Practical observations on the more important derangements of the female system : their consequences and treatment / by Charles Waller.

  • Waller, Charles
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on the more important derangements of the female system : their consequences and treatment / by Charles Waller. Source: Wellcome Collection.

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

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    bility to allow of its application without difficulty; moreover, it is not affected by the moisture of the part. The aim of the operator is to pass this liga- ture around the stem of the polypus ; and, therefore, in the absence of any particularly urgent symptom, it is better to wait, and make no attempt for this purpose until the finger can be passed beyond the body of the tumour and the peduncle easily reached. There will, in this case, be comjDaratively little dan- ger of including the os uteri in the loop of the liga- ture, as considerable dilatation will by that time have taken place: if threatening symptoms should make their appearance before the descent of the polypus thus far, an attempt at removal would be justifiable, even if it should be found on examination that no portion had passed through the mouth of the womb. Before commencing the operation the instrument is to be prepared in the following manner: one end of the ligature should be passed up one of the long tubes and down the other, so that the centre of the ligature may extend from the upper part of one tube to the upper part of the other, and thus the loop is easily formed. In our own practice we use the third piece also, carrying the ligature through the corresponding rings and tubes, leaving the gold twist of sufficient length to allow of the tubes being freely moved about prior to their junction. The female having been placed on her left side, in the usual obstetric position, the two canulm already
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