Fourteen cases of ovariotomy / by Thomas Keith.

  • Thomas Keith
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Fourteen cases of ovariotomy / by Thomas Keith. Source: Wellcome Collection.

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    third week she was going about quite well, and she went to her home, near Ayr, four weeks after the operation. Case XIV.—Large Cyst containing Fifty-Jive Pounds of Fluid. Ovariotomy. Recovery. Miss B., aged thirty-five, a patient of Dr Halliday Douglas, had been aware of the existence of an ovarian tumour for about twelve years. I saw her first six years ago. At that time it filled up the whole abdomen; was unilocular, and unattached. It steadily increased, and now she measures forty-four inches at the umbilicus, twenty-nine between the ensiform cartilage and pubis, and twenty- eight inches between the one anterior spine of the ilium and the other. There is great elevation of the ribs, and great displacement of the heart, for its impulse is felt below the third rib two inches from the mesial line. She has latterly become very nervous and thin, and has bad nights. On the 25th of July, I opened the peritoneum to the extent of two inches and a half, tapped, and drew out the cyst, which con¬ tained between five and six gallons of fluid. The cyst was almost sessile, and the clamp was placed round its base, the uterus being brought up nearly to the abdominal wall. One deep silk suture was sufficient to close the wound. For several days after the operation she suffered from severe cardiac pain, apparently of a neuralgic nature, with a frequent ten¬ dency to syncope. There were no abdominal symptoms whatever, and her recovery was rapid and uninterrupted. The following table contains an account of all the operations for ovarian tumour, which I have up to this time performed. Of twenty cases in all, six patients died after the operation, and fourteen recovered perfectly, and are now in rude health, for the cure after ovariotomy is a perfect cure. Table of Twenty Cases of Ovariotomy. No. Date. Age. Condition. History, etc. Result. 1 1862. Sept. 49 Married, M ultilocular; 25 lb.; surrounded by ascitic fluid; Remains well. 2 1863. Jan. 55 Married, Multilocular; 45 lb.;... Remains well. 3 Feb. 24 Married, Multilocular; 63 lb.; tapped once ;. Died 23 hours after. 4 March. 27 Married, Unmarried, Multilocular; upw. of 120 lb.; tapped 4 times; Remains well. 5 May. 22 Multilocular; 33 lb.; since married ;. Remains well. 6 July. 52 Married, Fibro-sarcomatous, and cystic;. Died 5th day. 7 Aug. 23 Married, Multilocular; nearly 80 lb.; tapped 7 times ; Multilocular; 40 1b.; tapped twice. Died 38 hours after. 8 Sept. 23 Unmarried, Remains well. 9 Oct. 16 Unmarried, Semi-solid; very large; tapped once;. Remains well. 10 1864. Jan. 55 Married, Semi-solid; 23 lb.; tapped twice;. Remains well. 11 Feb. 40 Unmarried, Multilocular; 37 lb.; tapped once ;. Died 6th day. 12 March. 50 Married, Large single cyst;. Remains well. 13 April. 68 Married, Cystic and adenoid ;. Remains well. 14 May. 23 Unmarried, Semi-solid; 24 1b.;. Died 9th day. 15 May. 35 Unmarried, Large single cyst;. Remains well. 16 May. 29 Married, Unmarried, Multilocular; 65 lb.; tapped 4 times;. Died 46 hours after. 17 May. 47 Semi-solid ; 35 lb.; tapped twice;. Remains well. 18 May. 27 Unmarried, Unmarried, Multilocular; 35 lb.;. Remains well. 19 J «iy. 30 Semi-solid; 361b.;. Remains well. 20 July. 33 Unmarried, Very large single cyst, containing 551b. of fluid; Remains well. EDINBURGH : PRINTED BY OLIVER AND BOYD.
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