Manual of gynecology / by D. Berry Hart and A.H. Barbour.

Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: Manual of gynecology / by D. Berry Hart and A.H. Barbour. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    attached to the handle, which can be fastened in the pillow sheet or patient's dress : the cervix is drawn down with a volsella held in the one hand, leaving the other free for minor manipulation. Theory of action and uses of the Sims Speculum.—The Sims speculum is based on the effects consequent on the genupectoral posture. When the patient is semiprone and the vaginal orifice opened, the segments of the pelvic floor separate 5 and then the Sims speculum is a simple means of hooking the sacral segment well back. The Sims speculum is, on the whole, by far the most useful speculum. It is difficult to manipulate at first, but amply repays practice. Its discovery has been one of the greatest strides in gynecology. In vaginal and cervical operative surgery, it is the only speculum that can be used. 2. The Fergusson Speculum is seen at fig. 85. It is made in three Fig. 85. Fergusson Speculum. suitable sizes; and may be described as a glass tube, with a proximal trumpet and a distal bevelled end. It is made of glass silvered internally and coated on the outside with caoutchouc. The bevelling of the distal end makes a shorter anterior side and a longer posterior one. The maker's name is usually placed at the trumpet end just at the foot of the anterior side, and serves to indicate that side when the speculum is in the vagina. Mode 0/employment of the Fergusson Speculum.—The patient lies in the left lateral position with hips raised. Warm the speculum, and oil it on the outside. Take it by the trumpet end with the right hand and pass it into the vaginal orifice previously opened up by index and