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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    ; : £ ® 1 13 -3 ^ rZr. I fl - ' f i )EC. 21, 1901}.. TRANSACTION Clinical IRecorfcs. FALLOPIAN TUBES, LIGATURED TWICE A) PREVIOUS OPERATIONS. AND REMOVE! IN THE CASE OF A THIRD C.ESAREAi SECTION, (a) By J. W. Taylor, M.D., F.R.C.S., President of th3 British G»,n®;D!oj'ical Society; Professor oj Gynecology in the University of Birmingham. The history of these specimens is as follows :— M.S., a strumous dwarf, set. 25, with both curvatur^ of spine and contracted pelvis, was married in July, 1900. She immediately became pregnant, and was sent to me for operation by Dr. Darroll, of Leint- wardine, in February, 1901. Labour commenced on the morning of March 29th, when I operated by Caesarean section, removing a healthy female child which is still living. After suturing the uterine wound, I tied each Fallopian tube by a single ligature of silk as some bar to further pregnancy. The mother and child both did well, and left the hospital on April 17th, but remained atj our Convalescent Home for some time longer. Thej following year (1902) the patient developed tuber- culous disease of the right knee-joint, and her leg was amputated above the knee, at Shrewsbury In- firmary on September 22nd, 1902. In 1903 she again..s! became pregnant, and was sent up to me once more^j. by Dr. Darroll towards the end of August. I did ator second Caesarean section on September 14th, 1903, removing again a living female child, which, however, was very feeble, and only lived about half an hour.ecj After the suturing of the uterine incision was com-cil pleted, I carefully examined the Fallopian tubes, andcti found considerable atrophy at each site of ligature.I1(j The atrophy was most marked on the right side,lp_j where the tube seemed narrowed to a point. The silk had been absorbed. I placed two fresh ligatureslCn of silk on each Fallopian tube (four ligatures in all, but’without any cutting or removal), and closed the [je irs leL ge abdominal wound. The patient did well after the operation so far as the section was concerned, but during the whole of the time of her stay in hospital she was troubled with chronic strumous conjunctivitis and ulceration of the cornea, an affection from which she had been suffering for nearly two years, in spite^. of the free administration of cod-liver oil. She wentjjre to the Convalescent Home on October 8th, 1903. ^ry Early in this year I heard from Dr. Darroll that—- from the date of her return home she had nevericty menstruated, and was evidently again pregnant. She came up in July last, and I found that this was indeed I the case. On this occasion I determined to remove the uterine appendages, but was anxious not to hurry , the performance of the operation so as to obtain a living child, if possible.