Massage in Gynecology.
—Dr. Gaudin, in El Prog. Gyn.—In 1868 Brauel first suggested it as a means of treating uterine affections. It may be used in the so-called external form by frictions, and by relaxations of the abdominal wall, through which the volume and outlines of the uterus may be perceived. This suggests that massage can be used only in cases in which there is little abdominal adipose tissue. The patient should be in the dorsal position, with thighs flexed and knees separated. The rectum and bladder must be empty and respiration must be regular. Kaltenbach has advised that the bladder and rectum be filled with warm water, the vagina tamponed, and that these cavities be quickly evacuated when one is about to make a bi-manual exploration. Such a plan is of advantage in many cases, especially if one is making an exploration for purposes of diagnosis, but it would hardly