Transactions of the American Association of Obstetricians and Gynecologists for the year (1908) (14577722479)

Identifier: transactionsofam2119amer (find matches)

Title: Transactions of the American Association of Obstetricians and Gynecologists for the year ...

Year: 1908 (1900s)

Authors: American Association of Obstetricians and Gynecologists

Subjects: American Association of Obstetricians and Gynecologists Gynecology Obstetrics Gynecology Obstetrics

Publisher: Philadelphia : The Association

Contributing Library: Columbia University Libraries

Digitizing Sponsor: National Endowment for the Humanities (NEH)

Text Appearing Before Image:

d fetuses of ad-vanced age, either macerated and decomposed or in the form oflithopedion, have been removed by operative intervention. Extrauterine pregnancy with a viable fetus is still, however,of sufficient rarity to command more than passing interest, par-ticularly as there are many questions, especially in regard to thetreatment, which have by no means been finally settled, and anycase of this character may, therefore, help to contribute to amore definite knowledge of this freak of nature and its successfultreatment. It is for this reason that I wish to put on record the 126 ECTOPIC GESTATION WITH VIABLE CHILD. 127 three cases which it has been my unusual fortune to see duringmy experience and to give the result of their operative treatment. As the first case was fully reported in the New York MedicalRecord, November 24, 1894, and in the Transactions of theAmerican Association of Obstetricians and Gynecologists, only abrief review of the most important features will be submitted.

Text Appearing After Image:

Case I. Case I.—Mrs. F. McC, age thirty-five, referred by Dr. Wallace,of East Brady, was admitted to Mercy Hospital, January 23, 1894,when the diagnosis of extrauterine pregnancy with living fetus ofsix months was made. Operation was deferred in the interestof the fetus until April 4, when she was delivered by abdominal 128 X. O. WERDER, section of a living child. It was contained in a sac to whichnumerous loops of intestines were adherent and which terminatedbetween the folds of the broad ligament. The attempted ex-tirpation of the sac was interrupted by a frightful hemorrhagefrom the placenta; while my assistant used sponge pressure overthe placenta, I rapidly clamped the ovarian artery in the left in-fundibulo-pelvic ligament and with another forceps clamped thebranches of the uterine artery along the left border of the uterus,which at once controlled the hemorrhage so that the placenta,which was spread out over the spinal column and the right pos-terior wall of the pelvis, could

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1908

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