Successful case of cæsaream section : with remarks read at the anniversary meeting of the Provincial Medical & Surgical Association held at Worcester, August 1st, 1849 / by Thomas Radford.

  • Radford, Thomas, 1793-1881.
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: Successful case of cæsaream section : with remarks read at the anniversary meeting of the Provincial Medical & Surgical Association held at Worcester, August 1st, 1849 / by Thomas Radford. Source: Wellcome Collection.

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    this manoeuvre the uterus strongly and regularly con¬ tracted. The funis was now tied and divided by one of the gentlemen present. Afterwards I seized the funis with one hand, and with the other readily detached and brought away the placenta, which was fixed on the right latero-posterior surface of the uterus. There was some blood discharged, but not more than fre¬ quently happens after ordinary or natural labour. Several convolutions of intestines, with a portion of omentum, now protruded, which had up to this time been supported and effectually restrained under the abdominal parietes, but they were readily returned. I carried my finger round the wound to ascertain if any portion of these viscera had descended into the uterus. The integuments were brought into proximity, and held together for a short time by a hand placed on each side, and as there was no further discharge of blood, ligatures were inserted at an inch distance from each other. Mr. Cluley used a long needle, with a scalpel¬ like handle, for this purpose, which admirably answered. It is much superior to those in ordinary use. Straps of adhesive plaster were laid across the wound, and on each side a compress of lint was placed, and over all a bandage, just tight enough to give a firm support. During the whole time her mind was calm, she never even uttered a complaint. She remarked that her sufferings during the operation had been much less than what she had endured previous to it. Pulse from 80 to 90 in the minute. Tinct. Opii, dr. iss., administered. Half-past seven.—Pulse 100 to 120; dosing ; there was no haemorrhage or vomiting; had taken some gruel. Ordered mucilaginous beverages and farinaceous diet. At a later hour the same evening Mr. Cluley saw her.