A treatise on gynaecology, medical and surgical / by S. Pozzi.

  • Pozzi, Samuel, 1846-1918.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on gynaecology, medical and surgical / by S. Pozzi. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    It has the advantage of being very slightly poisonous, and seems destined to render real service. The aqueous solution contains only two parts in a thousand. Vagina] injections, to be truly cleansing, should be given according to certain definite rules. A portable cylindrical can, to which is attached a long tube ending in the nozzle (Figs, i and 2), should be fixed at a slight height above the operator, or held up by an assistant. The person who gives the injection places the canula in the vagina, introducing by its side the index and middle fingers, which are gently pushed up to the cul-de-sac, then Fig. 1.—Vaginal Irrigator for Suspension, Fig. 2.—Portable Vaginal Irrigator. firmly rubbed about in every direction to open out the folds of the vagina and insure their thorough cleansing. If this procedure be neglected, some cause of infection will surely remain. The surgeon or his assistant should himself give such an injection before an operation; it is what I call rinsing the vagina. All canulce to be used by the surgeon should be of strong glass with one terminal orifice, for the water should be directed toward the cul-de-sac and the cervix, cleaning the vagina upon its return only. For injections to be administered by the patient herself it is best, to avoid all possibility of in- troducing the tube into the os uteri, to have a canula with several openings on the side of a terminal enlargement. It is also a convenience to use a wire speculum, which accurately fits the canula, and which opens out the vagina and permits of thorough irrigation (Fig. 3). The patient should lie upon a pan, a Kelly pad, or a rubber sheet arranged to carry the fluids into a pail (Figs. 4, 5, and 58).