Three cases of removal of the ovaries and Fallopian tubes (Tait's operation) / by W.W. Keen.

  • William Williams Keen
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Three cases of removal of the ovaries and Fallopian tubes (Tait's operation) / by W.W. Keen. 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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    tumor is an interstitial myoma in the posterior wall, as large as a large fist, moderately tender and painful; no vegetations on the endome- trium ; no erosion of os ; cervix not involved ; uterus movable. Ad- vised Squibb's extract of ergot (i xxx-xl), hypodermatically, daily in the abdominal wall for a month ; if not then better, advised Tait's operation, as all other means had been previously tried by her attend- ing physician. She was unwell at the end of November, when the ergot was first used. It gave rise to great pain and considerable local inflammation, with nausea and vomiting, and had to be discon- tinued. December. Again unwell; the intermenstrual period was freer from pain ; but she was weaker and more blanched, and not able to come to the city;. lost a large quantity of blood. January 26, 1882. Came to the city; was so blanched that had she closed her eyes and folded her waxy hands she could easily have been mistaken for a corpse; weight one hundred pounds. Treat- ment : iron, quinine, milk-punch ; food every two hours. 28i(7^. Taken unwell; period lasted till February 2 ; used twenty- eight napkins, besides passing a number of large clots. Bad neu- ralgia of face ; morphia grain), hypodermatically, failed to relieve, but water similarly given lessened it. Eats but little on account of pain. February 3. Dr. R. P. Harris saw her with me, and concurred in advising the operation. Temp, 98.5°; pulse 80, feeble; heart nor- mal, but weak ; no change in uterus. 2th. Operation 12 M.; antiseptic method with carbolic acid, in- cluding the spray; bladder emptied. Duration of operation forty- five minutes. Ether (fgvijss) used; incision four inches long in median line from pubes half way to umbilicus; no vessels tied. On opening the abdomen a moderate amount of serum escaped. On account of the high position of the uterus the ovaries were readily found. Each pedicle was transfixed with a double carbolized silk ligature close to the uterus, the upper including the Fallopian tube, and after ligature the tubes and ovaries were removed. The left ovary showed a recent corpus luteum; it had a few small cysts, and was cirrhosed in part. The right had one cyst two inches in diameter, and several smaller ones. The right tube was cystic just at the
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