File:Minor surgical gynecology - a manual of uterine diagnosis and the lesser technicalities of gynecological practice - for the use of the advanced student and general practitioner (1880) (14591209509).jpg

Identifier: minorsurgicalgyn1880mund (find matches)
Title: Minor surgical gynecology : a manual of uterine diagnosis and the lesser technicalities of gynecological practice : for the use of the advanced student and general practitioner
Year: 1880 (1880s)
Authors: Mundé, Paul F. (Paul Fortunatus), 1846-1902
Subjects: Generative organs, Female Gynecologic Surgical Procedures Gynecology Gynecology
Publisher: New York : W. Wood & company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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the curette (now preferably the sharp scoop, APPLICATIONS TO THE ENDOMETRIUM. 205 as more effectual), and then apply as strong a caustic or escharotic as thethickness of the underlying uterine wall seems to warrant. Pure chromicor nitric acid, or alcoholic sol. bromine (1: 5) are generally used for thispurpose, or if a styptic effect is also desired, the sol. ferri persulph., pureor mixed with equal parts of glycerine. A very good styptic, althoughin no sense a caustic, is the saturated solution of resin in alcohol, knownas James styptic, which acts by covering the bleeding surface with a filmof resin after evaporation of the alcohol. 5. Defective development ofthe uterus; amenorrhea.—This conditionmay be either congenital, the uterus never having attained the size nat-ural to a well-developed woman ; or acquired, the uterus having recededfrom its normal state, which usually occurs as the result of excess of in-volution after childbirth, or after some wasting constitutional disease
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Fig. 130.—Uterine electrode as applied for faradization of the uterus. (Beard and Bockwell.) (typhoid fever, tuberculosis, cancer in other organs). Very frequentlythe ovaries participate in this imperfect development or atrophy. Besidessuch general remedies and measures as are likely to stimulate the wholesystem, and thus also the sexual organs, much may be accomplished bylocal irritation and stimulation by means of hot vaginal injections andapplications to the endometrium. The agents used to the uterine cavityare merely such as will irritate the organ and attract a greater supply ofblood to it. The astringents and alterative-astringents, like zinc, copper,iodine, nitrate of silver, would not be indicated. The chief agent used iscarbolic acid, either the pure saturated solution, or Squibbs impure acid(coal-tar creasote), and its counterpart, pyroligneous acid. This mustbe applied two or more times a week, most, thoroughly during the weekjust preceding the expected menstrual flow. An

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