Contributions to the Surgical Treatment of Tumours of the Abdomen, Volume 1Oliver and Boyd, 1885 |
Other editions - View all
Contributions to the Surgical Treatment of Tumours of the Abdomen Thomas Keith,Skene Keith No preview available - 2016 |
Contributions to the Surgical Treatment of Tumours of the Abdomen, Part 2 Thomas Keith No preview available - 2012 |
Common terms and phrases
abdomen adherent adhesions aged anæmic bladder bleeding Fibroid blood broad ligaments capsule carbolic cartilage catgut cautery cavity cellular cervix cicatrix clamp convalescence days after operation drainage enlarged ensiform cartilage entire Uterus enucleation feeble felt fibrous tumour fixed flatus hæmorrhage half highest pulse hospital hours after operation incision Infirmary intestine intra-peritoneal Koeberle's lasted one hour left side ligatures locking forceps looked mass menopause menstruation mesentery months nearly never night omentum opening operation lasted opiate ounces ovarian cyst ovarian tumour ovaries ovariotomy pain patient pedicle pelvic portion pelvis peritoneal peritoneum profuse pubes puncture pushed rapid reached rectum relief remove the ovaries restless ribs right ovary right side round secured separated serum silk ligatures slough soft uterine fibroid spray sternum stump Supra-vaginal Hysterectomy sutures temp tension thick thin tion tissue trouble tube umbilicus unmarried woman upwards urine uterine fibroid uterine tumours uterus vagina vomiting weeks wound was closed
Popular passages
Page 45 - ... operation. When all oozing seemed to have ceased, the stump (the thickness of the leg) and the end of the right broad ligament were secured, with much tension, outside ; a glass drainagetube was fixed in above the stump, and the wound closed by forty silk sutures.
Page 6 - In an advanced case of ovarian disease, be the local difficulties what they may. one can honestly encourage a woman to run any amount of risk. She has not much to lose — a few months only, it may be, of ever-increasing suffering — and she may gain much by an operation, having much to gain.
Page 12 - These tumours are much reduced by free purgation. "4. In cases of large bleeding fibroids of any age, provided that the patients are not approaching fifty years of age, and provided that the lives are practically useless, and that further experience in the operation shall show that the mortality of hysterectomy is likely to diminish. " 5. In certain cases of tumours surrounded by free fluid, the result of peritonitis, provided that the fluid shows a tendency to re-accumulate after two or three punctures.
Page 6 - I SAY it deliberately, hysterectomy is an operation that has done more harm than good, and its mortality is out of all proportion to the benefits received by the few.
Page 25 - ... Does a mortality of eight per cent, justify an operation for a disease that, as a rule, has only a limited active life, that torments simply, and that only for a time, though of itself it rarely kills? The mortality of an ordinary uterine fibroid, if left alone, is nothing approaching a death-rate of eight per cent. I doubt even if the mortality of the extreme cases exceed this. And after all, the great difficulty is, not in doing even the worst of these operations, but in knowing what are the...
Page 6 - ... amount of risk. She has not much to lose — a few months only, it may be, of ever-increasing suffering — and she may gain much by an operation, having much to gain. It is quite different in the case of nineteen-twentieths of those who have a simple uterine fibrous tumor. They may have years of fair health before them; and even in the worst of them, the chances are that they will live on — not in comfort, certainly, some perhaps in misery — but still they will live and not die.
Page 17 - Several of the knots came away through the wound, and after weeks of horrible suffering from cystitis, a thick knot of catgut, with the loop but little absorbed, was passed by the urethra.
Page 25 - I doubt even if the mortality of the extreme cases exceeds this. And, after all, the great difficulty is, not in doing even the worst of these operations, but in knowing what are the cases in which it is right to advise those who trust themselves to us to run the risk of a dangerous operation with all its attendant miseries. Could we get the mortality down to five per cent in the bad cases — and these only are the fit subjects — then one might advise interference with a moreeasy mind. I do not...
Page 42 - ... which the pelvic portion of the tumor had been shelled out. Koeberle's instrument — five and a half inches in length — was left dipping into the pelvis, as it could not be secured outside. There was little bleeding from the separated surfaces, and the wound was kept as open as possible around the instrument, to allow of the escape of serum. The operation lasted one hour and a quarter. There was a good deal of pain, and several opiates were required during the afternoon, There was very free...
Page 23 - If Mr. Thornton gets a fatal result in every third case where he removes a uterine fibroid, with his complete and perfect listerism, spray, and all the rest of it, am I to go back to these ways, when I get one out of sixteen without them ? By no means. The antiseptic principle, which I believe in as much as any one, can be carried out by simpler means than these ; and, for myself, I have almost gone back to the boiled water and soda of twenty years ago. It is, unfortunately, a sad fact that ever...