The British Gynaecological Journal Volume 8

The British Gynaecological Journal Volume 8

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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. 1892 edition. Excerpt: ... that he gives no information as to the manner in which he makes this clinical distinction in actual diagnosis. Dr. CORDIER, of Kansas City, contributes a paper on the importance of early surgical treatment of cancer. The author advocates the radical operation, in every case, on the very-intelligent ground that by the time the disease is recognised it may have spread far beyond the tissues apparently involved. He states that Dr. Joseph Price has performed forty-nine vaginal hysterectomies with only one death. He quotes the VOL. VIII.--NO. 30. 16 following table of cases of total extirpation of the uterus from Professor Martin's work: --Cases. Deaths. Per cent. Fritsch 60 7 9 Leopold 42 4 10 Olshausen 47 12 25 Schroder 74 12 16 Staude 22 i 5 A. Martin 66 n 16 Finally he gives the following graphic account ol the manner in which Dr. Price performs this operation: --" Your patient is prepared as for an ordinary 'section, ' with the addition of a thorough vaginal douching the night before and at the time of the operation. The bladder is emptied an hour before the patient is placed on the table, which is not done until she is etherized. There is less danger if comparatively empty, and enough urine will be secreted within the hour prior to and during the operation to act as your guide as to whether the bladder has been injured. Place your patient in the lithotomy position, with the nates well over the edge of the table. You need two assistants besides the nurses. The assistants handle the sponges, speculum, volsella, &c., as the operator directs. The operator, seated, washes the external parts, and thoroughly irrigates the vagina with a i to 1,000 bichloride solution, seizes the cervix, if there remains enough sound structure to hold on to with the...
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Product details

  • Paperback | 154 pages
  • 189 x 246 x 8mm | 286g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236661001
  • 9781236661005