The inversion of the bladder or the womb
Moreover, the appearance of a polypus is an affair which must have attracted notice some months prior to its occurrence; whereas, the inversion of the bladder or the womb, occupies but an instant, and is commonly preceded by no symptoms.
Being assured there is a polypus, if a fine silk can be passed round the neck or stalk and be tied tight, so as to cut off the circulation of blood to the part, the growth will drop off in two days, supposing the operation to have been effectively performed. When a ligature cannot be applied, the body should be seized with a proper pair of forceps, and it should then be turned round and round several times. The object in doing this is to twist the stalk, so as to strangulate the vessels within it; and this sometimes answers quite as well as the ligature itself, but the last is best, as being more sure and less likely to be attended with accident. When neither can be accomplished, the polypus may be forcibly dragged away, or literally torn out; but the pain of this is very great, and the operation has nothing to recommend it but its absolute necessity.
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