File:The Principles and practice of gynecology - for students and practitioners (1904) (14744809876).jpg

Identifier: principlespracti00dudl (find matches)
Title: The Principles and practice of gynecology : for students and practitioners
Year: 1904 (1900s)
Authors: Dudley, E. C. (Emilius Clark), 1850-1928
Subjects: Gynecology
Publisher: Philadelphia : Lea Brothers & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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such, for example, asvaginal hvsterectomy, vaginal salpingectomy, and vaginal ovariotomy. Vulsella forceps similar in construction to those shown in Figure45, are useful in various operations on the uterus and about the cervix.They serve to grasp and draw down the cervix, to grasp an intra-uterine tumor, and to steady the cervix during the passage of a sutureor during curettage. Scissors.—The minor gynecological operations may be performedeither with the scissors or with a knife. The choice depends muchupon the education and habits of the operator. The scissors causeless hemorrhage, and when one becomes accustomed to their use hecan work more accurately and more rapidly. Any strong, Avell-made,slightly curved scissors will suffice, but those of Emmet are adaptedespecially to intravaginal, perineal, and vulvar operations. Emmets slightly and fully curved scissors are almost indispens-able for denuding in plastic operations, Figure 43; the slightly 7 98 GENERAL PRINCIPLES. Figure 42.
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MINOR OPERATIONS. 99 curved are used for perineal and for ordinary intravaginal denudation ;tlu strongly curved are convenient for denudini:; a stri)> liiirh up acrosstlie vagina or cervix uteri in tistula and cervix ojxration.s. Thesescissors are curved to\vard the left, and are intended to be used in theright hand. Knimet mentions also two others, witii curves to the right;but it is scarcely possible to imagine an operation in Avhich the latterwould be necessary. In ordering these scissors one siiould be carefulto explain that he wants those which are curved to the left for usein the right hand; otherwise the instrument-maker will send tliosewhich curve to the right for use in the left hand. In fact, a good dealof confusion has arisen in this matter, and consequently orders oftenare filled with scissors which are useless. Sponge-holders.—Ordinary haemostatic forceps witli handles eightinches long serve the purpose of sponge-holders mucii better thaninstruments made expressly fo

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