Electricity in the diseases of women : with special reference to the application of strong currents / by G. Betton Massey.

  • Massey, G. Betton (George Betton), 1856-1927.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Electricity in the diseases of women : with special reference to the application of strong currents / by G. Betton Massey. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    1st. Never make a puncture in the anterior cul-de-sac. 11 2d. Confine the punctures to a lateral, or to the posterior, cul-de-sac. 3d. Make use of a very fine trocar. 4th. Never introduce a speculum through which to make a puncture ; and before proceeding- to puncture make a minute and scrupulous examination of the part chosen for puncture. 5th. Puncture as near as possible to the body of the uterus, from without inward, making the axis of the instrument correspond with the axis of the organ. 6th. Choose for the seat of puncture the most prominent point of the tumor found in the vagina, making it project more, if necessary, by directing an assistant to press it downward with his hands upon the body above the pubes. 7th. First pass the insulating celluloid sheath through the vagina, and fix it at the spot to be punc- tured, on the point of the index finger. Then slide the trocar up the sheath and make the puncture. Precautions Necessary After Puncture.—Pelvic elec- tro-puncture should be only performed under surround- ings that permit the patient to be immediately put to bed, where she must remain at least twenty-four hours, a longer period being advisable if a heavy current has been used. All of my own operations have been per- formed in my private hospital, and, although slight febrile reaction supervened more than once, no serious inflammatory* symptoms ever arose. It is generally ad- visable to pack the vagina over the seat of puncture with bichloride gauze, which is removed the next day - and followed by antiseptic douches.