The pathology and treatment of diseases of the ovaries : (being the Hastings essay for 1873).. . t, and the result was unfavorable to the success ofthe subsequent ovariotomy. Besides such an exceptional risk asthis, there is the possibility of suppuration of the cyst after taj)-ping, and the infection of the peritoneum by its septic , by means of an exploratory incision, which need notas a rule be more than an inch and a half or two inches long, wecan ascertain absolutely the nature of the tumor and very manyof its relations, and we may generally obtain information con-cerning
The pathology and treatment of diseases of the ovaries : (being the Hastings essay for 1873).. . t, and the result was unfavorable to the success ofthe subsequent ovariotomy. Besides such an exceptional risk asthis, there is the possibility of suppuration of the cyst after taj)-ping, and the infection of the peritoneum by its septic , by means of an exploratory incision, which need notas a rule be more than an inch and a half or two inches long, wecan ascertain absolutely the nature of the tumor and very manyof its relations, and we may generally obtain information con-cerning it altogether beyond the reach of a tapping. This latteroperation, therefore, I have almost entirely excluded from mypractice for any purpose of diagnosis, and it is now only used forrelief in those cases where removal of the tumor is it is absolutely necessary to tap, the operation is best per-formed by a trocar which I have devised, having a steel pointwith a chisel edge, which is almost blunt. The patient havingbeen placed in a convenient position, a puncture is made by an. Fig. 29. ordinary lancet into the cyst, and the trocar is made to followthe track of the lancet. The trocar is so simple that it never canbe out of order; it forms a solid rod, which is extremely usefulas a probe, and its point is sharp enough to penetrate an innercyst, and yet so blunt as to be incapable of mischief save in thehands of the clumsy or the careless. Great care should alwaysbe taken to empty completely the cyst which is tapped, and toprevent the admission of air, and for this latter point the perfectsolidity of my trocar is the most absolute guarantee. Tapping by the vagina was a good deal in vogueabout eight or ten years ago, and I have had two cases in whichcysts of some kind were permanently cured by this means; butas it is by no means always attended with good results, I havealmost discontinued it. I have known death occur three timesafter it, and I may state
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectovarian, bookyear1883
