The complete handbook of obstetric surgery, or, Short rules of practice in every emergency, from the simplest to the most formidable operations connected with the science of obstetricy / by Charles Clay.

  • Charles Clay
Date:
1856
Catalogue details

Licence: Public Domain Mark

Credit: The complete handbook of obstetric surgery, or, Short rules of practice in every emergency, from the simplest to the most formidable operations connected with the science of obstetricy / by Charles Clay. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    stance; one ease mentioned by Andral having twenty- pints of pus. I have seen two of nearly that amount. Symptoms, generally analogous to ovarian dropsy; the fluctuation, however, is less distinct, and seldom grows so large as in the dropsical aifection, the latter often reaching from sixty to eighty pounds of fluid. Pus is generally seated lower abdominally, often in the pelvis; has more pain, tenderness, and general disturb- ance, and always accompanied by rigors. Mesult.—]May burst in the peritoneum, and give rise to peritonitis, often fatal, or extensive adhesions; most frequently points to one of the ihac regions, and discharges outwards; sometimes it communicates with the uterus, bladder, or rectum, and escapes through their cavities. It has opened into the Fallopian tube, and from thence into the uterus. The termination has been in a few cases by gangrene. Treatment, preventive.—Antiphlogistic treatment, active, to the iliacs, groins, anus, and labia; aperients, rest, and spare diet. If suppuration is certain, evacuate at the apex of the tumour pointing outwardly; some say wait for adhesions to form; if so, it may give way elsewhere, and fatal peritonitis result. If required, puncture through vagina by the trocar. Against gan- grene : antiseptics, and chlorides, internally. CJironic form: less dependence on antiphlogistic treatment, and more on counter irritation, setons, moxas; iodine and mercury never to be resorted to if there is any inten- tion of submitting to extirpation subsequently, as their efiect on the system is depressing in the extreme, and lessens the chance of recovery. Diet moderate, and c2
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