A reference hand-book of gynecology for nurses

Preface To Second Edition

The principal changes in this edition pertain to details of technic — dry sterilization of gloves is described, and the iodin preparation of the skin; the sections on the preparation for and" after-care of major gynecologic operations have been largely rewritten, and numerous changes have been made throughout the book to conform with the present methods.

Additions to the text will be found under cancer of the uterus, vaginofixation, and acute gastric dilatation. Three new illustrations have been added.

Catharine Macfarlane

1709 Pine Street, Philadelphia, Pa. May, 1913.

PREFACE lectures on Gynecology which it is my custom to deliver each year to the nurses of the Woman's Hospital of Philadelphia.

The preparation for operation, operative technic, and post-operative treatment described in it follow the routine instituted by my chief, Dr. Caroline M. Purnell.

I am indebted to Miss Bertha M. Seldomridge and Miss Bess McCormick, surgical supervisors, for details of treatment and operating-room technic; to Mrs. Isabel Close, head nurse, for a careful revision of the manuscript; and to my friend, Dr. Mary P. S. Rupert, for helpful criticism from beginning to end.

I take this opportunity to thank my publishers, Messrs. W. B. Saunders Co., for their cordial cooperation.

Catharine Macfarlane

V

Contents

PAGE

Physiology and Hygiene 20

Disorders of Menstruation 22