Cases illustrating the treatment of suppurating ovarian cysts, and some points connected with ovariotomy / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
[1869]
Catalogue details

Licence: Public Domain Mark

Credit: Cases illustrating the treatment of suppurating ovarian cysts, and some points connected with ovariotomy / by Thomas Bryant. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    October 15tb.—Diarrhoea again set in, with some little abdo- minal tenderness at the lower part of the wound. On October 17th a fluctuating swelling appeared at this part, this swelling being clearly tympanitic. The diarrhoea was again checked with a dose of chalk mixture, but the fluctuating swelling opened naturally on the 18th, and liquid faeces made their escape. No signs of other mischief existed. The nurse Avas directed to examine the faeces which passed from the artificial anus Avith great care, to see if any ligatures came awaA^ V In four days, or by October 22nd, this aperture closed. Everything appeared to be going on well for one week, Avhen diarrhoea again set in and the artificial anus again opened; faeces passed through the Avound freely, and on October 29th the double loop of ligature by Avhich the peduncle had been secured came aAvay. In another three days the wound had again healed, and in three weeks the patient left the hospital perfectly Avell. The looped ligatures as they came away, illustrating the value of crossing the ligatures before tying the two halves of the peduncle. Remarks.—The main point of interest in the case just recorded is the discharge of the ligatures by Avhich the peduncle had been secured through the artificial anus at the loAver part of the wound; such a result is in my experience quite unique. Indeed, amongst tAventy-four cases in which I have adopted the practice of dropping into the abdominal cavity the loops of the dmded ligatures with the peduncle, this is the only one in Avhich any untoward result has to be recorded which w'as clearly due to the practice itself. But in this instance there is hardly room for doubt that the ligatures by their irritation caused the diarrhoea, and that it was through an ulcerative process that they formed a communication with the intestine, and Avere discharged externally. Such a case as the above clearly tells against the practice adopted, and_although by itself it may not be sufficient to proA'e