. Atlas and epitome of gynecology . and the pelvic floor. If the free uterus can not be replaced by this method,the bullet forceps of Kustner is used, or the sound iscautiously employed. (See explanation to Figs. 1 and 2,Plate 20*) When the uterus is brought back into its normal posi-tion, a lever-pessary is introduced as a retentive measure.(See Figs. 30—33.) Cold douches to the cervix and sacrum,alternate hot and cold vaginal douches, ergotin subcutane-ously, and tamponade to stpengthen the uterine walls andtheir ligaments are useful adjuvants. 84 RETROVERSION AND RETROFLEXION. The lever=pes
. Atlas and epitome of gynecology . and the pelvic floor. If the free uterus can not be replaced by this method,the bullet forceps of Kustner is used, or the sound iscautiously employed. (See explanation to Figs. 1 and 2,Plate 20*) When the uterus is brought back into its normal posi-tion, a lever-pessary is introduced as a retentive measure.(See Figs. 30—33.) Cold douches to the cervix and sacrum,alternate hot and cold vaginal douches, ergotin subcutane-ously, and tamponade to stpengthen the uterine walls andtheir ligaments are useful adjuvants. 84 RETROVERSION AND RETROFLEXION. The lever=pessaries are tried in the following order : 1. The S-shaped Hodge pessary (rather sharply curved),when the sacro-uterine ligaments are not sensitive. 2. The 8-shaped Schultze pessary, when the pelvic flooris normal and the vagina is not too relaxed. Sometimesthe instrument must be quite long. 3. The sledge-shaped pessary of Schultze, when thevagina is relaxed or the pelvic floor is defective. 4. Hewitts clamp pessary. (See p. 71.). Fig. 32.—Rarer application ofSchultzes sledge-pessary withfirm pelvic floor.
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