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The injection tube should not be inserted too deeply towards the cervix, and in order bring the fluid in contact with every part the canal, should moved from side side, and forwards and backwards.
The free outflow the fluid should be assured, and where the introitus narrow, this done lateral pressure with the injection tube.
A simple tube with central opening, of glass or hard rubber, that may readily cleansed, can used. best essay writing service The water should lukewarm in order avoid the irritating effect heat, and the irrigation must, according circumstances, repeated twice four times daily. If could expected that simple cleansing these irrigators would suffice, as they occasionally in uncomplicated cases, then might use water or some indifferent fluids, such as were formally used for the prevention the irritant action an acute catarrh. But recent investigations have clearly taught english essay helper that the irritant effects remain even after the use disinfectants, although they control directly the most infectious causes the inflammation. Injections flax-seed infusions, althaea, etc.
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are, therefore, no longer resorted The mechanical effect tbe irrigation will, however, only partially obtained when administered in tbe way have outlined, since thus the entire mucous membrane not cleansed. If the injection administered the physician, tbere greater chance the aim being fulfilled, for the vaginal walls may held apart depressors or specula.
This separation the vaginal walls fulfills also the second condition, which that the mucous membrane, in its entirety, must exposed the action the disinfectant. It therefore, essential after disinfection to insert an antiseptic, slightly ahsorbent tampon in the vagina, in order to keep the walls separated, and smooth out the rugse.
We use for this purpose soft dry tampons which may impregnated with one or another disinfectant. In case the vagina not thoroughly tamponed, in which event the physician must himself attend the patient should taught insert a tampon herself after each injection, and she can do this most readily means a simple tampon carrier, which I use very frequently, for I find that while oiled tampons may inserted the finger alone, dry tampons soaking the secretion in the introitus are apt coursework writer become painful as they are inserted.
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An essential point for the carrying out these manipulations, and also for the success the local treatment, that the introitus vaginae not too narrow.
In children and in virgins treatment rendered very difficult this narrowness, since leads retention secretion.
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