Pathology and treatment of diseases of women.

  • Martin, August Eduard, 1847-1933.
Date:
1912
Catalogue details

Licence: In copyright

Credit: Pathology and treatment of diseases of women. Source: Wellcome Collection.

    45/500 (page 25)
    the difficulty is easily overcome by rotating the tube on its longitudinal axis. Since with these tubulär specula only such parts naturally can be observed clearly as appear through the mouth of the speculum, such as the portio or a part of the vaginal wall, and since it is at times desirable to view the vaginal walls and vault to a greater extent, we keep for this purpose a second variety of vaginal speculum, the vaginal retractor (Fig. 19). We use a large and a small blade of metal. We employ these so that the langer blade is inserted diagonally in the vulva without chang- ing the dorsal position of the patient. With this blade inserted in the vaginal vault, the posterior vaginal wall and the perineum are retracted strongly backward. The small blade is passed along the larger blade for the elevation of the anterior vaginal wall. With some practice it is easy to inspect the lateral vaginal walls and by a corresponding shifting of the retractors also the anterior and posterior vaginal walls and to expose the cervix and vaginal fornices. Both retractors can be drawn apart at the will of the examiner, either at the front in the vulva or in the depth of the vagina, and allow a very complete view. In the absence of an assistant the self-retaining specula can be used to great advantage (Cusco, Nott: see Fig. 20). Secretions, mucus, blood, etc., accumulated in the cWh nf Fig. 20.—Nott’s Self-Retaming- Speculum.