Cases of ovariotomy / by Thomas Keith.

  • Keith, Thomas, 1827-1895.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: Cases of ovariotomy / by Thomas Keith. Source: Wellcome Collection.

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    CASES OF OYAEIOTOMY. In the following paper an account is given of the operations for ovarian tumour performed since the last series of cases reported in the December number of this Journal for 1865. The number of 1 these is now forty-eight, with the result of thirty-seven recoveries r and eleven deaths, or a mortality of twenty-three per cent. There has been no selection of favourable cases, and experience in the | operation has diminished the mortality attending it, for Of the first . 16 cases, . 6 died. Of the second . 16 „ . 3 Of the third . 16 „ . 2 „ 48 U There is also given a report in full of a case which proved to j one °f chronic—apparently tubercular—peritonitis, in which i though the physical signs were entirely those of ascites, the history b was so clearly that of an ovarian tumour that, misled by the circum¬ stantial and unvarying statement of the patient, I made an j; exploratory incision, the only instance in which I have had occasion to do so. Case XXXVI.—Multilocular Tumour: once discharged by vagina: once tapped. Ovariotomy. Pulmonary Congestion. Recovery. i a£>ec^ twenty-three, had enjoyed good health till January when she felt pain in the left side. In March she applied to Dr Matthews Duncan, who detected an ovarian tumour, which by May filled the abdomen. One evening in July, while out walking a thick glutinous fluid began to escape from the vagina. This continued to flow during the night and following day, leaving the abdomen quite flat. In a few weeks she had regained her former health, and for some months was able for service. In May 1865 having again increased in size, she was admitted into the Royal Infirmary under Dr Duncan, and in June nearly two gallons of ; thick green fluid were removed by tapping, leaving a semi-solid j,tumour as high as the umbilicus. The cyst was refilling when she ett the hospital in the end of July. Soon after this she came under my care, Dr Duncan having asked me to undertake the surgical management of the case, which we looked upon as rather a hazardous one, from the extent of adhesion which was suspected, and from the bad general condition of the patient. She had a peculiar unhealthy anaemic leaden colour, and was considerably emaciated. The tongue was large, red, and irritable,