Five cases of ovariotomy / by J.W. Elliot.
- Elliot, John Wheelock, 1862-1925.
- Date:
- [1885]
Licence: Public Domain Mark
Credit: Five cases of ovariotomy / by J.W. Elliot. 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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![nurse, that slie is in excellent health and has had no more flowing. Case III. occurred in m3 own private practice. INIiss ]\I., aged twent3-t\vo, complained of pains in the back, loin, and lower abdomen, also of intense dvsmenorrhoea. Four 3ears ago was confined to the bed for six months with an attack of inflamma- tion of the bowels. Since that time she has been an invalid and has been treated by various physi- cians for “ chronic inflammation,” without the least improvement. When I first saw her she was fat and anmmic, and was utterly unable to do anything on account of a pain through the lower abdomen, which always came on after she had been standing a few minutes. On bimanual examination a fluctuating tumor — size of a large cocoanut — was distiuctW felt filling the anterior part of the pelvis and crowding the uterus liack against the sacrum. The operation proved exceedingly difficult and tedious. The abdominal walls were veiw thick and the muscles rigid. The c}'st had a thin wall and was firml} adherent in eveiT direction. In tearing away the adhesions the cyst was ruptured and its dark chocolate-colored contents escaped into the abdominal cavity. The ovarian arteiw was then ligatured and the cyst-wall came out in shreds after a tedious dissection. There was no pedicle, so the wliole broad ligament was tied with three ligatures close to the uterus. The pelvic cavity was full of l)ands of adhesions so that Douglas’s fossa appeared to l)e closed and the other ovaiw could not with certaiut3 be made out. The uterus was firmly bound to the left side. It was impossil)le to thoroughh’ clean the abdominal cavit}’. The operation lasted one and oiie-lialf hours. Dr. Johnson was my only](https://iiif.wellcomecollection.org/image/b22313084_0005.jp2/full/800%2C/0/default.jpg)
