Report of one hundred and forty-five operations done for the removal of ovarian tumors and pathological conditions associated with the ovaries and uterine appendages only / by A. Vander Veer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Report of one hundred and forty-five operations done for the removal of ovarian tumors and pathological conditions associated with the ovaries and uterine appendages only / by A. Vander Veer. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    of child menstruation very painful; peritonitis afterbirth of child, again in ’83. brought on by lifting; typhoid fever at seventeen ; pneumonia at twenty; in ’89 had cough and slight hemorrhage from lungs. Occipital headache; appetite poor; urine normal. Cceliotomy, May 4,’gi. OiJphorectomy; both ovaries cirrhotic—left cystic — bound down by firm adhesions; tube packed every ten minutes with gauze for three hours; removed May 5, much pain until tube removed; no noticeable improvement until eighth day, when enema given was followed by very free movement of gas and feces. Recovery tininterrupted except for obstinate cystitis, pre.sent still when discharged on thirty-fifth day. Case XLVIII.—Mrs. A. McC., family history good. Menstruated at twelve, painful; fifteen years previous to operation trouble began, accompanied by spasms. Second child born, '83, two years later diagnosis of uterine mis- placement made and she received treatment. Pain in right ovary for ten years, along spine painful points, occa-sional points pain along angle ribs, sternum on left at juncture true and'false ribs. All treatment failed and cceliotomy done May 22, ’91. Both ovaries diseased;right markedly cirrhotic; salpingitis. Improved rapidly and discharged twelfth day. Re-admitted to hospital September 24, 'gi, very hypochondriacal — no special treatment and patient left much improved, October 12, '91. March ’92 much improved mentally and physically. Case XLIX—Mrs. E. C., aet thirty-three, family history good. Suffered from dysmenorrhoea; at twenty had peritonitis; married at twenty-one; first child one year after; labor very difficult; dysmenorrhoea ceased after that; since birth of child has had dull aching pain, both sides ovarian regions. Treated fall of i8go for stricture of rectum and lacerated cervix; no improve- ment ; mass size large orange left side of pelvis. Diagnosis of salpingfitis, operation advised. Cceliotomy May 27, i8gi. Both ovaries enlarged, cystic, double pyosalpinx; appendages removed; many firm adhesions;glass drainage tube— rubber substituted third day, serous discharge still quite free; drainage removed seventh day; some pain over abdomen, otherwise recovery uninter- rupted. Discharged on twenty-first day; in perfect condition of health September, ’94; gained in flesh and strength; able to get about with absolute comfort. Case LI.—Miss L. M., invalid many years, vague trouble. Physician .supposed it chronic case hysteria, but first examination revealed enlarged, inflamed ovary right side; extremely irritable descending colon; well marked myelitis lumbar region; extremely anaimic, erotic, sleepless, plaster jacket applied for artificial support, later Paquelin's cautery, down spine, excellent line of treatment tried with only temporary relief; menstruation irregular, scanty, painful. Diagnosis cirrhotic ovary double salpingitis. Oophorectomy July 13, 'gi. Diagnosis confirmed, also pyosalpinx left side. Patient did nicely with exception of nausea for few days; stitches removed fifth day; recovery uneventful and discharged August 15, ’gi. Letters from Dr. Church and patient later report good result. Case Lll.—Mrs. A. E. B., family history good. Well during childhood; menstruated thirteen; delicate until twenty; one miscarriage. Periods not painful, but flow profuse. Well until eight weeks previous to operation. May, ’91, noticed enlargement abdomen, supposed due to gain in flesh. October, ’90, to June, ’91, flowed constantly, but small in quantity. No show
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