On intra-uterine fibroids / by J. Marion Sims.

  • Sims, J. Marion (James Marion), 1813-1883.
Date:
1874
Catalogue details

Licence: Public Domain Mark

Credit: On intra-uterine fibroids / by J. Marion Sims. 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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    there. The operation was performed there on the 15th of August, 1873, Dr. Samuel W. Francis, Dr. Engs, and Dr. Fia.2. Harry Sims, assisting. To dilate the cervix to its greatest extent, and to facilitate the removal of the tu- mor, five or six good-sized sponge- tents were passed along the cervical canal the evening before the opera- tion. On their removal twenty hours afterward, the os was consid- erably larger and more yielding than before their introduction. The tu- mor was seized at its projecting part with the vulsellum, pulled toward the OS externum, and held firmly while with scissors its capsule was incised just at its junction with the posterior and lateral portions of the cervix. By this means the capsule was open- ed by a semilunar incision from two and a half to three inches long. The enucleator (Fig. 2) was then thrust up between the tumor and its cap- sule quite to the fundus uteri, first on one side and then on the other, and then it was moved laterally so as to pass around the tumor, thus breaking up the slender connections by which it adhered to its capsule. This manoeuvre finished, the tumor still firmly held by the vulsellum, the tumor-hook (Fig. 3) was passed up along the posterior surface of the tu- mor and hooked deeply into its sub- stance, thus giving an immense lev- erage for evulsion. While forcible traction was made with this tumor- hook, the enucleator was again passed in every direction between the tumor and its capsule. JSTotwithstanding all this and in