Surgery illustrated. Compiled from the works of Cutler, Hind, Velpeau, and Blasius. With fifty-two plates / by A. Sidney Doane.

  • Augustus Sidney Doane
Date:
1836
Catalogue details

Licence: Public Domain Mark

Credit: Surgery illustrated. Compiled from the works of Cutler, Hind, Velpeau, and Blasius. With fifty-two plates / by A. Sidney Doane. Source: Wellcome Collection.

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    oval; [III. 12.] in the form of a figure of 8; or on a stem. [III. 13.] The last kind, Mr. Duffin’s modification of the Pessaire a Bilboquet of the French, is usually made of box- wood and ivory; the head and upper portion of the stem, a h, are of box-wood hollowed, the former being slightly concave upon the summit, where it is perforated with small holes. The lower portion of the stem is of ivory, also hollowed; the upper end, c, of this last portion is turned spirally, in order to screw into the first; while the lower end, d, is in the form of a ball, which rests loosely in an ivory cup, let into a box-wood shield, e f. The ball-and-socket joint allows the instrument to conform itself to the movements of the body, while the whole receives a steady support, from the shield being confined to the perineum by a T bandage. The screw in the stem of the pessary, allows of the length of the instrument being adapted to that of the vagina. Fig. 14, represents the under surface of the shield, a, with the opening of the canal of the pessary externally, b. Application of Pessaries.—The bladder and rectum are, first of all, to be evacuated; the woman should then be placed near the edge of the bed, with the pelvis elevated by a pillow, and the thighs put sufficiently apart. The surgeon, having smeared over the pessary with a little pomatum or sweet oil, separates the labile externse with the index and middle finger of the left hand, while with the right he gently introduces it into the vagina. In introducing an annular pessary, he directs it edgewise, and having fairly engaged it within the vagina, he introduces the index finger into its opening, to bring it to a horizontal position. BANDAGES OF THE UPPER EXTREMITIES. Figure of 8 of the Shoulder and A xilla. It is composed of a single-headed roller, seven or eight yards long and three
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