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) (14777875205).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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mouth of the tube by the moistpowder, which may prevent the spray after thefirst trial. But this can be avoided by carefulcleansing. For the use of the physician the in-sufflator possesses no particular advantage, since,if an examination has to be made, the powdercan more easily and quite as effectually be ap-plied to the vagina and cervix by being placedinto the cylindrical speculum with a spoon orspatula. Through the Sims speculum, however,an insufflator is convenient. A protecting clothshould always be worn to prevent the powderdissolved in the vaginal mucus from oozing overthe labia, and producing smarting or soiling thelinen. £. Spray and Vapor. Fio. 120.—Powder insufflator. The liquid spray has been used in medicine al- most exclusively for the application of medicinalagents to the throat and posterior nares. Recently its use has been rec-ommended for the interior of the bladder and urethra, but I believe ithas not as yet become popular in diseases of these latter organs. It
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APPLICATION OF MEDICINAL AGENTS TO THE VAGINA. 175 might be employed with equal facility and utility for the vaginal canaland the cervix, and has actually been used on the endometrium, whereit is found particularly difficult to apply fluid agents effectually andsafely. The chief advantage of the spray in the vagina would be thatfluids which now must be applied by the physician through a speculum,all excess being carefully removed at once in order to prevent the soundexternal parts from being touched (such as strong solutions of nitrateof silver, zinc, or copper), could be used by the patient herself when-ever directed. The amount of fluid thrown in by the spray apparatusis so small (unless an excess be intended) that an escape is scarcely to befeared. Only such agents as are soluble in water or glycerine are available forthe spray. A disadvantage of the vaginal spray applied by the patient is thatthe progress of the disease would not be so carefully watched and theremedy applied only

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