Manual of gynecology.

  • Byford, Henry T. (Henry Turman), 1853-1938.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Manual of gynecology. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    I j.. Treatment. The prevention of infection during and ProPhy- ^ . . lactic. after labor, abortion, and operations, and the cure of acute inflammation of the uterus (chap, vi) are of the utmost im- portance as preventives of this intractable disease. In the earlier stages uterine displacement is to be corrected, £inPt!ace coitus restricted, the patient kept in bed during the menstrual Coitus, period, and her daily habits and mode of life regulated in the Mense>- manner recommended for hyperplasia (chap, vm, par. 15). The cervix should be scarified two or three times weeklv, and Scarifica- J ' tion. glycerin wool tampons be applied each time, leaving them Tampons, from one morning until the evening of the next day. Hot vaginal douches (part I, chap, v, par. 1) taken upon retiring Douches. for the night, and in the forenoon at a time when the patient can lie down for an hour or two, act beneficially. The same treatment is indicated for advanced cases connected with inflammation of the adnexa and pelvic peritoneum. When scarifying the cervix it is sufficient to allow from one to two teaspoonfuls of blood to flow each time. By leaving the tampons from the forenoon of one day until the evening of the next, the pelvic organs are supported for two days, although the tampons are in the vagina less than thirty-six hours. 15. In the more chronic cases the first thing to do is to secure uterine drainage. If the cervix is too small, oris con-DrainaCTe tracted at either the internal or external os, it is advisable to pass a large sound or bougie before making each application sound, to the endometrium (Fig. 21). This not only drains the uterine cavitv, but it stimulates the circulation of the cervix Stimulates circulation. and lower uterine segment. If the cervix is very small, and a flexible bougie or sound can not be passed without causing too much pain, a small conical tent can be whittled out of a thick piece of slippery-elm bark and used as a dilator for two^Jjf^JJ or three times, or until the sound can be substituted (Fig. 471. The strictest antiseptic precautions must be observed in sounding or probing the uterus, for the uterine cavity is normally free from patho- genic germs, and the introduction of such germs into it will invariably 29