The Medical and Surgical Reported, Vol. 55

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Excerpt from The Medical and Surgical Reported, Vol. 55: A Weekly Journal, July-December, 1886 After arresting the bleeding by cold water douche. The author closed the wound with five sutures of reindeer tendon, and intro duced Nelaton's catheter {i demeure. Three days later the. Wound was found healed by the first intention, no trace of sutures being left. On the fourth day (after the accident) a large-sized trocar was thrust into the dis tended hymen to remove about cubic centimetres of inspissated, tar-like, inoffen sive menstrual blood. Then, having washed out. The cavity with i subliinate solution, the author enlarged the puncture with a his toury. On excmination, neither vaginal roof nor vaginal portion of the womb were found, the uterus and vagina representing one cavity, with a slightly prominent ring at the level corresponding to the internal uter ine os. A week later, the womb assumed its normal size, the cervix was formed already, but was still somewhat short and ¿abby, the external os being patent, its edges star-like and knotty. Dr. Esipoff mentions also a case of haematometra in consequence of con genital atresia of the hymen, in a strong, well-nourished hotel servant, aged 17, with menstrual molimina of a year's standing, and with the fundus uteri felt three fingers' breadth above the pubes. No discomfort whatever was ever felt by the patient. The author performed the same operation as in the former case. As in the first case, the womb and vagina were found to be trans formed into a single cavity, the cervix being almost tracelessly leveled in consequence of prolonged and considerable distension. Dr. Esipofi' lays stress on that point, for Profes sor Schroeder, in his hand-book, states that in cases of hymeneal atresia only haematocol pos is present, while true haematometra occurs only in cases of atresia of the external 05 uteri. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.