North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
Dr. BLUNDELL next remarks, that the facts related create a suspicion
that a bolder abdominal surgery would not be unattended with success,
and recommends the following operations to "_consideration_ merely, and
not to practice, except in otherwise desperate cases."
1st. "When the Cesarian section is performed, divide or remove
a small piece of Fallopian tube, so as to prevent the danger of
reimpregnation, without destroying the sexual propensity. The
need for a second operation might thus be certainly prevented,
without scarcely increasing the danger."
2ndly. "Extirpation of healthy ovaries."
3dly. "The extirpation of the ovarian cyst in scirrhus,
combined with dropsy, or in simple dropsy." He remarks, "This
operation will, I am persuaded, ultimately come into general
use; and if the British surgeons will not patronize and perform
it, the French and American surgeons will." p. 26.
4thly. "The removal of a large circular piece of the cyst in
ovarian dropsy, when the sac itself cannot be extirpated."
5thly. "The removal of the cancerous womb, when the ulceration
first makes its appearance. Might not the womb be taken out
above the symphysis pubis, or through the outlet of the
pelvis?" &c. 27.
6thly. "Extirpation of the puerperal uterus." He suggests the
removal of the whole womb after the Cesarian section, in order
that the smaller might take place of the larger and more
formidable wound through the uterus--but says expressly, "No
operation perhaps can be more unpromising, shall I say more
unjustifiable, in the _present state of our knowledge_; but I
thought it proper to mention it." &c. p. 28.
7thly. "Should the bladder give way into the peritoneum," he
asks, "Why should we not lay open the abdomen, tie up the
bladder, discharge the urine, and wash out the peritoneum
thoroughly, by the injection of warm water?" p. 28.
8thly. - - - - -
9thly. Injection of astringents into the ovarian cyst or
peritoneal sac, unjustifiable.
10thly. "In cases of strongly characterized introsusception,"
why not make an opening into the peritoneum; and "pass the
small intestines, fold by fold, through the fingers." Dr. B.
has repeatedly done this in the dog and rabbit, without
producing death, or extensive and dangerous inflammation.
11thly. In the rabbit, he has tied an abdominal artery, and
carried the end of the ligature with a broad needle out through
the back, opposite to the place of the vessel. This ligature
can come away, and is a better mode than to leave it hanging
out at the abdomen, or entirely among the bowels, where it
forms a sac of puriform matter, and to appearance lays the
foundation of chronic disease. p. 30.
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