Essays on hysterectomy / by J. Bland-Sutton.

  • Sir John Bland-Sutton, 1st Baronet
Date:
1905
Catalogue details

Licence: Public Domain Mark

Credit: Essays on hysterectomy / by J. Bland-Sutton. Source: Wellcome Collection.

    29/130 page 19
    same as that which is concerned in the formation oi the decidua and is delimited in Fig. 2. The area corresponds to the endometrium of the fundus and body of the uterus, a very small surface of the cervical canal and that portion of the mucous surface which extends into the cornua of the uterus to receive the adit of each Fallopian tube. It is perhaps preferable, when practic¬ able, to perform colpohysterectomy in this disease, in order to make ablation of the menstrual area as complete as possible. In a case of this kind under the care of a colleague, who removed the body of the uterus by the abdominal route, menorrhagia returned, and was so severe that he had subsequently to resect the cervical stump. It appeared that a small portion of the corporeal endometrium had escaped removal in the primary opera¬ tion. Since the publication of the original notice of this affection of the uterus I have performed hysterectomy for its relief on more than twenty occasions; in each instance the operation was successful, and the remote results to the patient have been as remarkable as any¬ thing I have witnessed after the removal of any other abdominal viscus. The subsequent condition can only be described as admirable. Soon after the publication of my observation on uterine fibrosis, Dr. Purslow (Birmingham) recorded two cases of the same disease, c British Medical Journal/ 1899, vol. i, p. 1394.
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