Transactions of the Obstetrical Society of London (Volume 7)

This historic book may have numerous typos or missing text. Not indexed. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1866. Not illustrated. Excerpt: ... the 08 uteri, yet there was not the slightest indication of haemorrhage. Fig-1. Fig. 2. Dr. Greenhalgh also exhibited a large fibrous polypus, measuring six and a half inches in length, eleven and a half inches in circumference, and six inches round the pedicle, which he had removed the previous day by Weiss's wire ecraseur. The patient, aet. 38, mother of several children, had suffered severely, for two and a half years, from menorrhagia and mettorrhagia which had greatly reduced her powers, and for which symptoms she had been, off and on, under the treatment of an eminent accoucheur. About a week ago, after taking some ergot, the polypus was expelled from the uterus into the vagina, which it completely blocked up and occasioned retention of urine, requiring the frequent use of the catheter. The operation, which occupied only six minutes, was greatly facilitated by the administration of chloroform and ether. ON AN ABNORMAL VARIETY OF THE BATTLEDORE PLACENTA. By R. Uvedale West, M.D., F.R.C.S., Edin. The most frequent form of the so-called battledore placenta is that in which the funis is simply inserted in the extreme edge of that organ. It occasionally happens, however, that the funis is inserted in the membranes at some distance from the placental mass. It then divides iuto a number of branches--into its separate vessels, in fact, which, diverging more or less, course along the membranes until they reach the margin of the placenta. Of a case attended by myself on May 24th, 1857, I have the following note, accompanied by the sketch (PI. VI, fig. 1): --The funis divided into its vessels about four inches from the edge of the placenta, being itself inserted in the membranes before that division. It is obvious that if, in the act of extracting the placenta...