A case of fibrous tumor of the uterus, accompanied with excessive haemorrhage : successfully treated by excision / by B. Fordyce Barker.

  • Barker, Fordyce, 1819-1891.
Date:
1857
Catalogue details

Licence: Public Domain Mark

Credit: A case of fibrous tumor of the uterus, accompanied with excessive haemorrhage : successfully treated by excision / by B. Fordyce Barker. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    piration hurried and catching, her pulse small and sharp, 116 perminu the surface cool and moist. She complained of severe pain in the he ringing in the ears, and a sense of sufFocating oppression at the heart. On making a vaginal examination, the uterus was found to be large an heavy, the os tincte very patulous, through which the hot blood waS; steadily trickling into the vagina. I at once proceeded to tampon th cervix and vagina. Soaking a quantity of what is known as jeweller' batting in a saturated solution of alum, successive layers were first i serted into the cervix and then into the vagina, until it was packed firmly as possible. She was directed to take a teaspoonful of the follow ing prescription every hour: 5 Acid. Gallic. Pulv. Acacise G. sla 3 ij Tr. Opii Camph. § ss ■ Syr. Limonis, f jss Aq. Purse, | ij M. On visiting her three hours afterwards I found the tampon completely afloat in the vagina. I again filled the cervix and vagina as before, in- troducing all the batting it was possible to get in. Dec. 29th. The patient had slept none during the night. She had saturated six napkins since 2 A. M. The tampon had seemed to control the hcemorrhage for a few hours, but now it did not apparently half fill the vaffina, which had become very sore and tender to the touch from the irritation of the alum. I now tamponed the cervix as completely as possible with a piece of sponge, and then filled the vagina Avith the kite- tail tampon. 4 P. M. Haemorrhage still unchecked. Slie has taken in twenty- eight hours, 3 ij of gallic acid. I again filled the vagina, without re- moving the batting already in, and prescribed the following: ^ 01. Terebinth. Syr. Limonis aa § ij Pulv. Acacire 1 ss 01. Cassice gtt.iv Misce. Two tablespoonfuls every half hour. 9 P. M. There has been no hemorrhage since seven o'clock, when a dry napkin was applied to the vulva. There has been one copious discharge from the bowels, attended with pretty severe colicky pain, but no strangury. From this date until the morning of Jan. 2d, there was