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July 11, 1891

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.

Author Affiliations


JAMA. 1891;XVII(2):69-71. doi:10.1001/jama.1891.02410800025002f

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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

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