4. Chorio-epithelioma malignum.

Operation. The following instruments are required: a volsella (Fig. 55); a self-retaining weighted speculum ([Fig. 37]); uterine dilators (Figs. 56, 57); a uterine sound; a Bozemann’s tube (Fig. 58); Budin’s celluloid catheter (Fig. 59); and one or other flushing curettes.

Fig. 55. Volsella for fixing the Cervix.

Fig. 57. Metal Bougies for dilatation of the Cervix.

a. As used by the author.
b. Ends of bougies considered unsuitable.

Fig. 56. Hegar’s Dilators (three sizes) for dilatation of the Cervix Uteri.

Fig. 58. Bozemann’s Double-channelled Tube.

Fig. 59. Budin’s Celluloid Catheter.

There are many varieties of curettes, and each has its own adherents. The most generally useful is Murray’s sharp flushing curette, which has a groove for the recurrent flow (Fig. 60, A). There are many varieties of blunt curettes. The model depicted in Fig. 60, B, enables the operator to clear out the uterine cornua and is of the best shape.