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September 24, 1887


JAMA. 1887;IX(13):402. doi:10.1001/jama.1887.02400120018004

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Rapid Dilatation of the Cervix, etc.  —In the Section on Gynecology of the IXth International Medical Congress Dr. W. H. Wathen read a paper on this subject. He had learned in the field of experience and observation of the bad results obtained in efforts to dilate the cervical canal by tents, or to enlarge or straighten it by incisions to cure dysmenorrhœa and sterility. He begged to call attention to the more satisfactory means of rapid dilatation with the bivalve or double-bladed dilators now in use, and especially to the substitution of an instrument of his device for Goodell's modification of Ellinger's dilator. If tents were used, he preferred the tupello to any other variety, it being less apt to cause septic inflammation than the sponge, and dilated more rapidly, regularly, and better than the tangle. He referred to endometritis, pelvic hæmatocele, pelvic cellular or peritoneal inflammation, septicæmia, pyæmia, and

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