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.

    174/468 (page 124)
    The operation proved very successful; and she was discharged cured at the beginning of June. Case XXXVI.—Prolapsus uteri complete, with Rectocele and Cystocele : Cure.—Eliza 0., set. 34, admitted into the London Surgical Home in June, 1859. Has had five children, and suffered from prolapse of the womb ever since her first confinement. The displacement has gradually increased, and her symptoms have been much aggravated by a protrusion of the rectum forward, when at stool, into the vagina (rectocele), as a tumour nearly equal in size to the prolapsed uterus itself; and it is sometimes half an hour before she can replace it, and complete the evacuation of the bowel. Moreover, she has, for a long time, found much difficulty and pain in micturition. June 9th. Operation performed. On the 11th, the deep sutures were re- moved. On the 13th, she was seized with an attack of pericarditis. This was gradually subdued; and she eventually left quite cured of all her dis- tressing lesions. Case XXXVII.—Prolapsus uteri complete, with Rectocele and Cystocele: thirteen years' duration: Cure.—Mrs. M., set. 47, admitted into the London Surgical Home October, 1859. Has had three children. The prolapsus first appeared thirteen years since, and, for a time, she wore a pessary with advantage ; but latterly has been obliged to discontinue its use. The rectum and bladder are likewise both of them prolapsed into the vagina. October 13th. Operation performed as usual, except in the use of metallic wire for both sutures. 16th. Deep sutures, and on 20th, superficial sutures, removed. Early in November she went out cured. Case XXXVIII.—Prolapsus uteri complete: two years' duration : Cure.— Elizabeth P., set. 65, admitted into the London Surgical Home Nov. 14th, 1859. The rectum has prolapsed for thirty-nine years, but the uterus has come down for only the last two years. It now appears between the vulva of the size of a nine-months' child's head. Nov. 24th. The prolapsus recti treated by Operation, and some piles tied. Dec. 15th. Operation for prolapsus uteri. 17th. Deep sutures removed. Discharged cured, five weeks after the last-named operation, in January, 1860. Remarks.—This was the worst case I had seen ; the poor woman having for thirty-nine years suffered, and during that time performed the hardest kind of labour, and yet, at the age of sixty-five, underwent two severe operations successfully. She still continues perfectly well (1861). Case XXXIX.—Prolapsus uteri complete: Cystocele: Cure.—Mrs. P., set. 32, admitted into the London Surgical Home on January 2nd, 1860. Has had five children. The prolapse began about six weeks after her second confinement, and has gradually advanced, until now it protrudes between the labia, and is complicated with cystocele and its consequences, difficult mictu- rition, &c. To get the bladder relieved it has been necessary for her to push back the tumour in the vagina. Jan. 5th. Operation. 7th. Deep sutures removed. Feb. 20th. Discharged cured. Case XL.—Prolapsus uteri complete: two and a half years' duration: Cure.—Elizabeth D., set. 27, admitted into the London Surgical Home January 7th, 1860. Has had two children. Two years and a half ago, after