. Gaillard's medical journal . Fig. i. Fallopian Tubes, from a Case of Pyo-Salpinx. The same condition is illustrated in the following figure, with theadditional lesion of ovarian abscess. (Fig. 2.) From the writingsof those so severely criticising the operation of removal of the ap-pendages it is apparent that many are altogether unacquainted withthese diseases of the Fallopian tubes and ovaries. The one fatal case (No. 18) was in an extreme and wretchedcondition when abdominal section was done. The left tube and ovary TWENTY CASES OF ABDOMINAL SECTION 139 were destroyed by suppuration, and h
. Gaillard's medical journal . Fig. i. Fallopian Tubes, from a Case of Pyo-Salpinx. The same condition is illustrated in the following figure, with theadditional lesion of ovarian abscess. (Fig. 2.) From the writingsof those so severely criticising the operation of removal of the ap-pendages it is apparent that many are altogether unacquainted withthese diseases of the Fallopian tubes and ovaries. The one fatal case (No. 18) was in an extreme and wretchedcondition when abdominal section was done. The left tube and ovary TWENTY CASES OF ABDOMINAL SECTION 139 were destroyed by suppuration, and had formed an immense abscess,filling the left side of the pelvis. She was septic and emaciated, withpigmented skin. An early operation would doubtless have savedher. These cases were formerly classified and treated as pelvic cellu-litis. Thirty years ago Bernutz and Gonpil described their true na-. Fig. 2. Pyo-Salpinx and Ovarian Abscess : Fallopian Tube laid open. ture and pathology, but it is only of late that the importance of theirresearches have been appreciated. The intra-pelvic inflammation (peri-tonitis) is the result of infection, beginning in the endometrium andextending by continuity of surface through the Fallopian tube to theovary. The infection in two of my cases was unquestionably gonor-rhceal. In the others it was traceable to the puerperal state. The treat-ment of these cases by abdominal section, and removal of diseased anddisintegrated structures, is one of the greatest of the many recentadvances in pelvic surgery. It has opened up a new era in the treatmentof a class of cases which have long been the opprobria of gynaecologicalpractice. A want of careful selection of cases, and injudicious resortto removal of the appendages for vague neuroses by some, have donethe procedure harm; but, properly applied, it saves life, restoreshealth, and gives cures that are c
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectmedicine, bookyear189
