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Show 118 use or PESSARXES. use or rnsssnrzs. Natural contractions in the vagina, which do sometim es oc- cur, are to be partly cured by sponge-tent. If pregnancy has taken place in this contracted state of the parts, they will soften and dilate as labour approaches, and require no further operation. 119 If the complaint be recent, we may only insinuate a piece ~ f soft sponge, soaked in an astringent fluid, into the orifice ot tie vagina, and support it with a compress of linen and the I.‘ bandage; and keeping the patient much in the horizontal position, the parts may recover their firmness. If the relaxation be of long standing, and prolapsus confirmed, confine- OF THIS PROLAI'SI'S 01" THE ‘J'OMB, AND OF THE USE OF I'ESSARIES. Tnr. prolapsus of the womb is when the vagina having be» come relaxed, the uterus falls down into it, so that the orifice of the uterus is in the orifice of the vagina or vulva. When this has existed for some time, an eifort of the mus: cles compressing the viscera of the belly, or the relaxation of the orifice of the vagina, will make the uterus descen d out of the vulva, which is called PROCIDENTIA cram. Of the maH7 I ,' 433 UW ., -., .'5. iii": "WM "2.9."- ‘.,-._~....-. .r m ‘ 311mm" or ny causes which are made to produce this disease, I can admit none but as they directly produce relaxation in the vagina, among which all weakening discharges must be reckoned. ment will but increase the inconveniences of the disease. Then the pessary is used. The pessary is an instrument to be introduced into the vagina, so as to distend or stretch it, and consequently support the womb. They are made of the lightest wood, or of cork. The globular pessary I conceive is to be preferred. The bag of elastic gum, or a hollow ball of wood or of cork, introduced with some difliculty through the orifice of the vagina, do not fall out again, but remain distending it, and of course elevating the womb. But there is a necessity for adapting the pessary for married women living with their husbands. For this rea- son the ring pessary is contrived. Unfortunately, the means used to relieve this complai nt and keep the womb supported, directly increase the relaxation of the vagina. A .The vagina and orifice of the womb being exposed , there being a constriction from the orifice of the vagina (now the upper part of it), the prolapsed parts become sometimes inflamed and swelledas. But in general the womb is easily 1‘6- duced, and too easily falls down again. Even while yet the womb remains in the vagina, it will in a certain degree interrupt the passage of the feces in the rectum and often produce an obstruction of the urine. It is preceded and attended wrth increased mucous dischar ge, weary, gravi- The oval or circular ring-pessary is to be thus introduc- iii-11118" pain about the back and loins, and uneasiness about the lips. ed-A, the uterus which at the same time that it falls down :93ng these parts are thus inflamed and swelled, the patient must b6 afic‘rISatiSZSt-liggolfa‘ or bed. They should have applie d to them emollient pitches backward. B, the fore-part of the vagina. C, the back part of the vagina stretched by the rin". D, the pessary, which being oiled, is introduced with its larger diameter for- 4;". . this "‘0 q fin; V . duet-Hes (more rarely bleedi ng) will be required. After .g: , ry 1e uction. "hen the womb is reduc ed, astringent injcC~ ward and backward, then turned so as to be placed up along the back of the vagina, resting on the paint-um, and elevating was and \\ ashes Will take the place ot'emo llient foinentations. the orifice of the womb. |
