Report of one hundred and forty-five operations done for the removal of ovarian tumors and pathological conditions associated with the ovaries and uterine appendages only / by A. Vander Veer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Report of one hundred and forty-five operations done for the removal of ovarian tumors and pathological conditions associated with the ovaries and uterine appendages only / by A. Vander Veer. 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.

    26/54 (page 24)
    tube contained remains extra-uterine pregnancy; removed; pyosalpinx left ovary and tube removed; drainage introduced; patient rallied from operation well; glass drainage tube removed, rubber substituted, on third day; stitches removed ninth day, wound almost entirely healed; uninterrupted recovery, and discharged in good condition twenty-third day. Excellent health since. Case CI.—Mrs. E. \V., family history of tuberculosis on both sides. Patient verj-^ delicate. Menstruated at fifteen; very irregular, painful and scanty, frequently confined to bed for two or three days; no flow three months pre- vious to operation. Married twelve years; three children; no miscarriages; very difficult labors; pain in regpon right ovary eight or nine years; sensation of throbbing, and as though tumor size of an egg present. Family physician referred case to me for removal tubes and ovaries; diagnosed pelvic perito- nitis and pyosalpinx, in which I fully agreed. Cceliotomy September 21, ’93. Very many adhesions; both ovaries removed; drainage tube removed third day, stitches eighth. Patient did well, and discharged October 25, ’93, in good condition. In excellent health June, ’94. Case CII.—This illustrates the necessity of the surgeon not allowing the pleadings of the patient to move him in the least in his line of action. Mrs. J. C. D., aet twenty-eight; no children; irregular in menstruation. Saw her with family physician August 15.’93: menstrual period skipped six weeks previously; severe pain right side August 13th, with some shock and slight hemorrhage from uterus; patient grew rapidly worse on 14th, placed in bed. some shock and evidence internal hemorrhage during day; recovered during night, and on morning of 15th I confirmed her physi- cian’s diagnosis of probable extra-uterine pregnancy. Against our better judgment we yielded to her pleadings not to have an operation; she did nicely for three weeks; symptoms returned, and we operated on 21st Sep- tember, removing four months’ foetus, with placenta, also many clots from pelvic and abdominal cavity, right tube being implicated. Patient did not rally, and died twelve hours after operation. We should have operated at once upon presentation of symptoms so unmistakable. Case CIII.—Miss G. T., family history good. Diagno.sed tubercular perito- nitis, possibly ovarian tumor. Patient never .strong. Menstruated at thir- teen; never regular, and flow scanty. ’91 caught in rain while menstruating, and dates illness from that time. Five weeks previous to operation abdomen enlarged rapidly, patient losing some in flesh; bowels and kidneys normal. Cojliotomy September 22, ’93. Large amount reddish fluid removed from abdominal cavity, latter thoroughly washed out and glass drainage introduced; stitches removed ninth day; drainage on fifteenth day, when iodoform gauze substituted. Patient recovered without any unfavorable symptom, and dis- charged November 15, ’93. Case CIV.—Mrs. M. V., family history of phthisis. Patient always healthy. Diagnosis of ovarian tumor. Menstruated at fourteen; regular; summer’92, skipped two months without flowing. Patient aet fifty-two time of operation. Since October, ’92, menstruated more or less continuously. June, ’93, first noticed abdominal tumor, although she thought abdomen was getting larger before this. August, ’93, had.severe pain, lasting about one week. This ei ijiially severe when atteaaptLag-.tD .work.ii Could not lie down, but had to