Report of forty-one cases of uterine polypi : with remarks / by J. Braxton Hicks.

  • Hicks, J. Braxton (John Braxton), 1823 or 1825-1897.
Date:
[between 1860 and 1869?]
Catalogue details

Licence: Public Domain Mark

Credit: Report of forty-one cases of uterine polypi : with remarks / by J. Braxton Hicks. Source: Wellcome Collection.

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    tumour of the uterine walls, and the line of ecrasement just avoided it. Case 27.—S. S—, set. 48, married, very anaemic. Had for ten years had severe metrorrhagia. She was under my care four years before, but then there was no appearance of polypus, although one was suspected, but she refused to undergo exploration. It appears that some months before admission she had lost a large amount of blood per vaginam, and she again called on me. I found a large polypus filling up the upper part of the vagina. She was taken in and I removed it. This wras effected by the wire-rope ecraseur, the loop of which was passed up by two curved canulae. These were attached to the loop by loops of single wire, which ran through them. The two canulae were first introduced between the posterior wall of the vagina and the polypus, while the shank of the ecraseur was pushed up in front. This carried the loop readily past the equator of the polypus. The rope was then tightened and properly fixed, and the severance accomplished without any haemorrhage. The polypus was removed by the short forceps. She went on well till about a week after, when, after an action of the bowels, she was attacked with severe pain and tenderness in region of uterus, with much feverishness and vomiting. This continued for two days, when it began to subside, but it was a fortnight before she was able to move much in bed. She continued to improve and went out well. There was a peculiarity in this case, in consequence of the rigidity of the vagina, which would not let the polypus de¬ scend ; the uterus was thereby pushed aside by the polypus to the left side, where (somewhat enlarged) it remained till after the abstraction of the polypus. The attack which succeeded was probably local peritonitis, at least it was unattended with any swelling. Upon examination of the uterus just before leaving, the 03 uteri was found normally contracted, but the uterus somewhat enlarged. The vagina had become of the same size throughout. Case 28.—Miss B—, set. 54, had been suffering 3 from