On complete intra-peritoneal ligature of the pedicle in ovariotomy / by Alban Doran.

  • Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927.
Date:
[1877]
Catalogue details

Licence: Public Domain Mark

Credit: On complete intra-peritoneal ligature of the pedicle in ovariotomy / by Alban Doran. 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.

    13/30 (page 113)
    [Reprinted from St. Bartholomew’s Hospital Reports, Vol. XIV.] V iif *■}: /*? r. v*- * FURTHER REMARKS OX •+*»$*, y COMPLETE INTRA-PERITONE^L LIGATURE OF THE PEDICLE IH WARIOTOMY. ILLUSTRATED BY AX AXALYSIS OF TEX POST-MORTEM . EXAMIXATIOXS. BY ALBAN DORAN. The long-standing dispute between the advocates of the clamp and those surgeons who prefer ligature of the pedicle in ovario- tomy has hardly abated during the past twelve months. In the lectures delivered by Mr. Spencer Wells at the Royal College of Surgeons in the month of June 1878,1 a decided preference for the clamp is expressed throughout. The great success following its use, according to the lecturer’s experience, is held up as the rust argument in its favour. The after results are alleged to be more satisfactory than in cases where the pedicle has been secured ?y 1,Sature- Although the clamp permanently fixes the uterus m a most unnatural position, one angle of that organ bein«- drawn up against the abdominal wall, still functional disturb- ances of the displaced womb are rare. This is certainly remark- able, and, considering the great inconvenience caused by flexions won d seem to show that the distress is produced in these com' otbei; influences than mechanical displacement, f-mml ,er ha.nd> bad consequences have been seen to follow m pi etc intra-peritoneal ligature long after patients have sur recovei- afterTheiatet °f °Peration- “^tients who ecovei aftu the extra-peritoneal treatment of the pedicle, as VOL. Xiy6 DiaSU°SiS aUd Surgical Treatment of Abdominal Tumours. II