File:The diagnosis and treatment of diseases of women (1907) (14598036410).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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Fig 635 Vaginal Section foi Acute Pehic Inflammation, showing theGauzmg Packing in place. (Kelly—Operative Gynecology.) inflammation follow-ing labor or miscar-riage, and constitutethe most severe casesof puerperal sepsis.In such cases the in-flammation may haveextended directlythrough the wall ofthe uterus to the pe-ritoneum, or first tothe Fallopian tubesand from there to theperitoneum. In eithercase, there is a rapid-ly spreading periton-itis of virulent typeand the patient is ina desperate condition.There are two methodsof dealing with thesecases:
Text Appearing After Image:
Fig. 636. Vaginal Section for Acute Pelvic Inflammation. A viewfrom above, showing the Packing in contact with the inflamed tubes.(Kelly—Operative Gynecology.) TREATMENT 697 a. Vaginal Section. Open into the pelvic cavity by posterior vaginal incision,and let the infected peritoneal fluid run out. Palpate the uterus and appendagesand if a collection of pus is found, evacuate it. Put in a large-sized rubber drain-age-tube and pack the pelvis lightly with washed iodoform gauze, letting the endsextend out into the vagina (Figs. 635, 636). Gauze is then placed in the vaginaand a large dressing applied over the vulva and the patient put to bed. The gauze in the vagina may be removed in twenty-four hours, the vaginacleansed and fresh gauze inserted or douches given as preferred. The gauze inthe pelvis should be left in place two to four days. When it is removed, re-intro-duce the rubber drainage-tube, to insure good drainage and keep the vaginalwound from closing too soon. b. Abdominal Se

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