Cases of ovariotomy : with a table of sixty-five cases / by Thomas Keith.

  • Thomas Keith
Date:
1867
Catalogue details

Licence: Public Domain Mark

Credit: Cases of ovariotomy : with a table of sixty-five cases / by Thomas Keith. Source: Wellcome Collection.

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    hour. The vomited matter is simply a little clear mucus. It subsided somewhat towards morning, but recurred again, and con¬ tinued all day. Brandy and soup enemata had been given during the day, and sometimes a little brandy by the mouth. Felt much exhausted by the vomiting. Expression good. Pulse 120 ; tem¬ perature 100*5°. Skin sometimes perspiring—generally hot. Urine clear and copious. Abdomen flat; wound quite dry. Second day.—Fairly quiet night; little vomiting. Sickness returned in the forenoon. Skin extremely hot; got feverish towards afternoon, but was relieved by perspiration. Pulse 130; tempera¬ ture 102*5°. Tongue large, soft, white. Urine clear and copious. Wound quite dry; abdomen flaccid,—flatus passing freely down¬ wards. Third day.—Quiet night; no vomiting. It recurred severely during the day, exhausting her very much. Some fseces washed out from the rectum. Douglas’s space quite empty. Day passed much as yesterday, but is weaker. Pulse 135. Face hot and flushed; no perspiration, but urine is very plentiful, and quite clear. Wound quite dry; abdomen flaccid. Fourth day.—Fairly quiet night. Wound looking quite dry and united; abdomen flaccid. Carefully examined the pelvis, but could not detect anywhere the presence of fluid. Douglas’s space quite empty. Flushing of face and fever still continues, but says she feels quite comfortable, and her expression is pretty good. She is, however, much more feeble. Pulse 140-145. The respiration is somewhat sighing. Urine very clear and copious. Towards evening she was much disturbed by flatulence. Feeling sure that there was a collection of fluid somewhere in the pelvis, the lower stitch was removed and the adhesions slightly broken up. Only a little red serum flowed. A female catheter was then passed down several inches along the pedicle. It became filled with bloody purulent matter. The opening w^as then enlarged to admit the finger, and the cavity washed freely out, first with warm water, and then with Condy’s fluid. This was repeated several times during the night, and some drainage tubes left in. The pelvis was also carefully explored by the catheter, with the finger in the vagina, but no other collection of fluid could be detected, and the utero- vesical pouch, which at the time of the operation was observed to be very deep and large, contained no fluid. On allowing the washings that had been injected to settle, about ten ounces of puru¬ lent matter were obtained. The matter which drained off at first was of a very dark red colour, containing a large quantity of blood. Fifth day.—In the morning looked much relieved, and continued so till mid-day, when a very violent access of fever came on. Gondy’s fluid injected as before, but little or no discharge, and the cavity only contained little more than two ounces. No other col¬ lection of fluid could be felt anywhere. By evening she was much exhausted, and became very restless. The pulse had risen to 150 ;
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