File:Clinical notes on uterine surgery - with special reference to the management of the sterile condition (1886) (14593162898).jpg

Identifier: clinicalnotesonu1886sims (find matches)
Title: Clinical notes on uterine surgery : with special reference to the management of the sterile condition
Year: 1886 (1880s)
Authors: Sims, J. Marion (James Marion), 1813-1883
Subjects: Uterus Uterus Infertility, Female Infertility, Female
Publisher: New York : William Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ld deceive any superficialinvestigator, there was nothing easier than its diagnosisby the plan of bi-manual palpation. How often have Tseen uterine examinations made by the vaginal touchalone! And here is the great mistake. This is verywell to determine the size and relations of the vagina,and the condition of the os and cervix, but so far asanvthimx else is concerned, it is simplv futile. It ismerely groping in the dark. The value of the uterinesound cannot be over-estimated when used merely forpurposes of diagnosis, whatever may be said of it as aredresser. If we are not able to determine the position,size, and relations of the uterus by the touch alone, thesound is infallible in giving us its depth and direction.If we find a tumour of any sort either before, behind,or to one side of what we usually regard as the normal OF MENSTRUATION. 103 position of this organ, the probe will instantly tell us ifit be the body of the uterus or not. I use the sound simply as a probe to measure the
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Pigs. 39 & 40. depth of the uterus, and to show in what direction thefundus lies. For this purpose I have it made of virginsilver or of annealed copper, silvered. It is alsosmaller than Simpsons sound, and without notches ormarks. It is made malleable because it is necessaryto change the curvature with almost every case. It issmaller to make it universally applicable, whether thecanal and os internum be large or small. It is without 104 UTERINE SURGERY. indentations or marks, to enable us to keep it thoroughlyclean. These two diagrams (figs. 39 and 40) represent therelative difference between a uterine probe of malleablesilver or copper and the ordinary redresser of hardGerman silver. They represent the exact size of theinstruments as found in the shops. The small one can be curved to pass in the suspecteddirection of the body of the uterus, and, if properlydone, never gives pain ; the other, large and rigid, oftenproduces great agony, sometimes by being too largeto pass along a n

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