File:Atlas and epitome of gynecology (1900) (14577275520).jpg

Identifier: atlasepitomeofgy00scha (find matches)
Title: Atlas and epitome of gynecology
Year: 1900 (1900s)
Authors: Schaeffer, Oskar. (from old catalog) Norris, Richard Cooper, 1863- (from old catalog) ed
Subjects: Women
Publisher: Philadelphia, W. B. Saunders & company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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pecially the cervix,which is contracted in virgins and everted in multipara.In cancer small pieces may be removed and examinedmicroscopically. If the case is simply one of endometritis, the increasein volume and the hypersensitiveness of the entire organare not marked. Treatment.—Prophylactic. — During menstruation :rest in bed (not all the time) ; avoid everything inducingcongestion (excitement, especially sexual; heating drinks ;constipation; colds). During the puerperium : Ergotin,warm or cold applications, abdominal massage; hot vag-inal irrigations (117° to 127° F.) or warm general baths(95° to 100° F.) in the second w^eek. Special treatment of the hyperemic stage—absorptive :hot injections and baths, with or without salt or lye. The hyperemia is controlled by constricting the vessels :Ergot or ergotin, hyclrastis, stypticin ; hot vaginal injec-tions ; scarifications of the cervix (every three or fourdays, J to 2 fluidrams, especially before the period) relieve Tab. 39.
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lith.An.st F. ReicMiold.Uihuhai. TREATMENT. 115 congestion and pain. Compression by means of vaginaltamponade and sand-bags or shot-bags laid upon the ab-domen. Glycerin tampons are used as derivatives, and the secre-tion is further stimulated by astringents and caustics.The applications are to be repeated every week, but onlyin the first stage. Curetment, followed by chlorid of ironor iodin (Playfairs aluminum sound). The application of steam to control hemorrhage (nienor-rhagia) is, according to the authors experience with atmo-causis, a most valuable addition to our therapeutic measures.It was first employed by Snegirew, the instrumentariumbeing perfected by Pinkus. My own observations showthat it is as effective in obstinate endometritis as it is ininflammations of the myometrium. It is not advisablefor one unskilled in gynecologic practice to make use ofthis method, especially if he is without assistance. It isas little adapted for ambulatory treatment as is curet-ment. The instr

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