On the use and abuse of pessaries.

  • Bantock, George Granville.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: On the use and abuse of pessaries. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    suring about three inches-and-a-half in its cavity, and so retroverted that the os uteri pointed to the upper part of the vaginal outlet (as the patient lay- in the dorsal position). The left ovary could be felt very distinctly prolapsed into the left side of the utero-rectal sac, and was very tender to the touch. The riorht could also be felt on bimanual examina- tion scarcely lower than its normal position. For many months the patient had done little more than pass from her bedroom, usually in the evening, to the couch in the sitting-room, as the erect position or the act of walking caused her so much pain. There was no leucorrhcea nor excoriation, nor could I find any cause for the symptoms other than the retroversion of the uterus and the consequent pro- lapsus of the left ovary. I at once replaced the uterus by means of the sound, the ovary at the same time resuming its normal position, and, while it was thus kept in position, introduced a Hodge's pessary. The sound indicated, by its falling to one side, that the pessary was not efficient. I therefore withdrew it and introduced a larger instrument, with a satis- factory result. The ovary was no longer prolapsed. I asked her to get out of bed while we left the room, and try the effect. This she did with a sense of great relief, and I bade her good-bye, recommending her not to exert herself much for a few days. I remained a short time in conversation with her husband, and before leaving the house had the satis- faction of seeing her walk into the room, when she expressed her delight at the prompt success of the