A text book of operative surgery and surgical anatomy / by Claude Bernard and Ch. Huette ; tr. from the French and ed. by Arthur Trehern Norton.

  • Bernard, Claude, 1813-1878.
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: A text book of operative surgery and surgical anatomy / by Claude Bernard and Ch. Huette ; tr. from the French and ed. by Arthur Trehern Norton. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    ntrodnced into tlie cervix witli long forceps, and then applied a plug to keep the tent in place, which, in dilating, brought on contraction. Ordinary x^rocess (PL LXXXV., figs. 1 & 2).—A small cylinder of prepared sponge, traversed by a loop of thread, is placed in a canula (fig. 1 Ms.) ; the two forefingers of the left hand are then introduced into the vagina, and feel the position of the cervix; the canula is then slid along the palmar aspect of the fingers to the os uteri, in which the end of the instrument should be engaged, when, the stilette being pushed, the sponge slides into the cervix, and the canula is withdrawn. The first sponge determines, by its dilatation, pains which soon cease; the dilated cervix will then easily receive a second tent larger than the first; fresh pains occur, and the dilata- tion of the cervix increases, and if labour does not progress regularly, a third tent may be inserted, and the cervix still more dilated, so as definitely to bring on labour. It is important that only such tents be used as have been fully disinfected by steeping them in thymol, carbolic acid, or some other powerful disinfectant. No tent should be allowed to remain in situ over twelve hours, and disinfecting injections should be used before another tent is inserted. Barnes's bags may be substituted for tents when the cervix uteri is large enough to admit the smallest size. Process of uterine injection.—M. Cahen describes this pro- cess as follows:— To practise the injection use is made of a small syringe, generally of tin, containing from forty-eight to sixty grammes of starch water. The canula is about 9 inches long, -|- to | in diameter at its extremity, and presents a curve similar to that of a female catheter. The patient should lie on her back with the pelvis raised; two fingers should be passed to the posterior lip of the OS, and along them should be shd the canula, which should be introduced between the anterior wall of the uterus and the ovum to the extent of 2 inches within the uterine cavity. The injection is then to be begun, being thrown in gently and slowly, care being taken to raise the syringe a little, to avoid