This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1883 edition. Excerpt: ...are occupied in the operation, and no pain is caused. The bleeding generally ceases the moment the speculum is withdrawn; if it should not, a pledget of cotton must be placed in the vagina, and left in situ for a few hours; but it is seldom that even this is necessary. Local depletion does not produce as ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1883 edition. Excerpt: ...are occupied in the operation, and no pain is caused. The bleeding generally ceases the moment the speculum is withdrawn; if it should not, a pledget of cotton must be placed in the vagina, and left in situ for a few hours; but it is seldom that even this is necessary. Local depletion does not produce as beneficial results in cases of corporal endo-metritis as it does in cases of cervical congestion; the benefit, therefore, resulting from the practice will be in an exact ratio to the amount of cervical disease which may exist. Local depletion is, however, in cases of endo-metritis, but a preliminary step; it is invariably necessary to adopt treatment which will act directly on the diseased surface--that is, on the mucous membrane lining the body of the uterus. There are three methods of making applications to the interior of the uterus: one is by injecting fluids into its cavity; another, the introduction of ointments by means of Barnes' ointment repositor, or of a piece of solid caustic into it, by means of Simpson's intra-uterine porte caus-tique; and a third is the passing up to the fundus of a probe or stilette armed with a layer of cotton, saturated with carbolic acid, nitric acid, or some other active agent. The first of these methods I entirely disapprove of, as it is a practice not free from danger; and not on that ground only, but also because it is much less certain and satisfactory in its results than either of the others. The second I occasionally practice, and in cases of imperfect involution of the uterus, where no inflammation exists, the action of the nitrate of silver often produces excellent results; but it is not, so far as my experience goes, a good method of treating endo-metritis. The third method, namely, the application of...
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