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I have had an experience in the use of cocaine in gynecological operations during the past three years that has been eminently satisfactory, and I purpose in as few words as possible to lay the method and my experience before you.
I will first describe the manner of its use in dilating and curetting. Ten minutes before using the cocaine I give a tablespoonful of whisky or brandy. Place patient in the left lateral position, and with Sim's speculum expose the cervix—steady the uterus with a tenaculum inserted in anterior lip. Then take a hypodermic syringe with a fine needle, filled with a 4 per cent. solution of cocaine, which has two minims of pure phenol in each half-ounce of solution, and inject five minims into the posterior lip—wait two minutes, then secure a firm hold with bullet forceps, which will be painless. Proceed and inject in several portions of
HUMISTON WH. ON THE USES OF COCAINE IN GYNECOLOGICAL SURGERY.Read in the Section of Obstetrics and Diseases of Women, at the Forty-second Annual Meeting of the American Medical Association, held at Washington, D.C., May, 1891. JAMA. 1891;XVII(2):69–71. doi:10.1001/jama.1891.02410800025002f
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