Gynecological diagnosis . insert the finger intothe uterine cavity for purpose of ex-ploration. Dilatation being accom-plished, the curette is introduced andthe walls of the uterine cavity are goneover systematically, an-terior wall, posterior wall,lateral sulci, fundus, andregion of the internalos. The curette forcepsalways supplements thecurette and many are thepolypi which have escapedthe curette that are seizedby the curette curetting should bestopped when the curettegrates on the firmer sub-mucous tissue of the uter-ine wall. The feeling im-parted to the curette ischaracterist
Gynecological diagnosis . insert the finger intothe uterine cavity for purpose of ex-ploration. Dilatation being accom-plished, the curette is introduced andthe walls of the uterine cavity are goneover systematically, an-terior wall, posterior wall,lateral sulci, fundus, andregion of the internalos. The curette forcepsalways supplements thecurette and many are thepolypi which have escapedthe curette that are seizedby the curette curetting should bestopped when the curettegrates on the firmer sub-mucous tissue of the uter-ine wall. The feeling im-parted to the curette ischaracteristic. The piecesof tissue obtained are col-lected from the vagina onswabs of wet sterile gauzeheld in the dressing for-ceps and transferred at once to a ten-per-cent formalinsolution, in which they are preserved for the path-ologist. The uterine cavity is irrigated freely withhot sterile water or hot salt solution and swabbeddry with gauze wound around a uterine applicator,uterine douche is as good as any for purposes of ii. Fig. 34.—Wathen Dilator. Uterine Fig. 35.— Bozeman-Fritsch Uter-ine Irrigator. Bozcmansthe •igating INSTRUMENTS AND THEIR USE 93 uterine cavity, though in cases of long and rigid cervix, theBurr-age uterine speculum is useful both for irrigation and forswabbing the uterine interior. For packing the uterine cavitywith gauze, a procedure sometimes necessitated in obstinatehemorrhage, this latter instrument is invalu-able, for the gauze slips easily through themetal tube of the speculum into the uter-ine cavity instead of clinging to the tissuesof the cervical canal. The vagina is now protected by placing apledget of sterile gauze in the posterior vaginaunder the cervix, and the uterine cavityis swabbed out with a uterine applicatorwound with gauze and dipped in pure car-bolic acid. This swabbing serves a triple purpose:—it an- tisepticizes the uterine cavity, thus providing for possible errors in technique; it mildly cauterizes the uterine interior, thu
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
