Clinical notes on uterine surgery : with special reference to the management of the sterile condition . or in?spite of it, I do not know. The attachments of the tumour were now furtherincised, and its adhesions extensively broken up, butunfortunately Miss M. was attacked with diphtheria,from which she barely escaped with her life. So greatwas her prostration from this disease and the haemor-rhages combined, that she was again removed from thehospital. She returned six months afterwards (in October,1860), but the haemorrhages were in no way modifiedby the process of enucleation, which had been
Clinical notes on uterine surgery : with special reference to the management of the sterile condition . or in?spite of it, I do not know. The attachments of the tumour were now furtherincised, and its adhesions extensively broken up, butunfortunately Miss M. was attacked with diphtheria,from which she barely escaped with her life. So greatwas her prostration from this disease and the haemor-rhages combined, that she was again removed from thehospital. She returned six months afterwards (in October,1860), but the haemorrhages were in no way modifiedby the process of enucleation, which had been slowlygoing on for months. The uterus had greatly increasedin size, notwithstanding the fact that the tumour, nowfilling up the whole vagina, was quite as large as thefoetal head at full term. Indeed, it seemed that theremoval of the obstructions at the cervix uteri onlyinvited and promoted the growth of the tumour down-wards, without dislodging any portion of it from thebody of the organ. Its size was so enormous that itwas thought advisable to remove all that portion of it OF MENSTRUATION. 113. Fig. 45. that projected through the dilated cervix, preparatoryto the real enucleation and ablation of what occupiedthe body of the womb. Accordingly, a cord was passed around it in thedirection of the dotted line a(fig. 45), where it was haemorrhage was fearful,and she lost a large amount ofblood before it could be con-trolled by a tampon. Shescarcely rallied at all from theeffects of the chloroform, anddied of exhaustion in thirty-sixhours afterwards. I think that death in thiscase was caused by the unexpected and immense lossof blood that suddenly took place in the brief spaceof time between the severance of the tumour and itsremoval from the vagina. The prolonged use of the chloroform in all proba-bility exerted a very pernicious influence. The portion of the tumour removed was so large thatit was with great difficulty extracted from the vagina. Indeed, to do this, it w
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisher, booksubjectuterus
