Fibromyoma of mesentery, 30 lb. : removal, recovery : with notes on the surgery of retroperitoneal tumours : contribution to a discussion in the Section of Surgery at the Annual Meeting of the British Medical Association, Oxford, July, 1904 / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
1904
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Licence: In copyright

Credit: Fibromyoma of mesentery, 30 lb. : removal, recovery : with notes on the surgery of retroperitoneal tumours : contribution to a discussion in the Section of Surgery at the Annual Meeting of the British Medical Association, Oxford, July, 1904 / by Alban Doran. 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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    H ‘ Reprinted from the British Medical Journal, October 22nd, 100i RECOVERY : WITH NOTES ON THE SURGERY OF RETROPERITONEAL TUMOURS. Contribution to a Discussion in the Section of Surgery at the Annual Meeting of the British Medical Association, . Oxford, July, 1904. By ALBAN DORAN, F.R.O.S., Surgeon, Samaritan Free Hospital. BkGOUiN, of Bordeaux, in his fine monograph on the treat- ment of solid and cystic tumours of the mesentery1 showed that, according to statistics, the operative mortality was very high. He adds: We feel certain that the death-rate is in reality higher. Surgeons record their successes rather than their failures, and many cases fol- lowed by death have not been published. We ourselves know of two which would make these statistics much higher.- I entirely agree, on the ground of similar experience, with M. BtSgouin’s opinion. Thus I know of more than one case of death after removal of a retroperitoneal lipoma, which would further increase the gravity of his statistics. Yet they re- main unrecorded. One more instance has been related, the author being myself. I began my notes3 by stating : “ I con- sider it my duty to report this case of a large lipoma, not omental, but in every sense entirely retroperitoneal. Its re- moval proved extremely difficult, and the result, I regret to say, was death.” I may now be permitted to report another case where I re- moved a large solid retroperitoneal tumour, and the result, I am glad to say, was recovery. “ Any one who has performed many laparotomies,” says Lockwood,1 “must have met with retroperitoneal tumours.” We want to hear more about them, and I therefore make public my own operative experience, with due consideration of the opinions and practice of British and foreign authorities: P. C., aged 34 years, was admitted into my wards in the Samaritan Free Hospital on March 26th, 1904, for an abdominal tumour. Although married for six years she had never been pregnant. There was no his- tory of any severe illness since an attack of typhoid fever when she was 12 years old. She had recently consulted Dr. Aurelius Maybury, of Portsmouth, for swelling of the abdomen, which she had noticed for about five months, and Dr. Maybury detected a large tumour separate from the uterus, which was displaced backwards and to the left. The patient on admission appeared fairly healthy, and somewhat spare. The abdomen was extremely distended. Girth at umbilical level, 43I in.; ensiform cartilage to umbilicus, 9^ in.; umbilicus to symphysis pubis, 12J in ; right anterior superior spine of ilium to