File:American gynaecological and obstetrical journal. (1897) (14582469910).jpg

Identifier: americangynaecol1018unse (find matches)
Title: American gynaecological and obstetrical journal.
Year: 1897 (1890s)
Authors:
Subjects: Obstetrics Gynecology
Publisher: New York : D. Appleton & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
uld have done under any other circumstances, but wentat once into the abdominal cavity. I found the intestines andomentum glued by fresh adhesions to everything in the pelviccavity—bladder, uterus, appendages, and posterior pelvic wall,and bands of adhesions running across sections of the gut in sucha manner as to make it seem almost impossible for them to havebecome freed by any effort of nature. I brought several feet ofthe intestines out through the incision and freed them from adhe-sions, washed them thoroughly with boiled hot water, and re-turned them ; then I went into the pelvis, broke up the adhesionsabout the right appendage and brought it into view ; it was aboutas large as a mans thumb and filled with pus. The agglutinatedfimbriated extremity was easily opened, and the pus allowed toescape. I injected the tube its full length several times with asolution of bichloride 1 to 3000, and washed it out ; then dried itoff with hot sponges, and replaced it. The left tube was then
Text Appearing After Image:
Conservative Surgery Upon the Uterine Appendages. brought up, and although much enlarged and infiltrated, showeda salpingitis, but not a pyosalpinx. I washed it out, however, withthe same solution, dried it, and replaced it ; then, with a large,flat sponge supporting the intestines in the pelvis, I washed thepelvic cavity out thoroughly with boiled hot water, dried it outthoroughly, and sewed the woman up. I have brought you thetemperature chart in this case, so that you may see the range oftemperature from the time she was brought into the hospital untilthe day of her operation, and from the time of operation to thepresent day. You will see that it jumped to ioi-;° the next dayafter the operation. This rise was due to several movements ofthe bowels. The temperature immediately dropped thereafter toq84°, and only on one occasion did it go to oof0 after that. Here,I think, is a case that bears good witness that all cases of pyosal-pinx need not necessarily be removed ; that Nature wi

Note About Images