Ovariotomy Trocar
Circa
1865
Ovarian
cyst were tapped by this trocar to drain the fluid from it thereby
reducing the size of the tumor. Ref: Riccis' Development of
Gyn Surg Inst 1990
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Vaginal
Syringe
Circa 1860's
A rare pewter vaginal syringe with anthropomorphic nozzle. The
instrument
is illustrated in Henry Smith, M.D., The Principles and Practice
of Surgery, 1863, Vol. II, pl. LVIII, fig. 20. The caption
reads:
Chase's vaginal syringe. Shield to close the vulva and assist in
retaining the injection. 20 cm in length. Shield 7 cm. |
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Hysterotome
Two
winged knives to widen cervical cannal to accomodate a larger
instrument to pass through the cervix into the uterine cavity such as
the eccraseur to remove endometrial polyp. |
19th Century French Clyster / Vaginal Douche Set
A rare
clyster pipe from France. Complete with the original metal
box. The irrigant is placed in the metal box. The vaginal douche
syringe is screwed to the box . The tip is made out
of ebony and ivory.
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Vaginal
Douche
Pre 1900
indications for vaginal
douche:
1. Pregnant patient with
profuse vaginal
discharge due to gonorrheal infection
2. Prophylactic vaginal
douche if the
patient is subjected to repeated examination during
labor
3. After first week
post-partum presence
of foul smelling lochia |
Enema
Set
Thomas Denman in
1795 recommended
enema to stimulate the uterus for treatment of prolonged labor.
Enemas of linseed or of flour and water were used during
pregnancy.
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Willett's
Placenta Previa Forceps
In 1925, Willett
devised a toothed forceps to manage placenta previa. The placenta
was perforated through the vagina and this forceps was attached to the
fetal scalp to create compression to the placenta. Two pounds of
weight was applied to the clamp over a pulley. Ref: De
Lee- Greenhill Obstetrics 9th edition 1947. |
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Also called the Willet's Scalp Forceps.
Another way for helping get a dead
baby out was to clamp the scalp of the baby and apply traction with a
two pound weight hung over the end of the mother's bed as illustrated
above. Often times the scalp of the baby tore off from the
weight. It was also associated with increased incidence of
maternal infection. Ref:
From Witchcraft to Wisdom. Geoffrey Chamberlain. RCOG Press, 2007.
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Got Milk?
Circa: 1880
S. Maw's self suctioning breast
pump in original
box. Handblown glass pump, India rubber host and handblown glass
mouthpiece.
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The
Forerunner of Modern Day IUDs
Intrauterine
Wishbones &
Stem Plugs
These birth control
devices
were sold and advertised as pessaries. They were place in
the cervix with the stem inside the uterine cavity. Visit Fact Files on
this web.
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Boxed Pessary
A cushion shape disk pessary by
Ideal. The wishbone pessary is marked 14K solid gold and it comes
with its original box and sliding cover.
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IUD's Sold
as Pessaries
Medical instruments from the
end of the 19th
century through early 1900's, include descriptions of "pessaries" that
resemble modern IUD (Intrauterine device). The existence of
Comstock
laws that prohibit the use of the mails for contraceptive devices may
have
been the reason for the false advertisement. See
also Fact Files on this web.
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Intra-Uterine
Stem
The long
stem was inserted
into the uterine cavity to correct the malpositioned uterus. These
devices
were precursors of the present day IUD (Intra-Uterine
Device). |
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Aluminum Intra-Uterine
Stem
3 cm height, 2 cm base
c 1880s
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Plated Steel Intra-Uterine
Stem
Spring stem 7 cm length, 2cm base.
c Early 1900s
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Lee's Membrane Perforator
19 Century
amniotomy instrument with a crosshatched ebony and carved ivory handle.
Pressure on the thumb piece pushes a spring loaded sharp pointed
trochar.
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Intra-Uterine
Repositors
Retrodisplaced uterus
was blamed for several female problems. Before the advent of
surgery
in mid 1800s attempts were made to correct the malady by
mechanical
means. From 1830s thru the late 1800s, two devices were utilized
to restore uterine position. Because of the resulting severe
infection,
the instruments were seldom used. |
Emmet's
Uterine Repositor
c 1890
A special
instrument
employing a short mobile uterine rod used to align a malpositioned
uterus.
Nickel plated metal with checkered ebony handle. 31 cm. Fig 3427,
Tiemann. |
Aveling's
Repositor
19
Century gynecologic
device placed in the vagina with the red end on the inverted uterus,
the other end was tied with straps to keep it in place and thus correct
the chronic uterine invertion. |
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Sponge
Tents
Circa 1870
Sponge tents were
used as a uterine cervical dilators to relieve severe menstrual
cramping
in the late 19th Century. The sponge tents are slender
cone-shaped
piece of compressed material made up of porous skeleton of certain
marine
animal. It expands gradually from fluid absorption while in the
cervix.
Serious uterine infections often resulted from the treatment. |
Pubiotomy
A
surgical procedure
to divide the pubic bone to accomplish delivery of the fetus on
difficult
labor. It was first performed by J.R. Sigault in 1777. (Sometimes
called the Sigaultian Operation). Reintroduced by Morisani
of Naples in 1866, in France by Spinelli in 1891. Introduced in
America
in 1892. |
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Symphysiotomy
Knife
Circa Early 1900
Falcetta-
a sickle shaped bistoury used to cut pubic bone joint , the procedure
called pubiotomy or hebotomy
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Symphysiotomy
Operation
Too firm
a union of the pubic bone was mistakenly regarded as a cause of
difficult
labor. The surgical separation of the pubic bone called
symphysiotomy
was in fashion one time and in competition with Cesarean section in the
mid 1800 through early 1900. Although the United States abandoned
the procedure because of the mutilation it did to the mother, European
and South American accoucheurs continued to perform these horrible
operation
up to the mid 20th Century. |
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Emmenologia
By Dr. John Freind
1729
First Edition.
Latin translated in English (long
s)
A book about menstruation.
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