Successful case of Caesarian operation, and its complete recovery : with subsequent pregnancy, abortion, and fatal termination / by John Goodman.
- Goodman, John
- Date:
- 1848
Licence: Public Domain Mark
Credit: Successful case of Caesarian operation, and its complete recovery : with subsequent pregnancy, abortion, and fatal termination / by John Goodman. 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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![It is here shewn, that out of the thirty-eight operations kno have been performed in these dominions, of a true Caes character, only three mothers have recovered, the children, two exceptions in the three cases, having died ; and stranj relate, in one the operation was performed by a female wit ordinary razor, which throws some degree of doubt upon whole statement. As before remarked, the case of Mr. B: was not a true Caesarian section, and the child was also de that instance. Mr. Lizars, fearing that the coldness of the at phere might, in these cases, be the cause of fatal inflammatk the peritoneum, took the precaution of raising the temperatu the apartment in which he performed the incision to between ei and ninety degrees Fahrenheit ;* and Dr. Monro seems to have the opinion, that the oxygen of the atmosphere may operate peritonitic stimulus to fatal inflammation. Another gentlf proposes, that if the access of the air be proved to contribu augment the risk of Caesarian delivery, we might readily di harass it of this danger, by operating beneath the surface of w the heat of which might be brought to correspond with that o internal part of the body. But it is shewn in the case about f related, that neither oxygen, nor the exposure of the ] toneal surface to the air, possessed any influence in producing cessive or fatal peritoneal inflammation. In contemplating the two cases which have recovered in her majesty’s dominions, 3 led to believe that the very condition of the frame in malacot and some other states of debility, is, by the hands of provide appointed and best adapted for the healing of peritoneal incisi Cases of healthy individuals can seldom be presented, where s or other wounds of the abdomen have occurred without the su vention of very severe, if not fatal inflammation ; and yet, aftei debilitating influence of ascites, a puncture may be made perfect impunity. The cases recorded in this paper shew thatt is a medium capable of being produced by judicious diet, &c.,& placid state of mind, even in that morbid condition termed m costeon ; and amid the deteriorating contingencies of a large®) facturing city, which I conceive to be exactly midway between inflammatory and the ulcerative, or the phlogistic and the an® diathesis, a condition, in which the highly sensitive and infl® serous membrane will recover from injury, as rapidly as any o texture of the body. The following note was sent to me f Mr. Knowles, of Birmingham, in reference to his case, whio recorded among the successful ones in the table:—“ In sir, to your communication of the 20th instant, I beg to 1® you that mine was a genuine Caesarian case, operated upon the full period of utero-gestation, and with perfect success, mother lived five years afterwards, when she died of pul®®* consumption ; her husband died of the same disease about twoy ' In the operations for extirpation for diseased ovaria, Dr. Clay, in sumlor regulates the heat of the apartment to about from 70 to 75 degrees. In this apartment was heated to about 70.](https://iiif.wellcomecollection.org/image/b2231216x_0008.jp2/full/800%2C/0/default.jpg)


