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.

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    bed-pan. Little vomiting, little teiulerncss over abdomen, but difficult to keep dressings on she was so restless. Bowels moved second day thoroughly well. At this time noticed abscess developing in left labia, opened and dis- charged pus very freely. Stitch-hole abscess lower end incision. Began to vomit at this time, which continued more or less. She wore out strength and patience of two nurses, &nd at last hypodermic injection of morphia necessary, learning then she had been using it for long time. Wound in every respect, aside from stitch-hole abscess, presented a healthy appearance, healing quickly, but patient died, evidently of septic peritonitis, April 5, ’94. No autopsy. I think I voice the sentiment of every operator when expressing the desire to be delivered from such a patient. Case CXXXVI.—Miss J. K., family history consumption and diabetes. Menstruated fourteen; regular exception first few periods, then having seizures resembling epilepsy. Flow normal in amount. Diagnosis hystero-epilepsy. Coeliotomy April 6,’94. Removal uterine appendages—not difficult Recovery; discharged 24th day. Had one convulsion six-months after operation. CXXXVII.—Mrs. M. S., family history consumption paternal side; good otherwise; menstruated fourteen, regular; dysmenorrhoea. No children; no miscarriages. Typhoid fever '86, two years later pain in ovaries and back. Bloating extremities and abdomen disappearing after time. Fell from ham- mocK beginning menstruation, injuring back; later strained herself leaning over manger, followed by tumor in abdomen, not perceptible exteriorly, but noticed moving around. Coeliotomy April 17, ’94. Ovaries found undergoing cystic degeneration; tubes corrugated and distended. Removal uterine appendages. Many adhesions. Good recovery. Bowels moved third day. Discharged May 23, ’94. Case CXXXVIII.—Miss L. S., never strong; family history, several mem- bers died phthisis. During fall ’93 patient suffered a prolonged, serious attack of pelvic peritonitis, giving evidence at times of trouble with appendix —probably tubercular peritonitis. From this attack she made a fairly good recovery and improved somewhat during the winter, although at times there presented occasional symptoms of appendicitis. Coeliotomy April 28, ’94. Ovaries much enlarged, much thickened, pelvic peritonitis, perineum studded and giving evidence of old tubercular trouble. Appendix had many adhesions, as well as being thickened. This, together with the uterine appendages, was removed. Patient made good recovery, and discharged May 20, ’94 from private hospital. Case CXXXIX.—Mrs. F. F., well as girl. No menstrual trouble. Married at eighteen; two children; ’86 began to have pains in back; menstruation irreg- ular since. Diagnosis cystic ovaries. Coeliotomy April 30, ’94. Diagnosis confirmed. Removal appendages. Few adhesions. Wound closed silk worm gut sutures. Good recovery. Discharged 22d day. Case CXL.—Mrs. E. V., family history: father died Bright’s disease, mother cerebral hemorrhage, otherwise good. Patient menstruated seventeen; mar- ried nineteen; first pregnancy normal; at second run over with wagon twice. Three children; two miscarriages, last October 10, ’93, dating illness from this. Severe pain all time, both sides uterus, aggravated during micturition. No move- ments without use cathartics. Never noticed tumor in abdomen. Diagnosis fibroid uterus; dysmenorrhoea. Coeliotomy May 12, ’94. Removal append- ages. Recovery. Discharged 22d day.