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.

    139/434 (page 121)
    ■een produced. On the same principle act Simpson's helf pessary, and a modification of this praised by |)r. Matthews Duncan, namely, the disc and stem pes- ■ary, the stem of Avhich projects through the vulva, fter the disc has been introduced, like a button through button-hole, but these are less easily removed by the atient herself than Zwancke's pessary. The numerous old forms of pessary which kept up Lie uterus mainly by their bulk filling the vagina, such 3 globes or discs of wood or other materials, have roperly fallen into disuse. One instrument, however, pting on this prin- iple is sometimes seful when, from re presence of a jelvic tumour or I iflammatory swell- ig, neither a rigid ' 3ssary nor even he elastic ring can p tolerated, namely le air-ball pessary, his consists of a ollow spherical ball Cup and Stem Pessary. I india-rubber. A tube is attached, through which is inflated by means of a small air-pump, and the fetient can easily introduce and remove it herself, win-- to the material used, frequent removal 2C IS sessary for the sake of cleanliness. If the lever or elastic ring pessary cannot be retained, is generally best, in default of a plastic operation, to sort to the cup and stem pessary (Fig. 49), supported • •in a mist-belt by four bands. Before it is used any ceral ion present should be cured by rest. This pessary ts the advantage of not stretching the vagina, anil ie patient will scarcely fall to remove it every night, whir], time astringents may he used. The hands l°uld be made of india-rubber tubing, not of un- eanly webbing as in the instruments commonly sold,