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abdomen abdominal wall adherent adhesions administered chloroform appeared ascitic fluid became bleeding blood bowels broad ligament catamenia chloroform clamp clot death diagnosis discharge disease distended emptied enema ensiform cartilage examination Fallopian tube feeble felt fibrous flatulence freely girth hare-lip hare-lip pins hours after operation iliac iliac region ilium inches long incision increased injected intestine large cyst laudanum layer left ovary left side ligature lymph mass months movable multilocular ovarian cyst night omentum opium ounces ovarian cyst ovarian tumour ovariotomy ovary pain parietal adhesions passed patient pedicle peduncle pelvis performed peritoneal cavity peritoneum pints of fluid portion pubes pulse Recovery rectum relieved right ovary right side Samaritan Hospital secondary cysts separated serum silk sutures skin small cysts superficial sutures surface sutures symphysis pubis symptoms tapped thick tissue tympanites umbilical level umbilicus urine uterine uterus vagina vessels viscid vomiting weeks wound was closed
Page 357 - ... from the right anterior superior spine of the ilium to the umbilicus, and nineteen inches from the same process on the left side to the umbilicus.
Page 332 - A large quantity of opalescent fluid escaped, and then the whole of the peritoneum was seen to be studded with myriads of tubercles. Some coils of small intestine were floating, but the great mass was bound down with the colon and omentum, all nodulated by tubercle, towards the back and upper part of the i J.
Page 359 - ... nodules. These gradually increased in size, and in about two months the animal died. The autopsy showed that besides the tumours the entire area around the coccyx and in the neighbouring parts contained tumour masses varying in size from that of a nut to that of an apple. The urethra was pressed against the symphysis, the bladder had ruptured, the animal having died from haemorrhage, and as a result of the presence of urine in the abdominal cavity.
Page 288 - ... the sunken eyes, the open, sharply-defined nostrils, the long compressed lips, the depressed angles of the mouth, and the deep wrinkles curving round these angles, form together a face which is strikingly characteristic.
Page 116 - A large semi-solid mass above made it then necessary to extend the incision to two inches above the umbilicus. A large piece of omentum, and another of mesentery connected with a loop of intestine, were then separated by the hand from the upper portion of the tumour, and were held outside to prevent bleeding. The tumour was then withdrawn. The pedicle was secured by a clamp about two inches from the right side of the uterus, and the tumour was cut away. The left ovary was found to be healthy. Several...
Page 259 - As one friend has suggested that we may have mistaken a blood corpuscle (I) for an ovum, there was evidently some reason for my caution.; but I trust that the following note from Dr. Webb will set all such doubts at rest : — ' Both the tumours you sent to me, after their removal from a woman fifty-four years old, were growths in excess of true ovarian structure. The multilocular character was produced by clusters of ovisacs of various sizes. Ova with the other natural contents were to be found...
Page 364 - March 14, 1881 281 and had been accompanied by hypertrophy of the uterine tissue on the left side of the body, with atrophy of the cervix. Mr. Wells said that he brought this case forward, not as an example, but as a warning. He thought it would only be under most unusual circumstances that he would again remove an interstitial fibrous tumour of the uterus. A peritoneal outgrowth, or an ingrowth towards the uterine cavity and vagina, offered far more probability of successful removal than an interstitial...
Page 48 - Towards night the rigidity of the muscles of the back of the neck and the back increased, and there was more pain. I wished her to breathe a little chloroform vapour occasionally, but she complained of the same ' choking sickness' as the patient in Case IX., and would not use it.
Page x - A fundamental principle of medical morality ... is outraged whenever an operation so fearful in its nature, often so immediately fatal in its results, as gastrotomy, is performed for the removal of a disease, of the very existence of which the surgeon is not always sure; of the curability of which, by his interference, he must be in the highest degree uncertain.