Transactions of the New York Obstetrical Society Volume 1894-1895 (Paperback)

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. 1895 Excerpt: ...Dr. Dudley said that although he had had no personal experience in this class of cases, he believed that fine silk sutures would be better than catgut for suturing the ureter. He employed a fine cambric needle and fine floss silk in his abdominal work. The method of anastomosis seemed to him the best one where it was possible to accomplish it. Dr. Emmet, in closing the discussion, said it was true that the main question was still, to what extent could the urerer be drawn upon to be fixed in the bladder when the injury had been at some distance from that viscus; but certainly such a procedure would in most cases render the calibre of the ureter much less and thus lead to hydronephrosis. Experiments on the lower animals would seem to indicate that there is more to be feared from partial than from complete occlusion, and that in the latter case the kidney on the affected side undergoes atrophy without producing any harmful results. For these reasons he thought with Guyon that we might even ligate the ureter and drop it hack, if we could not make a proper anastomosis or insert it into the bladder. Stated Meeting, February 19?A, 1895. The President, Bache Mcevers Emmet, M.D., in the Chair. Dr. Malcolm Mclean presented the history of a case of Interstitial Pregnancy Simulating Pelvic Tumor; Celiotomy. In December, 1894, Mrs. M. A., 26 years, married, was admitted to St. Andrew's Infirmary for Women, suffering agonizing pains in the pelvic and lower abdominal regions. She was of rather low order of intelligence and could not give a very clear account of her history during the preceding few months of her marriage. However, it was learned that shortly after she was married she missed her usual menstrual flow, and was not sure about its reappearance during the past t...