File:Pelvic inflammation in women (1921) (14763935094).jpg

Identifier: pelvicinflammati09pola (find matches)
Title: Pelvic inflammation in women
Year: 1921 (1920s)
Authors: Polak, John Osborn, 1870-1931
Subjects: Adnexitis
Publisher: New York : Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ssure againstthe urethra from with-in outward along itscourse. By this ma-nipulation a drop ofpus may be expressedfrom the mouth of eachtubule, which is situ-ated just within themeatus on either sideof the floor of theurethra. The presenceor absence of the gono-cocciis should alwayshe demonstrated in thepus hy the microscopebefore treatment is in-stituted. Occasionallythe outer orifices ofthe ducts may be closedas a result of theinflammatory process,when an abscess mayform in the tubule andsuburethral tissues. The abscess usually discharges spontaneouslythrough the tuhide. Treatment.—Destruction of gonococcic infection in this locationmay be accomplished either by (a) injection or (b) cauterization. Aftercocainizing the meatus and the urethra, by inserting into the urethra apledget of cotton wet with a ten per cent solution of cocain, which isleft in place for five or ten minutes, a probe pointed hypodermic needleis inserted into the duct, and a drop of pure carbolic acid, or 25 per
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Fig. I.—Everting the Mucosa of the Urethra withTHE Finger in the Vagina and Milking SkenesDucts of Pus. INFECTIONS OF THE VULVA, VAGINA AND CERVIX 3 cent silver nitrate solution, is injected into the tubule. The treatmentmay have to be repeated several times at intervals of about a week. Amore satisfactory method is that of splitting open the ducts with theelectric cautery. Under local anesthesia a fine pointed cautery knifeis passed into the duct, the current turned on, and the tubule slit upwardinto the urethral floor. The tract is then cauterized, destroying thetubule and its contents. INFLAMMATION AND ABSCESS OF BARTHOLINS DUCTS AND GLAND The Bartholin duct, which is found just within the vulvovaginalorifice, opens external to the hymen in nulliparous, and below the carunclein parous women. It is the external outlet of the gland; the vulvovaginalgland lies, as a rule, behind the anterior layer of the triangular ligament,or may lie behind or in front of the posterior layer. In st

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