Surgical cases and observations / by James Syme.

  • Syme, James, 1799-1870.
Date:
[1845]
Catalogue details

Licence: Public Domain Mark

Credit: Surgical cases and observations / by James Syme. Source: Wellcome Collection.

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    SURGICAL CASES AND OBSERVATIONS. By JAMES SYME, Esq., PROFESSOR OF CLINICAL SURGERY, AND SURGEON TO THE QUEEN. Extracted from the London and Edinburgh Monthly Journal of Medical Science.—July 1845. NO. XXVI.-EXCISION OF THE OS UTERI, AND REMOVAL OF POLYPUS OF THE UTERUS. Case 1. On the 8th of March, Mrs H., aged thirty-seven, re¬ commended by Dr Combe of Leith, was admitted into the hospital on account of a growth from the os uteri. She had been mar¬ ried for twenty years, but never had any family. About twelve months before the time of admission, she noticed occasional hemor¬ rhage from the womb, accompanied with pain and weakness of the back and loins, lassitude, headach, and giddiness. These symp¬ toms, together with nausea and vomiting in the morning, continued to increase; and six months later, were attended by a leucorrhoeal discharge. On examination, the os uteri was found to be occupied by a large soft greyish-coloured growth, which bled when touched. It grew out in the form of a fungus, leaving a part of the cervix unchanged; and when pressure was made at this point the finger did not encounter any resistance that implied induration or en¬ largement of the uterus. On the 10th, having obtained a good view of the excrescence by means of a speculum, I plunged the hooked forceps deeply into its substance, and by steady traction endeavoured to bring it into view. Finding that the rigidity of the parts prevented this from being accomplished without the use of unwarrantable force, I com¬ mitted the forceps to an assistant, that he might keep the ground which had been gained, and then passing the fore and middle fin-