The student's guide to the diseases of women / by Alfred Lewis Galabin.

  • Galabin, Alfred Lewis, 1843-1913.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: The student's guide to the diseases of women / by Alfred Lewis Galabin. Source: Wellcome Collection.

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    rests in front of the cervix. Over the form of instru, ment used for retroflexion it has the advantage that il is easier for the patient herself to introduce it into th< proper position. It is most likely to be useful in the case of anteversion combined with partial prolapse, ia that of married woman who dislike wearing a pessarj constantly, or when it is found that an internal pessary cannot be tolerated. As in the case of posterior displacements, it is im- possible, by direct pressure through the vaginal wall, to restore the fundus completely to its normal position, but it can only be elevated to a certain extent, while there is, in this case, no mechanism tending to coniphte the restoration. All anteversion or anteflexion pes- saries require more careful watching than is necessary with the ordinary Hodge's pessary. They should hi* used only tentatively in the first instance, and continued' only if they are found actually to give relief. When: there is concomitant descent of the uterus an ordinary i Hodge's pessary often proves useful in elevating that i organ and limiting its mobility, notwithstanding that l it tends to increase the anteversion. ANTEFLEXION OF THE UTERUS. Pathological Anatomy.—Since a slight anterior curvature of the uterine axis is normal, or at any rate: very common, in the nulliparous uterus, a pathological anteflexion only exists when there is a curvature looking forwards and exceeding 15° or 20°, while a retroflexion, even of the smallest degree, is morbid. Acquired anteflexion may be combined with anteversion, so that the os is tilted too much backward, the uterus having partly yielded as a whole to the displacing force, and partly undergone bending. In primary anteflexion the os is most frequently directed too much forward; The classification of Thomas into corporeal, cervical, or cervico-corporeal anteflexion, according as the body]