Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

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    posterior fornix is produced, and the cervical canal is everted. It is a very convenient form of speculum where no assistance can be Fig. 38. Fig Neugebauer's speculum. obtained, and allows of intra-uterine applications without any of the reagent flowing on to the vaginal wall. It should be noted that the eversion of the cervical canal produced by this speculum prevents a very deep laceration of the cervix from being seen. (iv.) Fergusson's Speculum is of tubular form, the two already described being spatular. It is usually made in three sizes, which fit into each other, forming a so-called nest. They are made of silvered glass and covered with vulcanite. The distal end is bev- elled and the proximal trumpet-shaped (Fig. 39). Method of Passing the Fergusson Speculum.— Being warmed and oiled, and the labia separated by the left index-finger and thumb, the bevelled distal end is inserted into the vulval orifice. Great care should be taken to direct it backwards and upwards, so as to avoid the tender surface about the urethra. The whole speculum is now pushed in until the trumpet-shaped end prevents further ingress. In suitable cases the cervix will be found filling the lumen of the distal end, but in some cases this latter may have passed into the posterior cul-de-sac. Under such conditions it should partially be withdrawn and again passed upwards, but a little forward. Three Fer- gusson's specula forming a nest.