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.

    68/434 (page 50)
    DISEASES OP WOMEN. risk, the extent of tissue divided being less, bull incision by the metrotome more thoroughly lays J open the lower part of the cervical canal (see FigJ 17), and the risk is but slightly greater, if care btJ taken not to cut as high as the internal os. The J operation does not absolutely require an anaesthetic! unless the patient is nervous, especially if scissors beJ used, as the pain is very brief. An anaesthetic, howJ ever,_ allows the incision to be made more deliberately,-! and its extent more exactly regulated. An antiseptic J vaginal injection should be made before the operation,]! and instruments and ringers should be cleansed and! disinfected with the utmost care. The incisions may! be made by the sense of touch alone, without using! any speculum, or by the aid of Sims' speculum..! I generally prefer to use the metrotome in the first! instance. The instrument is set to cut pretty widely,! its extremity passed up a little short of the internal os, J that is to say for something less than an inch into thee cervical canal, and it is then gradually opened as it iss Fig. 17. KtrcHESTMEiSTEB's Scissors cutting Cervix. a b, line of incision by scissors; a c, line of incision by metrotome; withdrawn, so as to cut in the line c a (Fig. 17). Itt frequently happens that the resulting incision is now! quite so wide externally as is desired, and the division J of the external os may then be completed by the scissors! I to the exact extent wished, as shown in Fig. 17. If f the case be one of posterior section for cervical ante] j flexion, the incision may be made up to, or nearly up »