Essentials of gynaecology : Arranged in the form of questions and answers, prepared for students of medicine / By Edwin B. Cragin ... With 62 illustrations.

  • Cragin, Edwin B. (Edwin Bradford), 1859-1918
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of gynaecology : Arranged in the form of questions and answers, prepared for students of medicine / By Edwin B. Cragin ... With 62 illustrations. 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.

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    What are the merits of Brewer's speculum ? For inspection of, and applications to, the cervix, it is very valu- able; it is self-retaining, thus obviating the necessity of an assistant The long instrument is better than the short, as with it the vaginal walls are not as likely to obstruct the view by felling in be- yond the blades, and at the Bame time it accomplishes all that the short instrument doea fig. lo. What are the disadvantages of Brewer's speculum ? It distorts the cervix, obscures the anterior vagina] wall, and cannot be used for operations on the cervix or vagina. Volsella. Describe it. The Volsella, or vulsellum forceps (see Fig. 10) consists of a pair of hooks with scissor handles and joint; the hooks usually consist of two or more teeth ; the handles fasten with a catch. What are the uses of the Volsella ? In all operations on the cervix, trachelor- rhaphy, dilatation, etc., the volsella, or one of its substitutes, is almost indispensable, to draw down and hold the cervix. For applications to, or operations on, the interior of the body of the uterus, the volsella is also of great value. The use of the volsella to draw down the cervix, in connection with the finger in the rectum, in the combined rectal examination, is of great importance. How would you introduce and apply the Volsella? The position for most operations on the cervix is the Sims position, consequently the volsella is most often used in this position. It may be introduced either without or with the use of the speculum ; if without the speculum, the first two fingers of the right hand are introduced till the anterior lip of the cervix is felt; the volsella is The Volsella.