. Operative gynecology. ilG 3bb—CONSER\ATI\E <)l I I \ 11 N i I ] L LI \ L 1 IlL Kl lil tvAiiY AND Till L I I The right tube, rigid and closed With i 1 nil u--en 1 «isunn\Ll Tliu left ovary n\ it 1 ii I 1 ii,3hematoma, wab albo lenioved Mis B Oj) Maioh 2,1895 operation. It must be borne in mind, however, that there are other causesthan the disease of the adnexa which conspire to keep down the percentageof pregnancies, as, for example, the fact that many of these patients aresingle, or, if married, the husband has gonorrhea (Martin). PREGNANCY FOLLOWING CONSERVATISM. 189 In order to secure p
. Operative gynecology. ilG 3bb—CONSER\ATI\E <)l I I \ 11 N i I ] L LI \ L 1 IlL Kl lil tvAiiY AND Till L I I The right tube, rigid and closed With i 1 nil u--en 1 «isunn\Ll Tliu left ovary n\ it 1 ii I 1 ii,3hematoma, wab albo lenioved Mis B Oj) Maioh 2,1895 operation. It must be borne in mind, however, that there are other causesthan the disease of the adnexa which conspire to keep down the percentageof pregnancies, as, for example, the fact that many of these patients aresingle, or, if married, the husband has gonorrhea (Martin). PREGNANCY FOLLOWING CONSERVATISM. 189 In order to secure pregnancy it is not necessary to preserve the ovaries andthe uterine tubes in pairs, as the following instance will show : M. B., 3346, came to me in Feb., 1895, invalided by a constant dull painin the lower abdomen, with severe exacerbations. On opening the abdomen(March 27, 1895), I removed a left ovary converted into a large hematoma, and. Fig. 369.—Diaqeam of the Condition aftkk Kejioval hf the Kight Tube amd Left the distance separating the remaining tube and ovary. a little, withered right tube with a knobbed, closed end covered with left tube was normal, and the right ovary was also normal, except fornumerous shreds of lymph attached to it and covering also the posterior surfaceof the retroflexed uterus. The uterus was held forward by picking up a plicaof the vesical peritoneum near the symphysis and attaching it to the fundus onboth sides. The left tube and the right ovary were left hanging down into thepelvis, with the fimbriated end of the tube 4 centimeters distant from the ovary(see Figs. 368 and 369). Pregnancy occurred in September of the same year,and the patient had her first child in June, 1896. In Nov., 1897, I had to re-move the left tube for a ruptured extra-uterine pregnancy. Uterus Retroflexed; Appendages firmly Adherent;Ovarian Cysts Opened; Pregnancy within Four Months.—D
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectgenitaldiseasesfemal
