A hand-book of uterine therapeutics, and of diseases of women / by Edward John Tilt.

  • Tilt, Edward John, 1815-1893.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: A hand-book of uterine therapeutics, and of diseases of women / by Edward John Tilt. 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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    lows the administration of an ordinary vaginal injection. The cause of death is easily found, for intra-uterine injections are never made unless the womb and its surrounding tissues have been seriously diseased for a very long time, and the sudden aggravation of internal uterine disease sets ablaze ovarian and peritoneal disturbance that had long lain dormant —a spark is all that is wanted to explode a powder-magazine ! Introduction of Solid Substances.—Till our rising gynecologists leave off devising new hysterotomes, or new mechanisms to bolster up the womb at its expense and at that of neighboring organs, and find time to settle this question of intra-uterine injections, among other moot points of uterine surgery, it is perhaps safest to deposit some solid substance into the cavity of the womb when we do not think it susceptible of being otherwise cured. To do so, is to return to the practice of the father of all our modern gynecology, for Recamier introduced the solid nitrate of silver into the body of the womb, by means of Lallemande's porte-caus- tique. It is better to use Simpson's, and to leave from five to ten grains of the lunar stick to dissolve, provided the cervix be fully dilated; and when the supply of nitrate of silver is exhausted I shall be happy to use sul- phate of zinc in a similar way. If this can be easily done, what is the use of an instrument to blow powdered nitrate of silver, or any other com- mendable dust, into the cavity of the womb ? What we have to do is dis- agreeable enough, without blowing into our patient's wombs. Intra-uterine Swabbing.—What is to be said on this head prin- cipally relates to the use of fuming nitric acid, as recommended by an excellent pathologist, Dr. Athill, and it will be found in the chapter on Caustics.