[Anomalies and Curiosities of Medicine by George M. Gould]@TWC D-Link book
Anomalies and Curiosities of Medicine

CHAPTER II
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The opening was so small that he had to enlarge it with a bistoury to replace the bowel, which was dark and congested; he sutured the wound with silver wire, but the child subsequently died.
Tiffany of Baltimore has collected excellent statistics of operations during pregnancy; and Mann of Buffalo has done the same work, limiting himself to operations on the pelvic organs, where interference is supposed to have been particularly contraindicated in pregnancy.

Mann, after giving his individual cases, makes the following summary and conclusions:-- (1) Pregnancy is not a general bar to operations, as has been supposed.
(2) Union of the denuded surfaces is the rule, and the cicatricial tissue, formed during the earlier months of pregnancy, is strong enough to resist the shock of labor at term.
(3) Operations on the vulva are of little danger to mother or child.
(4) Operations on the vagina are liable to cause severe hemorrhage, but otherwise are not dangerous.
(5) Venereal vegetations or warts are best treated by removal.
(6) Applications of silver nitrate or astringents may be safely made to the vagina.

For such application, phenol or iodin should not be used, pure or in strong solution.
(7) Operations on the bladder or urethra are not dangerous or liable to be followed by abortion.
(8) Operations for vesicovaginal fistulae should not be done, as they are dangerous, and are liable to be followed by much hemorrhage and abortion.
(9) Plastic operations may be done in the earlier months of pregnancy with fair prospects of a safe and successful issue.
(10) Small polypi may be treated by torsion or astringents.

If cut, there is likely to be a subsequent abortion.
(11) Large polypi removed toward the close of pregnancy will cause hemorrhage.
(12) Carcinoma of the cervix should be removed at once.
A few of the examples on record of operations during pregnancy of special interest, will be given below.

Polaillon speaks of a double ovariotomy on a woman pregnant at three months, with the subsequent birth of a living child at term.


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