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.

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    [Reprinted from St. Bartholomew’s Hospital Reports, Vol. <£lll.] ON COMPLETE INTRA-PERITONEAL LIGATURE OF THE PEDICLE IN OVARIOTOMY. BY ALBAN DO BAN. 1> ‘ V * 1» 1* a. In the twelfth volume of these Reports I discussed at some length several questions relating to the impaction of foreign bodies in the tissues. I endeavoured to prove that the archives of modern surgery, British and foreign, offered strong evidence in support of two facts. In the first place, small inorganic foreign bodies have been known in numerous instances to remain embedded in different parts of the body without exciting any pathological changes. Secondly, such fortunate results are not the rule, foreign bodies generally inducing morbid conditions in the structures surrounding them, changes which are most likely to terminate in suppurative inflammation. It is by the clinical history of accidental wounds that the sur- geon is guided when compelled to inflict surgical wounds on patients for the cure of disease or for the relief of suffering. Knowing what kinds of injuries from sharp instruments heal by ^ first intention, and under what circumstances they are enabled to Leal in that desirable fashion, he ensures that kind of union, when he requires it, by inflicting similar wounds with keen-edged knives, and by placing the patient under similarly favourable circum- stances. Aware that crushes are followed by comparatively little hemorrhage, the surgeon uses the dcraseur in cases where the use of the knife might produce a loss of blood obstructive to the operator, if not absolutely beyond his control. On precisely the same principle the surgeon recognises the mis- chief likely to arise from foreign bodies remaining in the tissues. From time immemorial he has avoided the permanent introduction of such substances into the body, excepting when he seeks to