On ovarian dropsy : its nature, diagnosis, & treatment the result of thirty years' experience / by I. Baker Brown.

Brown, Isaac Baker, 1812-1873.

Date:: 1862

Credit: On ovarian dropsy : its nature, diagnosis, & treatment the result of thirty years' experience / by I. Baker Brown. Source: Wellcome Collection.

297/312 (page 277)

$Proceedings of and accidents during j tlie operation. Jesuit. Bemarka. a ] I I I \ After primary incision, tumour tapped, nd fourteen pints thick fiiiid iiavm ofl. ^art of broad band of adliesious divided )y ecraseur; other part enclosed m calli- jers and divided by loiife. The Fallo- 3iau tube accidentally torn near the Items, and as it bled freely, was tied ivith silver sutures and left m. Ihe oedicle was tied by tmne in three parts mi left in. The part of adhesions en- closed by callipers liept outside. Wound closed by iron sutures. Reco- vered. 4 t She had no unfavourable symptoms; on the th the callipers were removed; on the 11th he ligatures on the pedicle came away, and on ^rt/irtmKow Iflfh alip Irtf't. finitP WCll^ Jecemoer xulii oue luiu i^uiui^ ». v**. After primary incision was made, the tumour was tapped, and eight pints green fluid drawn off. Pedicle was very short, and was enclosed in callipers. Wound closed with iron sutures. Eeeo- vered. Ti^t-ir.n^ V\t\ii nrt imfoTTmivnblfl RTTTintomS. Ou iratient nau no unijivouiuuio djuii^vwiu. ^ 30th, callipers were removed. Left in five weeks from date of operation quite well. In consequence of adhesions, the pri- mary incision cut right into the tumour, and twenty-two pints of albuminous fluid escaped. Bleeding considerable from brolien-down adhesions; surface so large that nothing could be done to stop it Pedicle enclosed in callipers, and the tumour separated. Wound closed with iron sutures. Died. After the operation she was very sick for many hours, nothing stopping the vomiting: symptoms of low peritonitis came on, and on the 29th she suddenly sank. Autovsij — Traces of peritonitis all over abdomen, with very much fresh lymph; traces of pus in kidneys; seve- 1 1 J. „V fimrtno* nnwpls■ riffht lung ral clots ot dIooq among uuwein, iip.*' s very much engorged; Uver enlarged and latty; splfeu enlarged. The primary incision let out some ascitic fluid, and some hydatidiform cysts. With the hand a large cyst could be felt, containing fluid, and two large masses of cysts. The large cyst wa tapped, and the tumour then brough out. The callipers were applied, and th tumour separated. The pedicle of th tumour attached to the other ovary wa tied in two portions with twine, cut otl and allowed to remain in. Eeco- vered. t I s She was rather faint after the operation, and some brandy was given, but she subsequently some °,, nr, 4th caU pers were nroerressed lavouraoiy. ^ju '±uu ^^.^uiij^ ?emove<J. On 10th the ligature came away, Ind in about a month after the operation she left quite well, and when seen some months att£r was fatter and in perfect health. After incision was made, cyst wa tapped, and seventeen pints of Qui drawn ofl'. The pedicle was not larg and was enclosed in the callipers. Woun secured by silver sutures. s Eeeo d verec Ci d Some peritonitis after operation. Callipers removed' on the 22nd. Lett qmte well on Oc- tober 31st.$