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The technic of bloodless repair which I have elsewhere described Trimox Indications combines simplicity, ease of ap- plication, and efficiency. Hemostasis is secured through the use of two angulated tenaculum for- ceps (Fig. 4) and a rubber band about Buy Trimox Online one quarter inch wide. The chief feature of the forceps, in addition to the angulation, is a pedunculated ball which is attached to the outer aspect of each blade Fig. 7. — Handles of forceps separated to be held by the assistant. above the angle. The balls serve the purpose of retaining the rubber band in a position to compress the cervix Trimox 500 Mg above the grasp of the forceps. The technic is as follows : 1. Introduce a self retaining speculum into Trimox Antibiotic the vagina. 710 WEST: AMPUTATION OF CERVIX. [New York Trimox 500 EDiCAL Journal. 2. Where To Buy Amoxicillin Grasp the anterior lip of the cervix in the me- dian line with an ordinar)- double tenaculum. 3. Dilate the cervix moderately, chiefly to deter- mine the precise location and direction of the canal. 4. Draw the cervix toward one side and apply the angulated forceps to the cervix, well above the level of Where Can I Buy Amoxicillin the proposed amputation or denudation. (Fig. 5.) :>. Draw the cervix to the other side and Buy Amoxicillin apply the second angulated forceps opposite the first one. 6. Remove the ordinary tenaculum. 7. Place the Order Trimox handles of the forceps together, stretch the rubber ring over them and push the ring up on the cervix to a point above the retaining balls. (Fig. 6.) Trimox Side Effects 8. Separate the handles of the forceps and hand them to an assistant. (Fig. 7.) It will be observed that the Amoxicillin 500 forceps thus held act also as lateral retractors of the vagina. During the progress of the operation, the assistant should avoid undue tension on Buy Trimox the forceps or unnecessary separa- Generic Trimox tion of the handles, in order to prevent making a ragged tear in Amoxil Trimox the cervix with the points of the forceps. After the repair has been completed, cut the rubber ring and remove the forceps. The for- ceps and ring may be removed before the sutures are tied. The Trimox Online application of these methods in over one hundred cases personally treated has shown that in more than half of them medical treatment alone was sufficient to cure the existing cervical disease. In most of the others, either trachelorrhaphy or moderate amputation restored the cervix to a practically nor- mal state. REFERENCES. 1. Leonard, V. N. : The Amoxicillin Amoxil Postoperative Results of Trach- elorrhaphy in Comparison with Those of Amputation of the Cervix, Surgery, Gynecology, and Obstetrics, January, 1914, pp. 35-45. Amoxicillin 500 Mg Sixteenth and Spruce Streets. AMPUTATIOX OF THE CERVIX UTERI. By J.\mes N. West. M. D:, New York, Professor of Diseases of Women, Post-Graduate Medical School and Hospital. This operation I believe to be one of the most important that the surgeon is called upon to per- form, on account of the frequency with which the necessity for it arises, and its effectiveness in Trimox 500mg ac- complishing the objects desired. Trimox Dosage The fact that its performance is usually required upon women in the most active and responsible period of their lives, where the necessit\- for health and freedom from symptoms accompanying laceration of the cervix is most important to their well being and efficiency must also be considered. Perhaps its greatest and

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