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This book was written for the purpose of bringing together the fully matured and essential facts in the science and art of gynecology, so arranged as to meet the requirements of the student of medicine, and be convenient to the practitioner for reference. In the plan adopted, the diseases peculiar to women are, as far as possible, divided into three classes. The first class comprises those which occur between birth and puberty; the second, those between puberty and the menopause; and the third, those which come after the menopause.

Each subject is briefly described, and histories of cases, typical and complicated, are given as illustrative of the disease or injury under consideration, together with the author's method of treatment. The number of illustrative cases given depends upon the practical importance of the subject and the ability to make it more plain by the use of illustrations.

In carrying out this plan, the history of gynecology and the discussion of all unsettled questions have been omitted, as being at variance with the plan adopted.

Credit has been given as far as possible to those who have made original discoveries, but a vast number of original workers have been passed unnoticed for want of time and space even to name them.

To the medical student, history has no value until he has mastered the rudiments of the science and the art, and the practitioner can find in the works of reference all the historical facts which he may seek.

The author has ventured to give his own views and methods pertaining to practical matters, believing that while they may differ to some extent from the general literature of the day, they will be found reliable in practice and may be of interest to the specialist.

Marginal references have not been made, because all selections from the literature that have been incorporated in this work are those already well established and familiar to the gynecologist, and foot-notes only embarrass the reader who is seeking for the facts alone.

Acknowledgments are due to my associates — Dr. J. H. Raymond, who has rendered valuable aid in the preparation of the work, and Dr. R. L. Dickinson, who has made the drawings for the original illustrations.


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1. Examining table
2. Bimanual examination.
3. Sims's speculum
4. Cusco's bivalve speculum
5. Sims's position, seen from above
6. Nurse holding Sims's speculum
7. The movements of the speculum—first movement

-second movement 9.

-third movement 10. Simpson's probe 11. Sims's probe 12. Whalebone sound 13. Jenks's sound 14. Skene's curette . 15. Hanks's dilator . 16. Palmer's dilator 17. Sponge tents 18. Tupelo tents 18a. Ether inhaler. 19. Müller's ducts 20. Coalescence of ducts 21. Disappearance of septum 22. Appearance of fundus and cervix 23. Infantile uterus (Winckel) 24. Palma plicata 25. Infantile uterus, antero-posterior section, scant invagination 26. Virgin uterus (Sappey)—anterior view 27.

-median section 28.

-transverse section 29. Double uterus and vagina (Eisenmann) 30. Uterus unicornis (Pole) 31. Uterus bicornis unicollis (Winckel) 32. Uterus bifundalis unicollis (Courty) 33. Uterus duplex (Cruveilhier) 34. Anteflexion of cervix-first variety 35. Anteflexion body of uterus-second variety 36. Anteflexion of body and cervix-third variety

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