File:The diagnosis and treatment of diseases of women (1907) (14598033799).jpg

Identifier: diagnosistreatmecros (find matches)
Title: The diagnosis and treatment of diseases of women
Year: 1907 (1900s)
Authors: Crossen, Harry Sturgeon, 1869-
Subjects: Genital Diseases, Female Gynecology Gynecology Women Generative organs, Female
Publisher: St. Louis : Mosby
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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hronic inflammation of theuterus there is a large amount of thickened tissue (Figs. 569, 570) which must beremoved. In these severe cases, it is a waste of time to make applications orirrigations before this is done, as they do not penetrate the diseased mucosa sufi-ciently to do any good. The curet removes the bulk of this diseased tissue. Then,if necessary later, applications may be made with the prospect of getting adecided effect from them. The preparations for curetment are the same as for repair of the pelvic floor. 572 DISEASES OF THE UTERUS The instruments required are shown in Fig. 571. If it is desired to cleanse theuterine cavity by irrigation, instead of swabbing, add an intra-uterine irrigatingtube. If a piece of the cervix is to be excised for microscopic examination, adda long sharp-pointed scissors, two strong cervix needles, a needle-holder andsuture material. If the operation is to be done at the patients home, a kitchen table is arrangedfor it, as shown in Fig. 572.
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Fig. 571. Instruments for Curetment : a, Edebohls self-retaining speculum ; b, vaginal dressing-forceps,for cleansing vagina ; c, long tenaculum-forceps, for holding cervix ; d, uterine dressing-forceps, for swabbingwithin uterus ; e, uterine sound (the bulbous end does not show distinctly in the photograph); f, small uterinedilator; g, large uterine dilator (Wathens); h, sharp uterine curet with flexible shank, large size; i, sharputerine curet, small size; j, short scissors for cutting gauze. If a piece from the cervix is to be excised formicroscopic examination, add a long sharp-pointed scissors and suture material and needles and a needle-holder. Steps in the operation. 1. The patient is anesthetized and placed in the dorsalposture, with the feet in the upright supports and the hips at the edge of the table(Fig. 573). The external genitals and adjacent surfaces are thoroughly scrubbed(having been shaved in the preparation before anesthesia) with boiled water andsome liquid prepara

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