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
Carolina Bechang, was admitted into GRAEFE'S Clinicum, in an advanced
stage of pregnancy; being 30 years of age, much deformed by rickets, and
only four feet (Rhenish) in height. On the 20th of Sept. after having
been five days in labour at the full period, pains severe, and os uteri
dilated, she consented to the Caesarian section.
A little after 2 o'clock, GRAEFE placed the fore finger of his left
hand, immediately below the umbilicus, and with a large scalpel, made an
incision downwards in the linea alba, to within one inch of the pubis;
dividing the entire parietes, and even penetrating the substance of the
uterus. A second incision penetrated the uterus and exposed the
placenta; which, as had been anticipated, was found on the fore part of
the fundus. The assistants now compressed firmly the edges of the
divided abdominal parietes upon the uterus, to prevent the protrusion of
the intestines, in which they succeeded; and GRAEFE carried his hand in
a moment into the uterus, separated the placenta with his finger and
thumb, and then withdrew it and the child almost together. The child was
very active, and cried lustily. The uterus immediately and suddenly
contracted, and the bleeding was inconsiderable. Not more than twelve
ounces of blood were lost, and no ligature was required. The whole
operation was completed in four minutes and a half. The wound was
secured by three broad sutures, and adhesive plasters, assisted by a
bandage round the abdomen. The child weighed six pounds and was well
formed. During the operation, the patient was sick, and once vomited
slightly. In two hours had pain and fever: V.S. [Symbol: ounce]xij.
Draught with ten drops of the aqua laurocerasi was given, and repeated
in a few hours. The patient passed a quiet night. The symptoms of pain,
inflammation, and fever, were threatening for some days, and were
promptly resisted by the lancet, by enamata, by narcotics, especially
the laurocerasus and hyosciamus, by fomentations, &c. By the 9th day,
the wound had cicatrized, excepting near the symphisis; symptoms all
favourable. The lochia were discharged regularly; and in three weeks,
she was able to sit up, and in three more, quite well. Early in
November, she returned home with her child, both in perfect health.
In FERUSSAC'S Bulletin Universel; for February, another case, in which
the Caesarian operation was performed with safety to the mother and
infant, is copied from RUST'S Magazine.
Public-domain text, read in full here on John Shaqi.
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