. The Principles and practice of gynecology : for students and practitioners. rin or a 10 per cent, mixture of ammoniated ichthvoland glycerin may be placed in the vagina as a protective and for itshygroscopic affect. Over this place a pledget of dry cotton, to keepthe first in position and to absorb moisture. The vaginal tamponshoiild be removed in twentv-four hours. Intra-uterine cleanliness i§ 238 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. the first requisite. To secure this, an open canal and normal drainageare essential. During such treatment coitus is prohibited. Intra-uterine gauz
. The Principles and practice of gynecology : for students and practitioners. rin or a 10 per cent, mixture of ammoniated ichthvoland glycerin may be placed in the vagina as a protective and for itshygroscopic affect. Over this place a pledget of dry cotton, to keepthe first in position and to absorb moisture. The vaginal tamponshoiild be removed in twentv-four hours. Intra-uterine cleanliness i§ 238 INFECTIONS, INFLAMMATIONS, AND ALLIED DISORDERS. the first requisite. To secure this, an open canal and normal drainageare essential. During such treatment coitus is prohibited. Intra-uterine gauze tamponade has been used extensively for dilata-tion and drainage in the non-operative cases. Increasing quantities ofa narrow strip of antiseptic gauze are packed into the uterus in suc-cessive treatments, until the endometrium has become gradually dilatedto a diameter of one-third or one-half inch. This dilatation permitseasy and thorough intra-uterine topical treatment and drainage, espe-cially capillary drainage when the gauze is in place. This method, in Figure Patient in dorsal position. Cervix exposed by perineal retractor in right hand of drawn down with tenaculum in left hand of operator. Any desired fluid may be injectedinto endometrium by means of special canula attached to syringe. This syringe, worked byright hand of operator, is shown in the upper left-hand corner. Canula here is shown as detachedfrom the syringe. Outflow of injected fluid is secured by a wire attachment running parallelto the canula and a little below it. Sims speculum and the left lateroprone position would bepreferable to the Simon speculum and the dorsal position. the authors hands, has been successful occasionally, but less so thanthe reports of its advocates would seem to promise. Great care isnecessary lest the gauze, instead of carrying out septic material, maycarry it in. It would be confusing, and it is unnecessary to name the innumerabledrugs and chemicals which are
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