Cases of tumors within the pelvis impeding parturition : with remarks / by Samuel Merriman.

  • Samuel Merriman
Date:
1819
Catalogue details

Licence: Public Domain Mark

Credit: Cases of tumors within the pelvis impeding parturition : with remarks / by Samuel Merriman. 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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    the catheter was introduced, aud about half a pint was drawn off. As it was manifest that more delay would only add to the hazard of the case, it was now deter- mined to use the perforator, and if possible finish the delivery. The perforation was easily effected, but the unyielding state of the os uteri prevented for the present the extraction of the head ; this was therefore obliged to be delayed for several hours, till greater dilatability in this part should take place, and the bones of the cranium should be more easily separable. At the end of six hours Dr. Ley accompanied me to the patient*s resi- dence, when we succeeded in breaking down and extracting with our fingers, the parietal bones, and in about two hours brought the child into the world. For some time before the head was extracted, the tumor had ceased to be felt, and after delivery it was not to be discovered ; it was probable, there- fore, that it had become more emptied, and had finally ascended above the brim of the pelvis, as the uterus had contracted. The child was moderately large, the head much ossified, and the forehead turned towards the pubes. Mrs. Cobb had a tedious and difficult recovery.
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