Proceedings of the Philadelphia County Medical Society - Vol.8 (Session of 1887).
- Philadelphia County Medical Society
- Date:
- 1888
Licence: Public Domain Mark
Credit: Proceedings of the Philadelphia County Medical Society - Vol.8 (Session of 1887). Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
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![A MODIFICATION OF THE “PERINEUM DISTENDER” TO AVOID ITS INTERFERENCE WITH RESPIRATION. By W. W. KEEN, M.D., PROFESSOR OF SURGERY AT THE WOMAN’S MEDICAL COLLEGE OF PENNSYLVANIA , SURGEON TO ST. MARY’S HOSPITAL, ETC. [Read November 28, 1887.] In the frequent use of the “ Perineal Distender, I have found the strap which passes under the nape of the neck very objectionable. This strap flexes the legs, and supports their weight. While doing so the weight of the legs pulls the head and neck strongly forward, and thus often seriously embarrasses the respiration. To avoid this, I have had the wooden shoulder-piece of the old Day’s apparatus for fracture of the clavicle slightly shortened, and find it answers admirably. Under its loops, over each shoulder, two strapa are passed with a buckle turned wrong side foremost at one end. The other free end, after passing through this buckle in the armpit, then is buckled to the cross-piece between the legs. By this means the pressure is brought on the shoulders instead of the neck, and respira- tion is entirely unimpeded. 10*](https://iiif.wellcomecollection.org/image/b28039117_0317.jp2/full/800%2C/0/default.jpg)
