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.

    49/54 (page 47)
    In presenting somewhat brief, yet quite as full histories of these cases as space would permit,—and perhaps taking much more time to read than many will care to do,— it will be observed that occasionally one is omitted, and this is in consequence of notes having been mislaid, or the history not being sufficiently completed in my record book. It will be observed, however, that in the table a sufficient history is given to enable one to classify the cases without difficulty. I am not unmindful that it would have been much more comforting to myself to have commenced this paper by report- ing to you my successful cases; cases that have brought to me much encouragement in my work, meeting patients in improved health, and in receiving letters filled with gratitude and acknowledgement of recovery. Regarding the preparation of patients, it seems to me quite difficult to establish a fixed line of action. I believe that, so far as possible, it is wise to carry out the preparations at home, before the patient enters upon hospital life. It is true that there are some cases very calm and not affected by the thought of entering the hospital, and yet there are many who are made somewhat nervous by being kept under observation too long away from home. I would like to emphasize .some- what the importance of regulating the bowels and proper attention to such diet as does not con.stipate previous to the time of operation. I also wish to say that I place much stress upon the importance of a careful examination of the urine. Now that we understand so well the evil effects of the bacil- lus coli communis we should see that the intestinal tract is put in a good, sanitary condition. The previous habit of the patient as to the use of morphine or opium should be carefully observed, and is not a contra-indication to operation, but the same will necessarily be needed after, and without fear in giving as full doses as may be required to relieve pain. As to the preparation of the room, I have long since done away with the u.seof the carbolic spray, having had a tiresome experience in that direction, and rely upon thorough cleanli- ness, washing all wood-work, walls and floors with the bichloride .solution.