On the pain in pelvic cancer and its relief by morphia : illustrated by fifty cases / by Francis Henry Champneys.

  • Champneys, Francis Henry, Sir, 1848-1930.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: On the pain in pelvic cancer and its relief by morphia : illustrated by fifty cases / by Francis Henry Champneys. 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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    23 Frequent micturition and defcecation were complained of in one case of advanced cancer with recto-vesical fistula. Difficult defalcation with retention of faeces was noticed in two cases, one mentioned above. In both cases distinct obstruction could be felt. Fistula of some sort was observed in six cases ; recto-vesical in three, vesico-vaginai in two, recto-vaginal in one. Incontinence of urine was observed in one case of ordinary epithelioma of the cervix, uterus movable. We come now to the second half of the subject, namely, the efficacy of morphia as administered in various methods. The quantities employed were, subcutaneously, gr. i, per rectum gr, i, per os gr. ~ (hydrochlorate). The ordinary doses in use at the hospital. Of two cases I am unable to give the results. In seventeen cases there was either no pain, or the pain so improved beforehand with rest in bed, that it gave no fair test of the efficacy of morphia. The remaining cases had morphia, and the results were noted. In ten cases the order of efficacy was as follows :—(1) In- jection, (2) draught, (3) suppository. In four additional cases the injection relieved most. In three cases the order of efficacy was:—(1) Draught, (2J injection, (3) suppository; but in one of these cases it was doubtful whether the injection did not relieve as much as the draught, though it caused vomiting. In two cases the suppository was said to have produced most relief, but both these results were doubtful; in one case the in- jection, which relieved as much otherwise, produced vomiting. In one case the draught and suppository are said to have produced equal relief, and more than the injection. In four cases the suppository was useless. In one case the draught was useless.