Intra-uterine medication / by Robert Bell, M.D., F.F.P.S.G., etc. (Physician to the Glasgow Hospital for Diseases Peculiar to Women).

  • Bell, Robert, 1845-1926
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Intra-uterine medication / by Robert Bell, M.D., F.F.P.S.G., etc. (Physician to the Glasgow Hospital for Diseases Peculiar to Women). Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    benefit. She complained of acute pain over right ovary, which was aggravated on the slightest exer- tion, of great weakness which was very pronounced after the least fatigue, of lowness of spirits, irritability of temper, and in fact all the train of symptoms which we are all so familiar with in cases of endome- tritis. On examining per vaginam I found the perineum was deficient, having been lacerated during her first confinement. The womb was lying low, very flal^by, sensitive to touch, and from its orifice a muco-purulent secretion was exuding. On applying iodised phenol to the endometrium great pain was produced, especially in the region of the right ovary. The applicator was permitted (as is my custom) to remain within the uterine cavity for a minute or so, until in fact it had excited sufficient muscular contraction to render its withdrawal more diflicult than its entrance. It was then withdrawn, and a tampon saturated with the glycerine of alum and boracic acid placed in the vagina. This was permitted to remain for three clays. At this time I advised the patient to come into town and have the perineum rej)aired, as I was of opinion that the metritis and prolapsus were due very largely to this defect, and not only would the uterine mischief Idc more speedily removed were this preliminary step taken, but the cure would have a much greater chance of being