Report of forty-one cases of uterine polypi : with remarks / by J. Braxton Hicks.

  • Hicks, J. Braxton (John Braxton), 1823 or 1825-1897.
Date:
[between 1860 and 1869?]
Catalogue details

Licence: Public Domain Mark

Credit: Report of forty-one cases of uterine polypi : with remarks / by J. Braxton Hicks. Source: Wellcome Collection.

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    edges of this wire, at so many points, produce sufficient fraying, and allow us to use the flexible rope in any position required. These practical points having been attended to, I believe the kind of instrument with which these polypi have been removed will be found sufficient in almost every case, and remarkably easy to apply. Some have complained that the rope breaks. Upon inquiry I have found that the rope has been put to work for which it was not intended, or that it was of so small a size that it was no wonder it gave way. Occasionally the annealing has been carried too far, so that the resistance of the wire to tension was reduced. A very common error in makers has been to make the eye of the instrument with sharp edges, as if on purpose to cut the rope ; or they have left the hook with so sharp a bearing that it would certainly cut any rope. The eye, again, has been made looking upwards, whereas it ought to be set somewhat obliquely, so as to make the bending of the chain less acute, when the line of section is at right angles to the shaft. In the cases here brought forward, as also in those of my colleagues, I have not seen the rope break more than once. The way to avoid it is to use a rope of as large a size as the case can be managed with ; for I have found that the pedicles of the smaller polypi are as resisting as, and sometimes even more so than, those of the larger kinds. There is one practical point which it is well to remember after the removal of these bleeding growths, particularly if the patient be at or approaching the climacteric; and this is, that on the bleeding ceasing there is not infrequently a condition of hyperaemia, which leads to headaches, flushed face, with general discomfort, and perhaps might cause more serious troubles. It would be best to place the patient on a light un¬ stimulating dietary, with gentle laxatives; and, if necessary, now and then a sharper purgative. MUCOUS MEMBRANE POLYPUS. Case 1.—Mrs. P—, get. 47, metrorrhagia for two years. The haemorrhage was irregular, but very profuse; the last period severe and long. A vascular polypus was attached