. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. terus is unjustifiable, except whenthere is extensive or deep-seated sloughing, or when,after faithful attention, ulceration resists treatment. Asa substitute for amputation I would advise Thomassmethod of dilating the cervical ring, through an incisionin the abdominal walls, witli an instrument like a glove-stretcher, while the other hand in the vagina pushes upthe fundus. (See Fig. 4418.) Time seems to be an unimportant factor in reduction,as a uterus which has
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. terus is unjustifiable, except whenthere is extensive or deep-seated sloughing, or when,after faithful attention, ulceration resists treatment. Asa substitute for amputation I would advise Thomassmethod of dilating the cervical ring, through an incisionin the abdominal walls, witli an instrument like a glove-stretcher, while the other hand in the vagina pushes upthe fundus. (See Fig. 4418.) Time seems to be an unimportant factor in reduction,as a uterus which has been inverted for years is almostas easily reduced as a uterus inverted for only a fewweeks. 493 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. Tate has had a successful case of forty years , of Buffalo, one of twenty-two years, and anotherof fifteen years. Every case of chronic inversion of theuterus can be cured by continued and properly directedelastic pressure. Gentle and continued attempts are pref-erable to more powerful and spasmodic efforts. No doubt inversion, when caused by a tumor, is slow. Fig. 4418.—Thomass Method of Dilating the Cervical King. in its progress and requires a long time for its comple-tion ; consequently it would seem that the method of re-duction which imitates this course would be the best oneto employ. For as long a time as possible before reduction is at-tempted, vaginal douches of water as hot as possible—116° F. or higher—should be given twice a day to softenthe contracted uterine tissues. If there is haemorrhage er-got should never be given, if reduction is to be attemptedsoon after its administration. The bleeding in suchcases may be arrested by the injection of very hot ulceration exists, hot water should be freely used andastringents faithfully employed. The patients general
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