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.

    178/468 (page 128)
    the 5th day began to show severe symptoms, gradually got worse, and died on the fifteenth day. Case LVII.—Prolapsus uteri complete: two months' duration: Cure.— Mrs. P., aet. 50. Married twenty-three years ; seven children, one still-born, and two miscarriages. For two months has had bearing-down pain, during which time the uterus has been prolapsed. Walking aggravated it; no pain, but inconvenience and aching at times. Complete prolapse, or rather the os outside the vulva. October 20th, 1864. Operation as usual. On the fifth day, benzoin lotion applied to wound, which looked unhealthy. Bark and acid mixture prescribed ; ultimately made a good recovery. Case LVIII.—Prolapsus uteri complete: four years' duration: Cure.— A. P., jet. 33. Married fifteen years ; six children. In labour forty-eight hours with third child ; instruments were used, and the perinseum was rup- tured. Has had three children since, the last April 4th. Entered Home May 6th. Complete prolapse and rupture ; os uteri greatly elongated, whole uterus outside vagina ; sound passed seven and a half inches. May 19th, 1864. Operation as usual. Made a very good recovery, and left the Home on 25th June quite cured. Case LIX.—Prolapsus uteri complete: eighteen months' duration: Cure.— R. D., set. 27, married six months. A miscarriage two years ago. Three years back had a severe fall and hurt herself in the privates, and soon after the womb began to come down a little. During the last eighteen months has protruded externally. Complete prolapse, vagina quite everted ; no dysuria. March 16th, 1864, operation as usual in principle. On second day, erysipelatous inflammation in wound. On second or fourth day, an offensive discharge with inflamed perinseum. On sixth day, improvement began, and then continued to complete recovery. April 15th. Discharged cured. Case LX.—Prolapsus uteri complete: two years' duration: Cure.—E. M., set. 69. Married twenty-two years ; no issue. Ten years ago, when lifting her sick husband, felt something give way. Shortly afterwards the womb came down, and for two years past it has remained outside. On account of her weak state, no operation was performed. She left the Home, and re- turned in nine months in better condition, but with the uterus still completely prolapsed. Complete prolapse ; considerable dysuria. March 30th, 1865. First operation as usual. May 10th, 1865. Second operation. Closed vagina up to urethra. The first operation, which was to usual extent, was unsuccessful; in the second the labia were pared close up to urethra and brought together with silver sutures. This was effectual, and the patient made a good recovery. Case LXI.—Prolapsus uteri Complete, with vaginal Cystocele: ten years' duration: Cure.—E. H., aet. 61. Has had four children and four mis- carriages. First perceived a tumour protruding from the vulva, attended by bearing-down pains, ten years ago. For the last four years the tumour has been as large as the head of a nine months' child. She has great difficulty in passing water. Complete prolapsus uteri with vaginal cystocele. May 26th, 1858. Operation as usual. Deep sutures removed on the third day. July 4th. Discharged quite well. When heard from, in 1860, still remained quite well.