Licence: Public Domain Mark
Credit: Fourteen cases of ovariotomy / by Thomas Keith. Source: Wellcome Collection.
Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.
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![1: to a more careful examination of tlie attachment of the cyst, and I fewer than seven small cysts, about tlie size of beans, were dis- > vered, some of them near the uterus. Tlie ovary itself, diseased )d slightly enlarged, was close to the utenis, and quite sessile. A iuble ligature was placed under it, but it could not be got into the mp, which was applied almost close to the uterus. From the ickuess of parts embraced in the clamp, a single stitch sufficed to se the wound. Before tightening the stitch, the strangulated ary was brought out alongside the clamp and secured to it. )wing to the great laxity of the abdominal wall, there was not uch strain upon the pelvic tissues, though the uterus was brought p close to the wound. On the second day the monthly period came on with great olence, and there was for two days a copious discharge of men- trual-like fluid from the incision. The clamp was removed at the end of a week, but the ligatures round the strangulated ovary cdid not separate for five weeks after the operation. Her recovery iwas uninterrupted. Case XIII.—Semi-solid Ovarian Tumour weighing Thirty-six Pounds. Ovariotomy. Recovery. Miss W., aged thirty, recommended to me by Dr Haldane of Ayr, on account of a large semi-solid ovarian tumour of about six months' growth. When I saw her in the beginning of June, her greatest girth was thirty-eight inches ; there was one cyst of considerable size above the umbilicus, the rest of the tumour was semi-solid. She was in pretty good health, but was getting very thin about the arms and shoulders. She could walk but a very short distance, and her nights were bad. By the 1st of July her girth had increased to forty-two inches and a half, and there was some oedema of the limbs. To relieve this and to give her some good nights before the operation, I emptied the upper cyst, which contained about eight pounds of fluid. I removed the tumour on the 8th of July. Dr M'Lan- naghan of Dalrymple was present. Some ovarian fluid, mixed with large flakes of lymph, escaped on opening the peritoneum. I then cut into the tumour, passed in my hand and broke it up, and with some difficulty was able to withdraw the whole through an incision not extending above the umbilicus. There was a great deal of sponging necessary. The pedicle was of fair length, and was secured by a clamp, and the wound was closed by six deep and three superficial silk sutures in the usual way. She got very sick with the chloroform, and vomited bile for tlic next twenty-four hours, but her pulse never rose above 70, and her recovciy was unusually rapid. The sutures were removed on the fourth day, except one close to the clamp which liad escaped notice, which was removed on the eighth day. There was not a single drop of matter along the track of any. ]>y the middle of the](https://iiif.wellcomecollection.org/image/b21477413_0023.jp2/full/800%2C/0/default.jpg)
