The history of four cases of chronic inversion of the uterus : with the account of an operation designed as a substitute for amputation / by T. Gaillard Thomas.

  • Thomas, Theodore Gaillard, 1831-1903.
Date:
[1869]
Catalogue details

Licence: Public Domain Mark

Credit: The history of four cases of chronic inversion of the uterus : with the account of an operation designed as a substitute for amputation / by T. Gaillard Thomas. 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.

    3/48 (page 3)
    tion iu a case of five montlis' standing, and in the same year^ M. Berrier accomplislied it in one wliich liad ex- isted for fifteen montlis. Four years after tliis, Dr. Tyler Smith, of London, effected reduction in a case of twelve years' standing, by combining taxis mth jDressure through the vagina by a caoutchouc bag filled with air. More than a week was consumed before his persevering efforts were crowned with success. Cases of cure effected by taxis alone, or combined with pressure by bags of air or water placed in the vagina, were after this rapidly reported from different parts of the world. Most notable among these were the cases of White, of Buffalo, in 1858, of fifteen years' standing, and Noeg- gerath, of New York, in 1852, of thirteen years' stand- ing. ■ Within the past ten years, cures have multiplied so rapidly as to preclude the mention of individual cases in an essay of the character of this. The prognosis of chronic inversion is at all times grave. Repeated and prolonged hemorrhages prostrate the patient, and expose her to all the risks of the worst forms of uterine polypi. But not only is she exj^osed to dangers inherent to the displacement from which she suffers; those attendant upon an erroneous diagnosis are very great. To one alive to the possibility of con- founding the condition with fibrous polypus, the methods of differentiation are numerous and reliable; but to the rapid and careless diagnostician, who does not allow that possibility to enter his mind, and consequently does not carefully weigh the evidences in favor of and against it, there is a great likelihood of error. The fol- * Courty, p. 797.