File:Treatise on gynæcology - medical and surgical (1891) (14775631544).jpg

Identifier: treatiseongync00pozz (find matches)
Title: Treatise on gynæcology : medical and surgical
Year: 1891 (1890s)
Authors: Pozzi, S. (Samuel Jean), 1846-1918 Wells, Brooks H. (Brooks Hughes), b. 1859
Subjects: Gynecology Genital Diseases, Female
Publisher: New York : W. Wood
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ld merely remind students that the axis of the vulva isperpendicular to that of the vagina, and that while the end of thespeculum should be turned obliquely, at an angle of 45° to openthe vulvar orifice, it should be restored to the horizontal position assoon as it has passed in. The blades must not be separated until theinstrument is wholly within the vagina, in order that the vulva maynot be unduly distended. In all of the bivalve specula, it is necessary METHODS OF GYNAECOLOGICAL EXAMINATION. 103 to have a groove or slit in the upper blade to avoid pressure uponthe sensitive parts about the urethra and to render the introductionof instruments (sound) less difficult. One must not forget that the introitus is the narrowest part of thegenital canal, and that just within it the vagina forms a kind ofpouch comparable to the rectal ampulla; the diverging of the bladesin the bivalve speculum is therefore seen to be essential. Univalve Specula.—These instruments are chiefly intended for
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