A general system of surgery. Containing the doctrine and management I. Of wounds, fractures, luxations, tumours, and ulcers ... II. Of ... operations ... III. Of ... bandages ... / To which is prefixed an introduction concerning the nature, origin, progress, and improvements of surgery ... Translated into English. From the Latin.

  • Heister, Lorenz, 1683-1758
Date:
1743
Catalogue details

Licence: Public Domain Mark

Credit: A general system of surgery. Containing the doctrine and management I. Of wounds, fractures, luxations, tumours, and ulcers ... II. Of ... operations ... III. Of ... bandages ... / To which is prefixed an introduction concerning the nature, origin, progress, and improvements of surgery ... Translated into English. From the Latin. Source: Wellcome Collection.

    802/930 (page 238)
    Elaftic Steel Petl'aries. ful, though they are propofed and deferibed for this purpofe of an enormous Size by Parey, Hildanus, Scultetus, Roonhuse, and others11; to which we may add, that thole perforated Peffaries will both admit ftrength- ning and aftringent Fumigations and Injedtions to the affedted Parts, and at the fame time alfo allow a Paflfage to the Semen of the Hufband, which Advan¬ tages, the other Peffaries that are not perforated, are deprived of. It is to be obferved, that fome Women are troubled with this Diforder, when they are not with Child, and when they are, it difappears •, for the Dilatation of the Womb in Geftation prevents its Defcent, but this is not always the Cafe; for fometimes the Os Uteri has appeared externally with the Head of the Fastus capable of be¬ ing felt by the Finger. IX. Saviard, in feveral of his Obfervations b, mentions an elaftic Peffary made of Steel, which furpaffes all others in this Diforder; but takes no notice either of its Size or Strudlure ; however, Goelichius of Frankfort formerly publifhed a Differtation 1710, in which he deferibes a new Method of curing the true Prolapfus Uteri by an elaftic Peffary made ofSteehwire, of which he gives us the Figure, but not in its proper Length or Thicknefs; which I have therefore taken care to amend in my Figure of it, Fab. XXXIV. Fig. n. he orders its internal Surface to be covered with Linen, and its external with foft thin Leather, that it may not give any Pain or Uneafinefs to the Patient, alfo to the Bafts of the Cone, he diredts a String to be faftened on each Side to ex- tradl it at pleafure. The Inftrument is to be a little compreffed when it is intro¬ duced into the Part, after which it will expand itfelf by its Elafticity, fo as to remain fixed, and prevent a Defcent of the fuperincumbent Uterus. Its Author indeed confeffes, that he has not yet made Trial thereof; but as it is furnifhed with all the requifttes of a good Peffary for this purpofe, he thinks it cannot fail of Succefs. Laftly, as this Inftrument is very fubjedt to be eat up with Ruft, to which Iron or Steel-wire is fo extremely liable, upon contadt with any Humidity, it has been my general Pradtice to ufe only the wooden Peffaries co¬ vered with Wax, as reprefented in Fig. 6, 7, 8 ; by which means I have gene¬ rally obtained the Effedt defired. CHAP. CL VIII. Concerning the Prolapfus, or bearing down of the Vagina. HncUo/*1 !• T T is not unfrequent for Surgeons and expert Phyficians, as well as igno- Difotier/c X rant Midwives, to confound or miftake a Prolapfus of the Vagina and Uterus with each other, and to call them by one Name, of which we have ma¬ ny Inftancesc; when at the fame Time they are eafily diftinguifhable to one, who, attending to the Symptoms of each Diforder, is alfo acquainted with the anatomical Strudlure of the Parts. We take a Prolapfus of the Vagina to a Confer Mauriceau Obf. 182. Saviard Obf. 13. Deventer Cap. 29. 8cc. b See his Obfervat. XIII, and XV. c Hildanus (Cent. IV. Obf. 60, 61, 8: 62.) gives us three Hiftories of this diforder; but it does not appear from either of them, whether the Prolapfion was of the Uterus or Vagina. be.