The results of all the operations for the extirpation of diseased ovaria, by the large incision, from September 12, 1842, to the present time : to which is appended an essay on the diagnosis, prognosis, and treatment of ovarian diseases / by Charles Clay.

  • Clay, Charles, 1801-1893.
Date:
1848
Catalogue details

Licence: Public Domain Mark

Credit: The results of all the operations for the extirpation of diseased ovaria, by the large incision, from September 12, 1842, to the present time : to which is appended an essay on the diagnosis, prognosis, and treatment of ovarian diseases / by Charles Clay. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

    12/66 (page 8)
    by tlie inspissated ox gall. During the first six hours considerable pain was experienced in the loins, and the right iliac region, which was attributed to the unavoidable extension of the pedicle during the operation, and to the Ligatures left upon it and the vessels. After the first bleeding the pain disappeared ; ]before the second it slightly returned, but was wholly and efiectuaUy removed by the second bleeding. Not the slightest tendency to Light-headedness ap- peared after the first bleeding. A slight cough occasionally troubled her, but ehe sufiered from cold at the time of the operation, which had I been aware of, I should have deferred; a slight shivering once appeared. There was not the slightest tendency to haemorrhage during the whole progress of the case. The bladder being efieotually emptied at the time of the operation, the catheter was not required until twelve hours after when six ounces of urine were drawn oif, of a pale sherry colour and natural smell • at the expiration of twenty-four hours the catheter was again used, and eight ounces of urine equally natural were drawn oif. No evacuations from the in- testines occurred during the first twenty-four hours, although enemas were freely and frequently administered at the early part of the time ; this is not remarkable, as the bowels were effectually emptied of their contents by the exhibition of ox gall previous to the operation. PIGHJEE EEPEEEED TO. DESCEiPa?l0lir of Plate.—The left hand figure gives a general view of the tumour. A. The part situate immediately under the umbilicus. B. The por- tion imbedded in the pelvis. C. Ulcerated part. D. The pedicle. E. Fal- lopian tube. FFF. The large sac. G-G-G. SmaUer sacs, H H. StiU smaller sacs or general consolidation. The same letters of reference explain the right hand plate or section of the tumour, which gives a better idea of the small and large sacs as weU as the solid part, as distinguished from the larger or sacular portion.