A treatise on the diseases and special hygiène of females / By Colombat de l'Isère. Translated from the French, with additions, by Charles D. Meigs.
- Marc Colombat de L'Isère
- Date:
- 1850
Licence: Public Domain Mark
Credit: A treatise on the diseases and special hygiène of females / By Colombat de l'Isère. Translated from the French, with additions, by Charles D. Meigs. Source: Wellcome Collection.
Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.
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![above the ossa pubis, so that the orifice of the bladder no longer corresponded with that of the urethra. As he could not succeed in relieving the bladder on the first day, he put off an attempt to pass the catheter until the next day. Instead of introducing the sound into the urethra, he passed it into the vagina without being aware of the mistake he had made. The instrument, which was directed towards the mouth of the womb, not being able to penetrate into the cavity of the organ, Benevoli supposing that it was the sphincter vesicee under powerful contraction, and, that he might be able to overcome it by force, pushed the sound onwards, and it plunged into the womb. Immediately after this, there escaped a very large quantity of a brownish liquid, resembling wine lees, which was at first mistaken for bloody urine. But after the menstrual collection had come away, the urine was rapidly discharged from the urethra, a circumstance which showed him that he had introduced his sound into the uterus and not into the urethra. The patient, who for three years had found her abdomen increasing in size every month, instantly obtained great relief, with the-immediate disappear- ance of the enormous abdominal swelling caused by the accumulation of menstrual blood in the uterine cavity. Benevoli estimated the quantity discharged after the performance of the operation at thirty- two pounds. If the symptoms we have described should, in any case, be sup- posed to depend on a primitive or accidental faulty conformation, the sexual parts ought to be examined with the most scrupulous care, in order to learn whether absence of the womb does not furnish an insurmountable bar to the object proposed to be attained. In order to remedy occlusion of the neck of the womb, an at- tempt should be made to pass up an ordinary sound, with a view to overcome the obstacle, if possible. If that cannot be done, then the resistance should be overcome by means of a puncture, either with a bistoury, wrapped with linen to within a few lines of its point, [or, what is better, wrapped in a ribbon of adhesive plaster spread on fine linen—M.,] or with a trocar, the canula of which, as advised by Hervez de Chegoin, ought to be left in the wound, as a conductor to a piece of gum elastic catheter, to be followed afterwards by a female catheter. Whatsoever may be the instrument, or* the method employed in the operation, the inflammatory consequences require the same attentions that we have recommended in speaking of the operations for atresia of the vulva and vagina. To prevent or combat these dreadful con- sequences, let it be remembered that they demand the most energetic methods; among which are bleeding, long-continued warm bathing, as of the first rank: the woman should, so to speak, be made to live in the bath until the cure is complete. ATRESIA OF THE FALLOPIAN TUBES. The Fallopian Tubes are two musculo-vascular conduits, lying oose in the abdomen, and extending from the superior angles of the](https://iiif.wellcomecollection.org/image/b21029313_0123.jp2/full/800%2C/0/default.jpg)
