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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.

In obstinate cases must resort dilatation or discission the hymen, even as in case stenosis vaginas necessary overcome the customized essay condition When disinfecting agents are used they should as dilute as possible, and yet effective. The experiments in regard the minimum amount various agents which are use in diminishing the signs life in certain bacteria, give approximate data as what should use in cases known infection, such as sepsis, gonorrhoea. These results, however, are not purely applicable practice in that term papers to buy the microbes are differently situated the mucous membrane than in culture solutions, and the work the antiseptic must finally depend the therapeutic results which yields. The possibility that disinfection, aside from dissertation writers direct action the infection-carriers, may act indirectly them by changes in the tissue in which they lodge, not, as Oppenheimer rightly The following table recapitulates the results obtained Oppenheimer in his experiments in regard the action agents gonococci. The best agents proved sublimate and creosote. The former was effective in solutions, and the latter in the strength one drop in water. The cocci were killed By alum acet. in minimum solutions of Copaiva balsam and cubebs, although detected in the urine, acet. of lead, bismuth subnitrate, chloride potass, chloride calcium, resorcin, In regard the strength the disinfecting solution remembered that the first copious irrigation must relatively concentrated, and will depend the stage and quality the infectious inflammation as whether must repeated in similar strength. 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