On surgical diseases of women / by I. Baker Brown.

  • Isaac Baker Brown
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: On surgical diseases of women / by I. Baker Brown. Source: Wellcome Collection.

    153/468 (page 107)
    married fourteen months and had one child. Was twenty-four hours in labour, and delivered without instruments. A fortnight after delivery felt pain in back and side whenever she walked, with difficulty in defaecation. Examination showing rectocele and a fissure of the rectum. I operated for both these lesions April 6th. May 14th she left the Home quite cured and much improved in her general health. Case XIII.—Rectocele: many years7 duration: Cure.—Sarah E., set. 36, admitted into the London Surgical Home July 30th, 1S64. Married ten years—four children. Since birth of last child has suffered great pain in the womb, loins, &c, with feeling of prolapse. Has worn a pessary but without much benefit. Examination showed that the perinseum had been ruptured many years ago. It had united superficially without an operation ; but, in so doing, a vaginal rectocele had been created. August 4th. Usual operation. This patient made a rapid recovery, and was discharged cured on August 27th. Case XIV.—Rectocele: long duration : Owe.—Mrs, Mary Anne R, set. 29, admitted into the London Surgical Home December 7th, 1864. Has had five children and two miscarriages. After the birth of her third child, she first suffered inconvenience in her endeavours to empty the lower bowel on defalcation. Also suffers from incontinence of urine. Has not menstruated for four months. Examination showed a large rectocele. She was operated upon on the 8th for this affection, and on January 7th she was discharged cured. Case XV.—Rectocele, with Fissure of the Rectum : Cure.—(From note sby Dr. A. Octavius Grosvenor, House Surgeon.)—C. C, tet. 45 years ; married. Admitted into the London Surgical Home January 2nd, 1866. Has had eight children, and one miscarriage. Has been ailing, and treated for uterine ulceration, &c, for nearly four years. Catamenia regular till the last twelve months, since which time she has only menstruated once, and then very scantily. The bowels are invariably constipated, and after motion there is always haemorrhage. Defaecation is both difficult and painful. On examin- ation, a large rectocele was found, and an old partially-healed rupture of the perinseum. There was also a fissure of the rectum. January 11th.—Mr. Brown performed his usual operation for rectocele and divided the fissure. January 13th.—The deep sutures were removed ; and on January 18th, the superficial. February 1st.—The patient was examined: found quite cured, and discharged. Cases of Kectocele with Cystocele. (Plate 4.) Case I.—Rectocele, with slight Cystocele : Cure.—Mrs. J. M., ret. 48. Ad- mitted into the London Surgical Home December 8th, 1861. Had been de- livered of seven children, and had ceased menstruating six years ago. For many years has suffered from a dragging pain in the back. Bowels regular ; delivered without pain. Great irritation about the anus. On examination, a pouch of the rectum was seen protruding through the vagina; the bladder also had a tendency to prolapse. December 12th, 1861.—The usual opera- tion for rectocele and cystocele was performed. On the 15th, the deep sutures removed ; and on the 21st, the superficial. January 10th, 1862.— The patient was discharged quite well. Case II.—Rectocele and Cystocele: Cure.—E. S., set. 40; married. Ad-