File:Journal of the Medical Society of New Jersey (1909) (14785119345).jpg

Identifier: journalofmedical6190medi (find matches)
Title: Journal of the Medical Society of New Jersey
Year: 1910 (1910s)
Authors: Medical Society of New Jersey Medical Society of New Jersey. Transactions of the Medical Society of New Jersey Medical Society of New Jersey. Official list of fellows and members Medical Society of New Jersey. Annual report
Subjects: Medicine Socieites, Medical Tuberculosis
Publisher: Lawrenceville, N.J. (etc.) : Medical Society of New Jersey
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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malllymphocytes. 27 per cent.; large lympho-cytes, 4 per cent.; eosinophiles, 1 per cent. During the first six days in hospital shewas fed on beef juice, eggs and milk. OnNovember 26, 1909, the combined vaginaland abdominal operation was performed,removing uterus, tubes and ovaries. Un-der constant irrigation, the mass projectingfrom the cervix was first extirpated and thecanal closed with mattress sutures to pre- April, 1910 Journal of the Medical Society of New Jersey. 557 vent the escape of septic matter. With thecautery the cervix was next separated fromthe vagina. Through a median abdominalincision, the whole mass was then removed.A gauze drain was inserted, extendingfrom Douglass cul-de-sac into the vagina.It was almost a bloodless operation, therebsing but very little blood lost. Post-operative—Improvement set in im-mediately and continued uninterruptedly.For a few days there was an evening riseof temperature, gradually subsiding to nor-mal. She developed a ravenous appetite,
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a condition almost akin to bulimia, whichnecessitated supplementing the usual post-operative diet. On the twentieth day a small crop ofpustules developed over the abdomen fromwhich pure cultures of the staphylococcuspyogenes albus were obtained. A few in-jections of staphylococcus vaccine caused arapid disappearance of the furuncles. Onthe twenty-second day the blood showed amarked improvement: Hemoglobin, 60 percent; red cells, 3,112,000. A still further improvement was notedon the thirty-third day: Hemoglobin, 65 percent.; red cells, 3,230,000. She was nowup and about, playing with the other chil-dren, bright, happy and cheerful. The transformation was almost miracu- lous, considering the malignant nature andduration of the disease. The accompany-ing picture speaks for itself and is in nosense flattering. The tumor had a polypoid gangrenousappearance. Together with the uterus itmeasured 12x15 cm. and weighed 285 gm.Microscopically it proved to be a very cel-lular, small, spindle-cel

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