Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

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    it from its attachments either with the fingers or Simon's spoon- saw, afterwards packing the cavity left with antiseptic gauze and changing this from time to time until granulation has closed it. Antiseptic douching and manipulation must be scrupulously observed throughout. (2) If the tumour is subserous with a fedicle, it may simulate an ovarian cyst, and may be removed by mistake by ovariotomy. These growths give rise to no symptoms as a rule, and hence require no treatment. They may, however, undergo acute torsion of the pedicle, or other symptoms may arise necessitating their removal; the abdomen is then opened, and the pedicle ligatured as in normal ovariotomy. (3) A submucous fibroid of the cervix may assume large propor- tions, especially during pregnancy, and may present an insuperable obstacle to the normal termination of labour. Enucleation is the best method of treatment, which may be per- formed before labour or even during it. A free incision is made into the capsule, and the growth separated by the fingers from its attachments and removed; the cavity is packed with antiseptic gauze and allowed to granulate up. (4) When we have a sessile subserous or an interstitial fibroid to deal with, scarcely any of the above methods can be resorted to. The most frequent and dangerous forms are included in this class. We have choice of the following: A. By vaginal operation— (1) Palliative, medication; (2) Incision of the mucous membrane over the tumour; (3) Simple dilatation of the cervix, (4) Treatment by electricity. B. By abdominal operation— (5) Removal of the normal ovaries, to arrest menstruation; (6) Hysterectomy. A. (1) Palliative means should be conscientiously carried out for a prolonged period before deciding on operative interference. The chief symptoms requiring treatment are haemorrhage, dysmenorrhcea, pain and increase in the size of the tumour, which may in some cases be rapid. We have two drugs which are doubtless of service, they are ergot and bromide of potash. They can be given together with advantage in some cases, and a very useful mixture is— {L Extr. Ergotse liq 5«s Potass. Bromid gr- * Mist. Camph. 3] Two tablespoonfuls to be taken thrice daily.