Excerpt from The Treatment of Extra-Uterine Pregnancy, Ruptured in the Early Months, by Vaginal Puncture and Drainage At a meeting of the Johns Hopkins Hospital Medical Society, October 23, 1893, I advocated the treatment Of ruptured extra-uter ine pregnancy by a vaginal opening for the removal Of the products, followed by drainage. My first case was Operated upon October 27, 1892, and was one Of the intraligamentary form. I made an explora tory coeliotomy, and found a mass on the right side, fourteen by ten centimetres in ...
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Excerpt from The Treatment of Extra-Uterine Pregnancy, Ruptured in the Early Months, by Vaginal Puncture and Drainage At a meeting of the Johns Hopkins Hospital Medical Society, October 23, 1893, I advocated the treatment Of ruptured extra-uter ine pregnancy by a vaginal opening for the removal Of the products, followed by drainage. My first case was Operated upon October 27, 1892, and was one Of the intraligamentary form. I made an explora tory coeliotomy, and found a mass on the right side, fourteen by ten centimetres in size, to which the whole omentum was adherent, dragging down the transverse colon; there were also dense adhesions to the small intestine. The uterus lay to the left. The peritonaeum at the brim Of the pelvis posteriorly passed directly on to the sac, without dipping into the pelvis, and anteriorly and laterally it was lifted up to such an extent by the sac that it lay in direct contact with the anterior abdominal wall four centimetres above Poupart's ligament. As a complete enucleation of this subperitoneal mass was out Of the question, I determined to drain it. The colon was first freed by tying the omentum Off from side to side. A free incision was then made into the sac above Poupart's ligament, and sixty cubic centimetres of fluid blood and two hundred and forty cubic centi metres of clots removed. The sac was washed out and drained with gauze. There was no marked haemorrhage; the duration Of the entire Operation was thirty-seven minutes. Read before the American Gynaecological Society, May 27, 1896. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at ... This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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