File:The Richmond and Louisville medical journal (1878) (14784783432).jpg

Identifier: richmondlouisvil25loui (find matches)
Title: The Richmond and Louisville medical journal
Year: 1878 (1870s)
Authors:
Subjects: Medicine Medicine
Publisher: Louisville, Ky. : E.S. Gaillard
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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eep ulcer around the os the size of a silver half-dollar. The depth of the uterine cavity had increased to fourand three-quarter inches, due almost entirely to supra-vaginalelongation of the cervix. The infra-vaginal cervix was pecu-liar. The lips were hypertrophied and everted, giving thecervix the appearance of having been divided bilaterally up tothe attachment of the vagina. The bilateral diameter was oneand a third inches, the antero-posterior two inches. The supra- CLINICAL RECORDS. 163 vaginal cervix was cylindrical, three and a half inches long,the same size in all its parts, and did not exceed three-quartersof an inch in diameter. The body of the uterus was of aboutnormal size. The accompanying cut represents her conditionwhen I first saw her. I gave her iron, quinine, and nourishing diet, and appliedcarbolic acid to the ulcer on the cervix every four days. Theuterus and bladder were replaced, and held in position by in-troducing every morning a large pledget of cotton wet in
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glycerine and bromo-chloralum. The ulcer soon healed, andthe vaginal mucous membrane getting comparatively healthy, Iconcluded to operate October 1, but found my patient in achill and full of malaria. Otober 12, assisted by ProfessorCook and Dr. Doherty, and the resident physicians of the CityHospital, Drs. Owens, Carnick, Izard, and Barnard, I ampu-tated the cervix by cutting obliquely upward and toward thecervical cavity, removing a cone-shaped piece over an inch frombase to apex. I introduced a tent of lint into the cervical 164 CLINICAL EECORDS. canal, and united the cut edges by two silver sutures on eachside of the os. She was put in bed, and the cotton dressingcontinued; she had no pain or fever after the operation, andin ten days was going about the ward. The sutures wereremoved October 22, and November 1 the cervix was cov-ered with mucous membrane, and most of the surroundinghardness had disappeared. There was no return of the pro-cidentia, but the cystocele was but little b

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