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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    enucleated the base of the tumour from the posterior layer of the mesosalpinx and apparently missed the tube altogether, hence the notes which I quote above. I tied the ovarian artery, and then must have transfixed the posterior layer of the mesosalpinx alone ; thus the tube was not included in the ligature. Had 1 transfixed the entire broad ligament, that is to say, the two layers of the mesosalpinx, the tube must necessarily have been included. It would also have been divided, and I would have found it in the part of the capsule removed with the tumour. I did not find it, hence my notes copied above. On the other hand, supposing that the tube had been ligatured and divided, it might yet have resumed its functions. Such must have occurred in Stansbury Sutton’s and in Gordon’s cases. This possibility must be considered, since I cannot feel sure that I might not, after all, have included the tube in the ligature, divided it with the rest of the capsule, and failed to recognise its distal end afterwards. When a capsule has to be torn freely the outer part of the tube is not always easy to distinguish ; it may be torn or cut off separately and taken for a fibrous band, etc. The separation of numerous adhesions which extended posteriorly to the base of the cyst, as stated in the above account of the operation, confused the relations of the cyst, so the tube might easily have been torn away and its end included, as a mere shred, in the ligature. Altogether I suspect that I did not include the tube in the ligature and did not tear any part of it away. Still I might have done so, and in the other cases the tube was certainly ligatured. The ligature of the Fallopian tubes was, till recently, considered sufficient to ensure sterility. Mr. Bland- Sutton, when performing a Caesarean section in March, 1892, “ took the opportunity of sterilising the patient by tying each Fallopian tube near the uterus by a single piece of silk. Tying in two places and dividing between