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A Practical Manual of Gynecology

A Practical Manual of Gynecology


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1891 Excerpt: ...If a pessary is fitted, tampons are unnecessary except to allay any local irritation. In uncomplicated cases, if the pessary is well adjusted, the patient need not be seen more than 1 See chapter on Minor Surgical Gynecology. once in one or two months. Care must be taken that the pessary does not fit too tight, and press hard on the uterosacral ligaments, which in time might be overstretched and become atrophied in consequence. Another caution the writer wishes to impress deeply on the reader. Always examine the position of the uterus very carefully, with the pessary in place, about three or four weeks after insertion and a "fit" has been obtained. It is a matter of great surprise that in many cases the fundus uteri will be bent back over the end of the pessary, producing retroflexion. The pessary does not then fit, and must be removed. In retroflexion of the uterus some combination of the intra-uterine stem and the ordinary pessary is often necessary. The stem straightens the uterus, and the physician must see to it that it is done, and that the angle of flexion has disappeared; otherwise, the uterus may be raised and held up in the pelvis by the pessary, but the fundus will bend over the upper end of the supporter, become irritated, and the patient suffer much discomfort or pain from it Divulsion of the cervix is occasionally beneficial. The above treatment also applies to those cases where the uterus at once returns to displacement after being replaced, either from changes in its parenchyma, or from slight and lax adhesions. Displacement of the uterus with partial or complete fixation is tedious to treat, and requires great patience on the part of both physician and patient. (Fig. 113.) No force which causes much pain and suffering should be us...


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Product Details
  • ISBN-13: 9781236107091
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 154
  • Spine Width: 8 mm
  • Width: 189 mm
  • ISBN-10: 1236107098
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 286 gr

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