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abdominal abscess adhesions affection Alkaline amenorrhoea anteflexion anteversion applied astringent belladonna bladder blood bowel breast bromide carbolic acid cause cautery cavity cervix uteri chromic acid chronic condition congestion cotton-wool cyst cystic diagnosis dilatation discharge displacement dysmenorrhoea effusion endometritis enlarged examination Fallopian tubes fibroid finger fistula flexion fluid frequently fundus gland glycerine growth haematocele haemorrhage haemorrhoids hand incision inflammation inflammatory injection intra-uterine iodoform iron irritation ligaments ligature lotion malignant disease mammary menorrhagia metritis morphia mucous membrane nipple nitrate of silver occasionally occur ointment operation orifice ovarian ovaries ovulation pain passed patient pelvic perimetritis perinaeal perinaeum period peritoneal pessary polypus position posterior potassium practitioner pregnancy prolapse pruritus quinine rectal rectum removed retroversion saline Schroeder scissors septicaemia Sims solution spasm speculum stem symptoms tampon tion tissue treatment trocar tumour ulceration urethral urine uterine canal uterine sound uterus vaginal vesical vulva woman womb women wool zinc
Page 341 - is carefully used, in such a manner as to prevent the escape of ovarian fluid into the peritoneal cavity, and the entrance of air or of putrefactive material into the cyst, the danger of tapping is extremely small.
Page 332 - bones, the expression of anxiety and suffering, the furrowed forehead, 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
Page 220 - of any strength, can be passed with ease up to the base of any polypus ; they are then to be separated, and while one is held firmly, the other is to be carried round the pedicle ; this can always be accomplished when a silk or hempen ligature is used.
Page 293 - in knowing what are the cases in which we are justified in advising those who trust themselves to us to run the risk of a dangerous operation with all its attendant miseries. Could we get the mortality down to 5 per cent, in the bad cases—and these
Page 280 - the number, that we have commenced operations, as ovariotomy, and even removed tumours from the abdomen, under the impression that we were dealing with diseased ovaries, when, upon examination, they have proved to be pedunculate fibroid outgrowths from the uterus.
Page 340 - a patient to undergo a more serious risk. But in compound or multilocular cysts, the third proposition holds good. ' 2. That one or many tappings do not increase considerably the mortality of ovariotomy. ' 3. That tapping may sometimes be a useful prelude to ovariotomy, either as a means of gaining time for a patient's general health to recover, clearing the urine of
Page 343 - as soon as its nature and connections can be clearly ascertained, and it is beginning in any way physically or mentally to do harm, since the risk of the operation under such circumstances is certainly less, and the possible evils of delay are eluded.
Page 144 - Gaillard Thomas, referring to the general use of pessaries, says, ' Were I asked at the present moment whether I believed that in the aggregate they accomplished more good or evil, I should be forced to give a doubtful reply.' He goes on to attribute the injurious consequences, not so much to the