The history and statistics of ovariotomy, and the circumstances under which the operation may be regarded as safe and expedient : being a dissertation to which the prize of the Massachusetts Medical Society was awarded, May 1856 / by George H. Lyman.

  • Lyman, George H. (George Hinckley), 1819-1891.
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: The history and statistics of ovariotomy, and the circumstances under which the operation may be regarded as safe and expedient : being a dissertation to which the prize of the Massachusetts Medical Society was awarded, May 1856 / by George H. Lyman. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

    18/149
    Trowbridge.1 — Mrs. C.; age, twenty-seven ; married; left ovary ; several years' growth. At end of one year became pregnant, and while so was tapped, and five quarts removed; the tube was left in for five weeks, with constant discharge; it was then removed, and, at full term, had a safe delivery. In two years, pregnancy again, with delivery at full term; after which the cyst refilled, and seven quarts were removed by tapping. She died, in six weeks, of inflammation of the cyst. Lowenhardt.2 — Incision ; matter continuing to discharge for two months, with cure.3 Mussey, 1828.4 — Incision, tent, and recovery. Galenzowski.5 — Incision, tent, and recovery. Recamier6 reports the following, performed by him, July 23, 1838, with the design of carrying a seton from the vagina entirely through the cyst and abdominal parietes : Age, twenty-six ; one child ; menses regular; eight years' growth. For the last six years, she has passed, every six months, a pot de nuit full of pure blood. He first removed four-fifths of the contents by tapping. He then tapped through the posterior part of the vagina, but could not reach the cyst. No bad symptoms for a week. In three weeks, she discharged from the rectum several basins of yellowish- green fetid liquid, with a corresponding diminution in the size of the tumor. This discharge, together with intestinal hemorrhage, continued until her death, seven weeks from the operation. The autopsy revealed a cyst of the left Fallopian tube, opening into the ascending colon. He says that he has opened them several times by means of caustic potash. Velpeau,7 speaking, I presume, of the same case, says that Recamier succeeded in establishing a communication with the 1 Boston Med. and Surg. Jour. Aug. 1841. 2 Archives Generates de M£d. vol. Jviii. p. 362 (quoted by Mr. Bainbrigge). 8 It seems quite as probable that this case was an abscess of the broad ligament. It occurred immediately after delivery; the opening was per vaginam; and she was well in a week or two. 4 No. 222, Synopsis. 6 Ibid. No. 171. 6 Revue Medicale, Jan. 1839. * Dicr. de Me*d. art. Ovaires.