Reprints of Articles Volume 3.cUniversity Of Gynecology
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Author: University Of Gynecology
Page Count: 94 pages
Published Date: 01 Mar 2012
Publisher: Rarebooksclub.com
Publication Country: Miami Fl, United States
Language: English
Type: PDF
ISBN: 9781130345957
Download Link: Reprints of Articles Volume 3
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1914 Excerpt: ...median line and the tubes were removed. The hernia was repaired and the patient made an uneventful recovery. One is impressed by the serious complications which may enter into these operations. The most important one is when the tuberculous condition involves the intestines. In separating adhesions the wall of the intestine may give away. This may be easily repaired, but union may not take place. Wounds of the bladder may present the same difficulty, and may lead to the formation of fistula?, which can never or only with difficulty be repaired. One should make a careful diagnosis as to whether the seat of the trouble is in the appendix or in the tubes. Loss of the tubes or impairment may prevent further pregnancies. One patient of eighteen who was operated for tuberculous peritonitis died four years later of tuberculous meningitis. Thus we find that many of these patients who are cured, so far as the pelvic condition is concerned, may die of tuberculosis in other parts of the body. Doctor James F. Breakey: I would like to ask Doctor Cummings, when he closes the discussion, for his opinion as to the most frequent points of primary tubercular processes within the abdomen; also is not tuberculous endometritis almost always a secondary process? also the relationship between tuberculous appendiceal trouble and tubal trouble. Sometimes when one gets rather mild appendiceal attacks in the female, it is very difficult to determine whether the trouble originates in the appendix or in the tube, and it is also difficult to decide by gross inspection of a tube whether or not it is sufficiently involved in a tuberculous process to necessitate its removal, together with an offending appendix, or whether appendectomy is sufficient, trusting to the effects of the laparotom...
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