On ovarian dropsy : its nature, diagnosis, & treatment the result of thirty years' experience / by I. Baker Brown.

  • Isaac Baker Brown
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: On ovarian dropsy : its nature, diagnosis, & treatment the result of thirty years' experience / by I. Baker Brown. Source: Wellcome Collection.

    303/312 page 283
    Proceedings of and accidents during tlie operation. Kesult. Bemarks, Nothing pecnliar. Ten pints ef fluid were first drawn off. Tlie pedicle en- closed in callipers, and the wound closed by silver sutures. Died. Went on wonderfully well up to the evening of the Mth, when diarrhoea came on, continuing till the morning of the 16th, when the pulse became intermittent and the eitremities cold; she sank on 17th, at 10 a.m., in spite of enor- mous quantities of stimulants. Autopsy.— Lymph present in intestines, but not enough to account for death. The left kidney fatty, heart distended and flabby, the walls, especially of the auricles, very thin, about that of a wafer. Contents of thorax all adherent, and the pericardium adherent to the heart. Nine pints of flnid drawn off with the trocar from the largest cysts, which were numerous. Pedicle enclosed m callipers, and wound closed with silver sutures. This last done carefully, as bowels and omentum persistently protrudedi Died, With exception of bilious diarrhoea, she went on. well to the 29th, in the evening of which she suddenly became low, and died on 30th. General peritonitis, with copious puru- lent eS'usion was found; heart flaccid and soft, with white fibrinous clot in left auricle. Adhesions easily broken through in front; besides these,whole omentum was adherent to the mass. It was tied with silver wire, and then divided. Cyst punctured in several places, and only sixteen pints drawn off. Piece of bowel adherent for six inches above and be- hind, was peeled off. Broad bond bound tumour and pedicle to the sacrum, and also to side and top of uterus. All this enclosed in four pairs of callipers. Wound closed with silver sutures. Reco- ver«d. Little sick after, and complamed of pain in the back. On 22nd restless; all clamps re- moved. 21.thi Sick, and vomiting much bile. On. 2ytn naci muiion cuup aiiu t-nam pagna. Primary incision was three inches, subsequently enliirged upwards to five The adhesion to the omentum was tiec with silver wire, and then cut off, so thai no ha;morrhage occurred. Belly full ol brown ovarian fluid. Three large cysts tapped during the operation, pcdii-le en- closed in callipers, and wound closed by silver sutures. Reco- vered. Was not sick after the operation, but had a little pain in the evening. Clamp removed on I8th. With the exception of some pain and sickness for three or four days, from the 19th to 23rd she progressed favourably. Wound entiialj healed by the 26th.
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