Hysteromyomectomy : with a report of four cases / by Hunter Robb.

  • Robb, Hunter, 1863-1940.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Hysteromyomectomy : with a report of four cases / by Hunter Robb. 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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    the end of two weeks, and in three weeks and a half left the hospital well, the abdominal incision being perfectly healed, and no weak point remaining, as is the case when a drainage-tube is employed.* Summary.—This method of hysteromyomectomy recom- mends itself for the following reasons: First—it is aseptic. A more consistent technique can be maintained after operation, and the dangers of subsequent infection can thus be avoided. If septic material is introduced at the time of operation, the condition is not remedied at all by the suspension of the pedicle or the use of the drainage-tube, and in either case the patient may die if the organisms are of a virulent character. Second—hemorrhage is avoided. It controls bleeding efficiently both during and subsequent to the operation. Third—drainage is not necessary. As there is no danger of hemorrhage, the drainage-tube can be dispensed with and the danger of infection by this means obviated and the increased liability to hernia in the incision prevented. Fourth—time is saved. The details and steps of the opera- tion are simple and may be rapidly carried out. Fifth—convalescence is shortened. The period of convales- cence should be no longer than after a simple ovariotomy. Detailed Report of Cases. 0 Case 1.—S. A. admitted to the Gynecological Department of the Johns Hopkins Hospital, August 4th, 1891, with the following history : Married 25 years ; 10 para, oldest 21 and youngest 4 years old, no miscarriages ; labors not difficult, except the first, which was instrumental. Menstruated first at 16, with much pain, compelling her to rest in bed for two days. Flow moderate in amount, lasting about one week. Last three years menses have been very regular, until the past six months, during which time the flow has been profuse, continuing for three or four days, without pain. Profuse leucorrhoea. Bowels inclined to be loose. No urinary difficulty. No history of serious illness. Complains of great pain in the left ovarian region, covering a space about the size of a silver quarter ; pain paroxysmal, sharp and burning. Occasionally severe back-aches ; scarcely able to be about at times. Examination under anaesthesia, the following notes were re- corded : Vaginal outlet relaxed, cervix pointing downward, lips * Since writing the above Dr. Kelly has operated three times after this manner. The patients recovered without any disturbance.