Pregnancy after removal of both ovaries for cystic tumour / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1902
Catalogue details

Licence: In copyright

Credit: Pregnancy after removal of both ovaries for cystic tumour / by Alban Doran. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    that there must have been a detached piece of ovarian tissue in the left stump to which the cautery was not applied. He thought that if the ligature were tied sufficiently close up to the uterine cornu so as to cut the sympathetic nerve there would be no more menstruation. He added another case in his own experience where he removed both ovaries with the tubes for chronic inflam- matory disease or some similar affection. Nine months later, less forty days, she was delivered of a child. In the discussion which followed the reading1 of Stansbury Sutton’s case before the American Gyneco- logical Society, Lapthorn Smith stated that he had removed the tubes and ovai-ies from a woman aged twenty-eight subject to dvsmenorrhoea. She bore a child about nine months later, but it was probable that a fecundated ovum had entered the uterus very shortly before the operation. Engelmann, Palmer Dudley, and Arthur Johnstone spoke on the merits of the practice of leaving jjieces of ovai-ian tissue when the ovaries were removed for inflammatory disease; some left a tube. Ovarian tissue had been noted as left behind in the proximal side of the pedicle in some of these cases. Here I must note that I should be very averse to leaving ovarian tissue behind when there was a true tumour to be removed. S. C. Gordon,* of Portland, Maine, records one not very perfect case where a woman aged thirty-six became pregnant in June, 1894, and was delivered in February, 1895. In May, 1891, she had undergone an operation, her husband understanding at that time that both ovaries were removed; but the operator, J. R. Chadwick, had mislaid his notes, so that there was some uncertainty about how much of the appendages were taken away. Presumably the operation was performed for chronic inflammatory changes. Gordon himself removed both ovaries and tubes in March, 1894, from a woman over * “Two Pregnancies after Removal of both Ovaries and Tubes,” ‘ Amer. Gyn. and Obstet. Journ./ vol. ix, 1896, pp. 28, 79.