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Annals of Gynecology and Pediatry (v. 12)
Annals of Gynecology and Pediatry - v. 12 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: ment, but when there are several foci of suppuration, this treatment is insufficient. Vaginal coeliotomy should not be resorted to if by palpation the walls of t... more »he abscess are found thick and rigid, because after the evacuation of the pus they do not collapse and come in contact and consequently a large cavity remains which keeps up an eternal suppurative process, and which is most difficult to close. I wish to particularly insist that in every case in which the patient is a young woman, a vaginal incision should be resorted to in order to leave the adnexa intact, and I have operated on a number of women who afterwards became pregnant and have become mothers. And you must remember that a vaginal incision will in no manner prevent a future vaginal or abdominal hysterectomy if the condition of the patient should justify such an interference. It is of course quite evident that suppurative processes in the pelvis demand different treatments according to their situation, size and number, and it is for this very reason that you should endeavor to make as accurate a diagnosis as possible, because no one method can be applied to each and every case. Consequently I would say that each time -that you find a suppurating process which may be easily reached by the posterior vaginal cul-de-sac and which resists proper medical treatment, a free incision and free drainage is the proper method of treatment. Case II.—Mrs. W. B., set. 34, mother of four healthy children, first menstruated at the age of twelve, but the menses have always been scanty, lasting not over two or three days. About two years ago, after the birth of her last child, the patient complained of severe pain in the abdomen which lasted for a few days, but since this time there has always been some pain in the left ilia...« less