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.

    134/434 (page 116)
    DISEASES OF WOMEN. vagina be only moderate, and the stage of prolapsdj early, the use of astringents may suffice to effect a cure Alum, tannin, iron alum, or sulphate of zinc may be used in the form of vaginal injections (Siij.—iv. ad Op)] but a more elfective plan is to insert into the vaginl daily two or three teaspoonfuls of either of these sub-j stances in powder, in a muslin hag, or wrapped in cotton wool, while copious cold water injections arj used from time to time. Benefit is also derived from] the constitutional effect of cold hip-baths or sea-bathingi as well as tonic medicines, especially iron and strychnia! The administration of ergot may also give tone'to the J muscular walls of the vagina, as well as diminish hyperemia of the uterus. Cough or chronic constiJ pation is to be treated by suitable remedies. As a] preliminary measure, to bring the uterus and v i-ina! into a suitable condition for a pessary, and to allow ulcerations to heal, it is often useful to keep up thl uterus by a large vaginal tampon, kept in place, I necessary, by a perineal band. This plan is especialM indicated if the uterus will not remain in place evenf while the patient rests in bed, but it may sometimes obviate the necessity for confinement in bed. The com gestive hypertrophy of the cervix may also derive benefit from the pressure exercised by the tampon. A sponge may be used for this purpose, but, from its tendency to| promote decomposition, it requires frequent removal, and the utmost care in cleansing it. Unless these can be secured, it is better to use tow, oakum (the so-called antiseptic marine lint), or sheep's wool, -which retains its elasticity in a state of moisture and pressure better than cotton-wool. If soaked in carbolized gljS cerine, to which alum or tannin may be added, such if tampon may be left in place two or three days. Pessaries.—The pessary which of all others has the fewest drawbacks, and which will generally prove effectual in an early stage of prolapse, if the perineal body has not been much damaged, is a Hodge's pessary of the. ordinary sigmoid shape (Figs. 27, 28). The actio™