Identifier: clinicalgyncolog00keat (find matches)
Title: Clinical gyncology, medical and surgical
Year: 1895 (1890s)
Authors: Keating, John M. (John Marie), 1852-1893 Coe, Henry Clark, 1856-
Subjects: Women Gynecology
Publisher: Philadelphia, Lippincott
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
(hronic complete inversion should,of course, be reduced as soon as recognized. The methods for such reduction are manual, instrumental, and opera- 524 DISPLACEMENTS OF THE UTERUS. tive. The manual methods consist in placing the patient nuder an anes-thetic and with the hand in the vagina compressing the body of the uterus,either pushing the fundus upward or first attempting to return one horn orthe other, while the fingers of the other hand exert counter-pressure throughthe abdominal walls and attempt to dilate the ring at the cervix, whichforms the great obstacle to the reposition of the organ. Emmet and Simsrecommended pushing the fundus uteri straight up ; Noeggerath first advisedpressing up one of the horns of the uterus. The object is, of course, todilate with the outer finders the infundibulum or ring of the cervix suffi-ciently to enable the vaginal fingers to press the inverted body through it.Once the ring being passed by a certain portion of the body of the uterus, Fig. 55.
Text Appearing After Image:
Tates method of reducing an inverted uterus. its complete reposition is easily effected. This manipulation, however, isby no means as easy as it seems to be. I have never met with an obstaclein surgery so difficult to overcome as the constricted ring of an inverteduterus. Hence, Tate, of Cincinnati, recommended passing one index lingerinto the rectum, the other index finger through the dilated urethra into thebladder, both these fingers to meet in the ring of the cervix and boththumbs pressing against the fundus uteri in the vagina. By conjoinedstretching of the cervical ring and upward pushing of the thumbs in thevagina the fundus uteri is to be forced through the dilated ring and restoredto its normal position. Tate succeeded, if I remember right, in replacinga uterus which had been inverted for forty years. Xo operator must bedisappointed if he fails in the manual reduction of an inverted uterus at DISPLACEMENTS OF THE UTERUS. 525 the first attempt, but he must try and try again un

Note About Images