Volume 1

A system of gynecology / by American authors ; edited by Matthew D. Mann.

Date:
1887-1888
Catalogue details

Licence: Public Domain Mark

Credit: A system of gynecology / by American authors ; edited by Matthew D. Mann. Source: Wellcome Collection.

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    insisted upon by him, but not until March, 1874, was he able to demonstrate cleai'ly that the attenuated pedicle was the effect of the traction, and not an accident. In a case operated upon at that time he was able to encircle the broad basis of the tumor with his fingers and feel the process of pedunculation going on, as strong contraction was produced by traction, the contraction beginning at the fundus and run- ning down in an oblique direction. On this account the traction should be made as near the fundus as possible. In this case a base of three inches in diameter became a pedicle of the size of a common lead-pencil, and the point of attachment after removal was reduced to a small pit, thus leaving an almost infinitesimal sui'face, comparatively speaking, for the possible absorption of septic matter. In the year 1874 there were two papers in the Boston Medical Jour- nal upon pelvic drainage after ovariotomy, by Dr. Oilman Kimball of Lowell, Mass., a distinguished pioneer in ovariotomy. Dr. Montrose A. Fallen of New York published a description of the operation as a substitute for amputation of the neck of the uterus in certain forms of intravaginal elongation, which he termed vaginal cervi plasti. In the same year Dr. Marion Sims contributed a valuable paper to the New Yorh Medical Journal upon the enucleation of intra-uterine fibroids. In this year also appeared a small work, written in a powerful style by Dr. Edward H. Clark of Boston, entitled Sex in Edmation. No work upon medical topics or any kindred subject in modern times suc- ceeded better in attracting the attention of the people for whose benefit it was written to tlae influence of the habits of modern life on the sexual organs. In 1875 a valuable and interesting paper appeared by Dr. J. R. Chadwick of Boston in the American Journal of Obstetrics upon injec- tion of nutritious or cathartic fluid into the intestines through the abdominal walls by means of an aspirator needle when the stomach proves entirely intolerant. In this year Dr. Noeggerath of New York published in the Ameri- can Journal of Obstetrics an intei'csting ])aper upon Vesico-vaginal and Yesico-rectal Touch—a New Method of Examining the Uterus anrl Appendages. In the Transactions for 1875 of the American Medical Association is a paper by Dr. Byford of Chicago upon ''The Treatment of Uterine Fibroids by Ergot. This method, for the purpose of causing atrophy of uterine fibroids, was first suggested by Ilildebrandt, but Byfi)rd seems to have been the first to advocate the use of this remedy in sufficiently large doses to cause expulsion in addition to the atrophy. In this same year was published a valuable and very interesting pa])er by Dr. 11. F. Campbell of Georgia upon ''Position, Pneumatic