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Excerpt from Exploratory Puncture of the Female Pelvic Organs: A Diagnostic Study
Rectal exploratory puncture I would discard altogether, or limit to cases of disease of that viscus. Except in instances of neoplasms or exudates occupying the post rectal region, I cannot conceive of the case in which vaginal puncture would not yield the same information which might be obtained by rectal puncture. I have never practised rectal puncture.
Abdominal Puncture Guided by Combined Vaginal and Rectal Touch - I will now attempt to describe the method of exploratory puncture of the female pelvic organs as I systematically practise it. The patient is placed upon the examining-table, with the pelvis elevated or not, as may seem indicated in the particular case. The bladder should always be empty. A careful and thorough bimanual examination precedes the puncture in every in stance.
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Exploratory Puncture of the Female Pelvic Organs: A Diagnostic Study
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