File:The Richmond and Louisville medical journal (1878) (14598432400).jpg

Identifier: richmondlouisvil25loui (find matches)
Title: The Richmond and Louisville medical journal
Year: 1878 (1870s)
Authors:
Subjects: Medicine Medicine
Publisher: Louisville, Ky. : E.S. Gaillard
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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owels should bekept gently open. No other treatment isnecessary unless some complication arises.The sutures should be removed from theseventh to the twelfth day; and if the osis closed the adherent edges should beseparated by the introduction of a sound,which should be repeated every three orfour days, until all tendency to contractiondisappears. In operating with my cervix scissors, itis necessary to have a strong double tenac-ulum forceps, so that the cervix can beheld steady while it is removed by therotary or sawing motion of the instru-ment. I have improved this tenaculumby combining with it another, to be intro-duced into the os and fastened into thetissue of the cervical canal. With suchTenaculum Fokceps. an instrument we can remove a cone-shaped piece by pulling down the intra-cervical tissue beforeintroducing the outer teeth of the tenaculum, and then, afterthe external mucous membrane is divided, by pulling gentlyuntil the cervix is excised. There is no necessity of dividing
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AMPUTATION OF CERVIX UTERI. 415 the mucous membrane so high up, and therefore the dangerof cutting into the peritoneum is less. With my scissors andthis tenaculum the excision may be performed without risk ofwounding any part of the vagina. Case.—Hester Cady, aged twenty-nine, was admitted intothe Louisville City Hospital February 29, 1878, for prolapsusuteri. Menstruation began at thirteen, and was regular andnatural. She says she had prolapsus before menstruating, sup-posed to be caused by heavy lifting. She had a child at fifteen;labor natural and followed by no bad results. The uterus againprolapsed, and has been down ever since. Menstruation wasnatural after confinement until two years ago; since then shehas had dysmenorrhoea, and the blood came away in clots; shealso had leucorrhoea. After the birth of her child she occa-sionally had sexual intercourse, but never became pregnant.1Upon examination, the cervix was found protruding throughostium vaginae, and was nearly two inches

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