An address on some of the relations of pregnancy to surgery : delivered at the first meeting of the Mirfield and District Medico-Chirurgical Society / by Mayo Robson.

  • Robson, Arthur William Mayo, Sir, 1853-1933.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: An address on some of the relations of pregnancy to surgery : delivered at the first meeting of the Mirfield and District Medico-Chirurgical Society / by Mayo Robson. 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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    lieprintod for the Author from tlie llniTisn Medical Joubnai,, April nth, 1896. SOME OF THE RELATIONS OF PREGNANCY TO SURGERY. Delivered at the first meeting of the Mirjield and District Medico- Chirurgical Society. By mayo ROBSON, F.R.O.S., Senior Surgeon to the General Infirmary at Leeds ; Professor of Surgery in the Yorkshire College of the Victoria University. The four relations of pregnancy to surgery which are of para- mount importance are : (a) The question of general surgical operation during the course of pregnancy. (b) That of pregnancy simulating other abdominal tumours. (o) The subject of ectopic gestation ; and (d) a consideration of the methods of delivery otherwise than per vias naturales. Owing to the extent of the two subjects last mentioned I propose to limit my remarks to the two relations just men- tioned, only to touch on the third, and to leave over the fourth subject. (a) Operations Performed during the Course of Pregnancy. To the best of my belief the following eleven cases are the only operations which I have performed during pregnancy, either in hospital or in private practice. I. Myoma oj Cervix Uteri removed in the Seventh Month of Pregnancy.—The patient, aged ;3o, was sent to me by Dr. Gordon Black, of Harrogate, in 1886. The vagina was occupied by a myoma the size of a cocoanut grow- ing on the anterior lip of the cervix. The os was with difficulty felt as a slit high up on the posterior aspect of the tumour. The growth was quite distinct from the urethra, but the vaginal mucous membrane began to be reflected over at just behind the entrance of the urethra into ihe bladder. There was a constant offensive and bloody vaginal discharge. After asepticising the vagina the tumour was enucleated on February 2sth. The patient recovered without pain, fever, or other untoward symptom, and when examined on March 6th the cervix appeared to be normal in position and size. Dr. Black scut me word to say that the confinement came off quite naturally on May 6tli, quite at the full time. II. Cancer of Breaat: Amputation in Third Month of Pregiuincy.—Mrs. S. wa.t operated on in 1887 in the infirmary for a rapidly gi-owing cancer of the breast involving the axill;n-y glands, a complete and radical operation being done. I'.ccovery occurred willioul fever or complication, and the