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.

    18/54 (page 16)
    Case LVII.— Mrs. E. J. L., mother died of consumption aet forty; indefinite history dropsy. Menstruated at fifteen — regular before marriage at twenty- three. Since flow prolonged and lasting six days; sometimes overruns two or three weeks; once sixteen months. Feet wet eight years before operation, when flow excessive. One child, nineteen months old. Two attacks perito- nitis — rheumatic troubles occasionally. First noticed tumor right side abdo- men after birth child—grew rapidly following summer. Slight dyspncsa. Cceliotomy October 15. ’91. Unilocular ovarian cyst; six quarts fluid removed; pedicle ligated and tumor removed with both ovaries; suffered second day from nausea and vomiting — lasting two days. Patient did well after this; stitches removed sixth day; sat up twelfth day. Regained strength very rapidly, and went home on sixteenth day. Case LVIII.— Miss I. R., aet nineteen; family history good. Confined to bed part of time during menstruation. Diagnosis of chronic ovaritis with salpingitis and operation advised. Cceliotomy October 19, ’91; left ovary much atrophied; removed with tube; right undergoing cystic degeneration, also removed with tube; much nausea and vomiting; considerable pain in abdomen after operation, but soon recovered; had uneventful convalescence, returning home on twentieth day. Three months afier began to vomit — though having gained much in flesh and strength — which continued more or less until patient finally died with all the symptoms of cancer of the stomach, one year after operation. Case LIX.— Miss L L. McC., same patient operated upon October 7, ’90. November 9, '91, not having improved, second cceliotomy performed; left ovary, size of hen’s egg, found undergoing cystic degeneration, and removed with tube; patient much nauseated for several days, after which made an uninterru])ted recovery. Discharged on twenty-ninth day. In excellent state of health August 1, '94. Case LX.—Miss K. E. M., father died consumption aet fifty; history other- wise good; menstruated at fourteen; regular. October, ’90, noticed distension abdomen, which increased; no pain until summer ’91, then some in right inguinal region. Cceliotomy November 24. ’91; unilocular ovarian cyst; eight quarts yellow fluid removed; tumor from left ovary; pedicle tied; right ovary cystic and removed; dressed as usual. Patient improved rapidly without any disturbance, and discharged on fifteenth day. Case LXII.—Miss L. McK., cystic degeneration ovaries; pelvic peritonitis— salpingitis; removal uterine appendages—many adhesions; recovery; bowels moved fifth day; stitches removed seventh day. Discharged twentieth day. Case LXIII.—Mrs. M. B. M., aet thirty-three, family history negative. Since birth first child, November, '88, has had severe attacks of peritonitis, with constant pain, more or less severe; no permanent improvement under continuous treatment; I saw her with family physician, December, ’91, agree- ing with him as to diagnosis of pelvic peritonitis with probable pyosalpinx. Cceliotomy December 14, ’91; tubes very much enlarged, distinct pyosalpinx right side, ovaries in a condition of cystic degeneration, many adhesions and a tedious operation; glass drainage tube; good recovery, and discharged thirty- second day. In good health up to October and November, ’93, when she bad a discharge from vagina very much like menstrual flow. Repeated once during winter ’94, Dr. Pond, family physician, previously discovering cys t