A manual of gynaecological practice for students and practitioners / by A. Duhrssen ; translated and edited from the 4th German edition by John W. Taylor and Frederick Edge.

Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: A manual of gynaecological practice for students and practitioners / by A. Duhrssen ; translated and edited from the 4th German edition by John W. Taylor and Frederick Edge. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    insufficient, the index and middle fingers, into the vagina, and in the simultaneous palpation of the abdomen with the other hand. The finger inserted must be introduced over the perinaeum in order to cause no pain to the sensitive urethral region. While passing the finger through the vagina one estimates its capacity, the dilata- bility or bulging of its walls (that of the posterior vaginal wall produced by the overloading of the rectum, that of the vaginal vault through tumours or exudations), the presence of swellings in the vagina itself and their origin. As the finger passes along the anterior vaginal wall in the exact relations of the pelvic organs and any tumour that may be present. Note that this corresponds almost exactly to the method of Tliure Brandt described in the text, with the important exception that in the latter method the surgeon stands on the left of the patient, palpating the abdomen with his right hand and examining the vagina with his left fore- finger. In the English method, the surgeon stands on the patient’s right ; he palpates the abdomen with the left palm and fingers, and uses his right forefinger for vagiu.al examination.—.1. W. T.]