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March 2, 1895


JAMA. 1895;XXIV(9):325. doi:10.1001/jama.1895.02430090027001i

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I have here a set of uterine dilators, designed for the purpose of keeping the cervix moderately dilated and thus maintaining uterine drainage in cases of endometritis with imperfectly developed or contracted cervices. These are stiff in the center, but will bend quite easily on the end. They can be used in a retroverted or an anteverted uterus. In my office practice I use the two smaller sizes, and the larger ones after curettage to keep a poorly developed cervix dilated until the tendency to contract passes off. It is passed through the internal os twice a week, for a few times, and later once a week until the dilatation has been maintained for three or four months. The vaginal fornices should be cleansed with a 5 per cent. solution of carbolic acid before they are introduced and an intra-uterine application of a 25 per cent. solution of ichthyol in

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