Diseases of the Ovaries (Volume 1); Their Diagnosis and Treatment

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1865 Excerpt: ...of this lady.' (This refers to case 64.) 'Chloroform was administered by Dr. Macnamara, with Dr. Skinner's instrument, which I had brought from London, and was now used for the first time in Dublin. The operation was a facsimile of the one in London (Case 64). There was no adhesion, and the cyst came out without any difficulty. The patient never had a bad symptom, she required no opium; the clamp was removed on the fourth day; the wound healed kindly; she was allowed chicken on the fifth day; she was walking about her room in three weeks, and she returned to the country in seven weeks, having been out in a carriage for a week previously.' I have heard recently that she remains quite well. CASE LXXIV. Ovarian Cyst, not Tapped; Ovariotomy; Death in Eighty-two Hours of Peritonitis. Immediately after performing the operation just described (Case 73) I was asked by Dr. Gordon to see a case of his, and determined on the propriety of operating. The patient was a single lady, twenty-four years of age, and the tumour was of about two years' standing, and for the last few months had caused much uneasiness; occasional attacks of abdominal pain, occasional irritable bladder, and constant anorexia being the most distressing symptoms. I found the whole of the abdomen, with the exception of the left loin, filled with a tumour which fluctuated superiorly, but not in its inferior third. There was no crepitus nor tenderness on pressure, but I could not determine whether or not the tumour was movable on account of the great thickness of the abdominal parietes. The uterus was high up out of reach, and the vagina was pulled into a long funnel. My diagnosis written down at the time was 'Multilocular cyst of right ovary; diagnosis of adhesions uncertain, as the integuments are to...