A practical treatise on the diseases of the sexual organs of women / by F.W. von Scanzoni ... Tr. from the French of Drs. H. Dor and A. Socin, and annotated ... by Augustus K. Gardner.

  • Friedrich Wilhelm Scanzoni von Lichtenfels
Date:
[1861]
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the diseases of the sexual organs of women / by F.W. von Scanzoni ... Tr. from the French of Drs. H. Dor and A. Socin, and annotated ... by Augustus K. Gardner. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    71/684 page 65
    uterine mucous membrane consists in making injections of medicaments held in solution, as, for example, the nitrate of silver, the perchloride of iron, and the tincture of iodine, di- luted with water. To this proceeding the objection has been made that it is not without danger. It has been feared that a part of the liquid injected might penetrate into the cavity of the peritoneum by the Fallopian tubes, and thus give rise to a more or less intense peritonitis. Although we have no intention of formally denying the possibility of this accident, we can, how- ever, assert that in the numerous cases where we have adopted this mode of application, nothing like this has occurred. Wc have observed, it is true, that the injections were followed by violent pains in the regions of the womb and the sacrum ; but they had either the character of uterine colics, and were due to the presence of liquid in the cavity of the uterus, or else they had for their cause an acute metritis, communicated from the mucous membrane to the parenchyma of the organ, and occasioned by the shock of a too powerful caustic. But accidents of this character have disappeared since we adopted the rule not to make injections, save when the cavity of the neck and orifice were sufficiently large to allow the rapid flowing out of the liquid. At the most, the quantity of this should not surpass gj. to Sij. We use small glass syringes [those lately made of hard india-rubber are far better.] the long and narrow neck of which is bent like the uterine sound. It ought to be pushed up to the fundus of the organ in order that the jet of liquid gently thrown out should strike there and return along the walls of the cavity toward the exterior orific As to the choice of liquids, we advise that tlie sensibility the uterus should be first tried by an injection of tepid water. If the patient supports this well, a diluted caustic solution may then be tried. It is only by degrees that the solution can, little by little, be concentrated. We have also observed that the uterine colics which are sometimes so troublesome, appear lees frequently when the liquid is slightly warmed before being used. Unfortunately this cannot be d<me in those cases where the injections are used for the purpos rereoming the dis- position of the womb to haemorrhage. [Formerly we were accustomed to throw fluid injections : 5
    digitised image 1
    digitised image 2
    digitised image 3