A compendious system of midwifery : chiefly designed to facilitate the inquiries of those who may be pursuing this branch of study ... / by William P. Dewees.

  • Dewees, William P. (William Potts), 1768-1841.
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: A compendious system of midwifery : chiefly designed to facilitate the inquiries of those who may be pursuing this branch of study ... / by William P. Dewees. Source: Wellcome Collection.

Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.

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    and that, in point of fact, recovery has taken place, though the strength of two able practitioners was exerted and exhausted during several hours, but such an instance cannot establish the general safety of the practice. 71. 7th. It is scarcely necessary for me to add, that there may be different degrees of encroachment, which admit of the safe and successful application of the forceps, and of this matter we judge by the size of the tumour, and the capacity of the pel- vis.* 72. This subject is highly interesting to the accoucheur: and 1 would refer, for farther information, to the chapter from which the above is derived; and where a number of important refer- ences are made, to various authorities, for cases illustrative of the views of the gentlemen into whose hands they fell. It is a matter of much moment, in the event of meeting with such a case, that we should be well acquainted with the best mode of treating it; for however rare such instances may be in this country, they certainly may occur ; and to be ignorant of the resources of the art upon such an occasion, would be a repre- hensible want of information. In addition to the case related by Mr. Burns, we subjoin the following interesting as well as important operation, from the Med. and Phys. Journ. Vol. 13th, p. 178. 73. An account of two cases of tumours in the pelvis, grow- ing out of the sacro-sciatic ligament, one of which terminated fa- tally, and the other was cured by extracting the tumour through an incision made into the cavity of the pelvis, through the peri- toneum, by P. P. Drew, M. D., Fermoy, county of Cork. 74. This is a very im]>:>rtant paper, insomuch as it autho- rizes an operation, which, but for the event, some people might have called rash. In the first case, the boldness of the under- taking deterred the surgeons from attempting it, apprehending that the tumour might be connected with the larger blood ves- sels in the inside of the pelvis. The increase of the tumour at last produced a total interruption to the passages of the urethra and rectum; and during the absence of Dr. Drew, the patient died convulsed. 75. On making a free opening into the pelvis after death, the tumour was easily turned out, having no communicating blood * See Davis's Elements of Operative Midwifer)', page 90, in wliich this sub- ject is treated at some length, and some interesting views, and cases, are fur- nished.