On complete intra-peritoneal ligature of the pedicle in ovariotomy / by Alban Doran.
- Doran, Alban H. G. (Alban Henry Griffiths), 1849-1927
- Date:
- [1877]
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.
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![of llie Listerian scliool of surgery. As to the experiments on aui mals, expeiience 1ms shown that the effects of ligature of the pedicle in sick women are very similar to the results of ligature ot the horns of the uterus in healthy animals. The most re- markable feature, absorption of the fibres of the threads, first ( etected by W aldeyer and Spiegelberg, has been shown bv Dr. ±$antook to occur in the human subject, as illustrated by two eases recorded m my contribution to last year’s Reports.1 (1 theie remains a lack of pathological observations on the appearance ot ligatured pedicles. This is, to a certain extent lavourable to the cause of complete intra-peritoneal ligature for it indicates frequency of recovery. At the Samaritan Hospital the results ot this manner of treating the pedicle have, during the past two years, proved highly satisfactory. But owin«- tS the very large number of patients operated upon at that institu- tion, sometimes three in one week, and on account of the desperate nature of many advanced cases of ovarian disease under surgical treatment in the wards, opportunities for making post-mortem researches do occasionally present themselves femce it has beep my duty for over a twelvemonth to make £1“ examuiatlons on patients dying at the Samaritan Hosp.ta1 1 have endeavoured to avail myself of these oppor- tunities by closely observing the condition of the ligatured pedicle at each autopsy. I will describe at length the appear- ances noted in each case, so that more competent persons1 may ■erchance find m these records certain liuice they may draw valuable inferences liiiberto overlooked, ■tfetoie considering these cases, I must refer to a remarkable monograph by Hegar2 on complete intra-peritoneal ligature ihttt surgeon describes fifteen cases of ovariotomy, all performed nfet h,T ”“d/]1 ','1Vmale'>' S,,ccessf1- In nine c'.ses com- plcte intia-peritoneal ligature was exclusively employed and other si16 ?amp WaS Used’ many ve8Be]a in the omentum and cases recovered8 7° SeCUred b>; silk' Allhongh all these nine esTSiaUv bvTl’e f ley 7“ T?h ““plicated by after results, S the ™i 1 i‘T °f absCe8Se3 in tbe ^dominal cavity incision Thl r 1 abdo“e,i around the edges of the external been unite fh pr lent^t the Samaritan Hospital have recently tinesT, *vL 3ifloul Plla complication. The discharge of liga- ■ vthe redicle 1,1 tumoren, Volkmuua'i KHai.obef VoSgtHo^f.s8,/'8 StieJ“ der °™™“-](https://iiif.wellcomecollection.org/image/b22454937_0017.jp2/full/800%2C/0/default.jpg)
