside of the cotton and allow a little air to enter asthe pledget is withdrawn. Otherwise the cotton actslike a piston in a pump, and may d
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. t the expiration of twenty-four, thirty-six, or atthe most forty-eight hours. No sudden traction shouldbe made on the thread lest it break. It must be drawnsteadily downward toward the perineum, and when anyastringent has been used on the pledget it is well to instructthe patient or nurse to pass her finger into the vaginaalongside of the cotton and allow a little air to enter asthe pledget is withdrawn. Otherwise the cotton actslike a piston in a pump, and may drag down the tissuesabove, even to the extent of retroverting the in the syringe tube alongside of the cotton andinjecting a little water will also prevent this unpleasantcircumstance. When several pledgets have been introduced it is a goodplan to tie a knot in the string of the one to be with-drawn first, two knots in the second, and so on. Unlesssome distinction of this kind has been made the patientcannot know which string to draw first, and is as apt tomake traction on the uppermost pledget as on the In the vast majority of cases of periuterine trouble andinflammation of the appendages the nearest point of ap-proach to it in the vagina is the part posterior to the cer-vix. The nearer the medication can be applied to the seatof the disease the more efficacious it will be. The logicaldeduction of these premises is that the medicated tam-ponade in the vast majorityof cases should be placedbehind the cervix, as shownin Fig. 4496. In spasmodic and inflam-matory conditions of thebladder, in acute ovaritis,or in tenderness of the uter-ine ligaments, it frequentlyaffords relief to supportand steady the uterus, evenwhen it is in normal most common applica-tion of the tamponade as apessary is that made to retainthe uterus in a normal posi-tion when first reduced fromFig. 4496.—Proper Application of a retro-displacement. The Cotton Pledgets. Ordin
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
