The device had two pewter blades to separate the vaginal walls, and hinged open and closed with a screw mechanism. They tried shrinking the device to the size of a tampon, or borrowing design language from the vibrator industry. Am J Surg. A month later, the same surgeon wrote he believed "[the bullet] had not really entered. Their goal is to create a variety of specula to serve a variety of patients, rather than recreating another one-size-fits-all tool. The degree of patient satisfaction was evaluated by a subjective self-administered questionnaire.
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In , a San Francisco-based company patented the design for an inflatable speculum called FemSpec. Instead of constructing the device out of plastic or metal, they decided to cover the whole thing in autoclavable silicone—a material that wouldn't feel cold, could be easily sterilized, and would make insertion more comfortable. We doubt the bullet is in this place. And yet, the speculum today looks almost identical to the one Sims used more than years ago.
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They're working with their board of physicians to fine-tune the idea, to negotiate what's feasible and what isn't. This method consists of an en bloc tissue dissection via superior periareolar incision and excision of fatty glandular tissue in suprafascial plan, with slicing and trimming procedure. This method is suitable for patients with Simon's grades I to IIB gynecomastia that does not require skin resection. It's that the design is neither optimal for patients nor physicians.
Some the men had never considered the contents of a pelvic examination—stripping off your clothes, laying on an examination table, and strapping your feet into stirrups, while a doctor pries you open with a cold, metal gadget. One intravenous dose of a broad-spectrum antibiotic was administered preoperatively. Surgical correction of gynecomastia. Author information Article notes Copyright and License information Disclaimer. Watch bondage cruel free gallery