SUPPLEMENT 
TO THE 
PITTSBURGH MEDICAL REVIEW. 
422 I^Jeeer^ 
/ffodonQinetl He®tior?s. AN ANALYSIS 
OF 
Four hundred and Twenty-two recent, unselected American 
Laparotomies. 
TABLES REPRINTED FROM 1st VOL. PITTSBURGH MEDICAL REVIEW. 
PITTSBURGH: 
Murdoch, Kerr & Co., Printers. 
1888. AN ANALYSIS OF FOUR HUNDRED AND TWENTY-TWO RECENT, 
UNSELECTED AMERICAN LAPAROTOMIES. 
The accompanying tables are reprinted from the 
first volume of the Pittsburgh Medical Keview. 
They record four hundred and twenty-two recent, un- 
selected abdominal sections, done by fifty-one differ- 
ent operators throughout the United States, and it is 
believed they fairly represent the status of abdominal 
section in this country at present. While the reports 
are not to be understood as including the entire work 
of each surgeon who has contributed cases, they are, 
nevertheless, in no sense selected : in every instance 
they are consecutive cases, and include all the opera- 
tions of the specified kind done by the surgeon dur- 
ing the time covered by his report. 
The details of all of these reports have been secured 
directly from the operators themselves, and are there- 
fore of assured accuracy. Moreover, these operations 
have all been done within a period of two years, 
none prior to January 1, 1886 being recorded, so 
that they reflect the recent results in America of the 
laborers in this field of surgery. The appended 
analysis, while far from being exhaustive, reveals 
some facts that it is hoped will he of interest and not 
wholly devoid of value. 
The editors of the Review propose to continue this 
effort of collating the statistics of American laparoto- 
my, and they offer the following pages as the initial 
installment of a work that they trust will, in the fu- 
ture, rise to the dignity of an acceptable contribution 
to the literature of abdominal surgery. 
GENERAL CLASSIFICATION. 
Laparotomies for removal of ovarian and paro- 
varian tumors 207 
Laparotomies for removal of ovaries not the 
seat of tumor 115 
Laparotomies for other purposes than the re- 
moval of ovaries 100 
AGE. 
NO. 
OASES. 
NO. 
DEATHS. 
MORTALITY. 
Between 51 and 60 years. 
. 29 
3 
10.3 per cent. 
“ 61 “ 70 “ 
7 
2 
28.6 “ 
“ 71 “ 74 “ 
2 
0 
0 “ 
Age not stated in 
1 
0 
0 “ 
Total 
207 
27 
13 “ 
SOCIAL CONDITION. 
Single 56 
Married 131 
Widows 14 
Not stated 6 
NUMBER OF CHILDREN. 
Single women who had borne no children 45 
Married “ “ “ “ “ “ 36 
Women “ “ “1 child 20 
“ “ “ “2 children 27 
II It II It 0 ti 21 
11 II II II 4 II g 
ii ii it it g it '7 
“ “ ‘i ii g n 5 
ii u u ii 7 a j 
a ii it it g u 
u ii it ii g ii 4 
II II II II IQ |l 
‘I II [! II 44 II 4 
“ “ “ “ 13 “ , 1 
Number of children not stated in 24 
QUESTION OF TAPPING. 
Number of patients tapped 1 time 20 
“ “ “ 2 times 5 
“ “ “ 3 “ 4 
“ “ ‘I 4 ii 4 
“ “ “ 6 “ 2 
ii it a ij a j 
“ “ “ 10 “ 1 
“ “ “ 11 “ 2 
Total number tapped 39 
Number of patients not tapped 124 
Tapping not noted in 44 
Of 124 cases not tapped, 13 died 10.5 per cent. 
“ 39 “ “ 6 “ 15.4 “ 
LAPAROTOMIES FOR REMOVAL OF OVARIAN AND PARO- 
VARIAN TUMORS, 
AGE. 
NO. 
CASES. 
NO. 
DEATHS. MORTALITY. 
Between 15 and 20 years 
. 8 
1 12.5 per cent. 
(< 
21 “ 30 “ 
50 
5 10. “ 
U 
31 “ 40 “ 
60 
7 11.7 “ 
<( 
41 “ 50 “ 
50 
9 18. “ 4 
TIME SINCE FIRST NOTICED. 
Length of time not stated in 52 
Tumor unnoticed before operation 4 
Noticed 1 year or less before operation 69 
“ between 1 and 2 years before operation. 39 
“ “ 2 “ 3 “ “ “ 12 
u u 3 u 4 (< “ “ 12 
“ “ 4 “ 30 “ “ “ 19 
Of these last 19, but 1 died. 
Of 155 cases, in which the length of time since the 
discovery of the disease is noted, the average time 
was 2 years and 7 months. 
Of these, 136 recovered, and the average time in 
these successful cases was 2 years and 9 months ; 19 
died, and the average time in these fatal cases was 1 
year and six months. 
NATURE AND SIZE OF TUMORS. 
Of 147 tumors whose character was specified, there 
were 70 multilocular ovarian cysts (66 single ; 2 
double) from 68 patients, of whom 6 died ; 
29 unilocular ovarian cysts from 29 patients, of 
whom 2 died ; 
14 dermoid cysts (10 single ; 2 double) from 12 pa- 
tients, of whom none died ; 
12 parovarian cysts from 12 patients, of whom none 
died ; 
6 papillomata (2 single ; 2 double) from 4 patients, 
of whom 1 died ; 
6 sarcomata from 6 patients, of whom 3 died ; 
5 carcinomata (3 single ; 1 double) from 4 patients, 
of whom 3 died ; 
3 fibro-cysts from 3 patients, of whom none died ; 
1 fibroma (ovarian); patient recovered. 
1 myxoma ; patient recovered. 
Of 155 cases in which the weight of the tumor is 
noted there were, 
5 lbs. or less 28 cases ; 
Between 5 and 10 lbs 15 “ 
“ 10 “ 20 “ 57 “ 
“ 20 “ 30 “ 23 “ 
“ 30 “ 40 “ 9 “ 
“ 40 “ 50 “ 12 “ 
“ 50 “ 60 “ 6 “ 
“ 60 “ 111* “ 5 “ 
Average weight, 211 lbs. 
In 38 there were slight or moderate adhesions ; of 
these there were 3 deaths, a mortality of 7.9 per cent. 
In 83 there were extensive, universal, intestinal or 
pelvic adhesions ; of these, 15 died, a mortality of 18 
per cent. 
TREATMENT OF PEDICLE. 
Tied and dropped '. 192 cases. 
“ “ sewed into wound 1 “ 
Clamped 2 “ 
No pedicle 7 “ 
Treatment not specified 5 “ 
DRAINAGE. 
Drained 45 
Not drained 145 
Drainage not noted 17 
PLACE OF OPERATION. 
Private Hospital, 
NO. 
CASES. 
101 
NO. 
DEATHS. 
12 
MORTALITY. 
11.9 per cent. 
Hospital, 
46 
7 
15.2 “ 
Private, 
60 
8 
13.3 “ 
Total 
207 
27 
13. “ 
REMARKS. 
Peritonitis existed at time of operation in 6 pa- 
tients, of whom 1 died. 
Septicaemia was present in 1 case which recovered. 
Abscess communicating with intestine complicated 
1 case, which was fatal. 
Suppurating cysts numbered 7, with 5 deaths. 
Rupture of cyst prior to operation had taken place 
in 8 cases ; of these 2 died. 
Twisted pedicle existed in 5 cases ; 1 died. 
The tumor was intraligamentous in 5 cases ; 2 died. 
Tumors were enucleated in 2 cases ; 1 died. 
Inseparable tumors were stitched to external wound 
and drained in 5 cases ; 1 died. 
Part only of the tumor was removed in 2 cases ; 
both recovered. 
One incomplete operation proved fatal. 
Suture of uterus to abdominal wall for procidentia 
(in addition to ovariotomy) was successfully practiced 
in 1 case. 
In 2 cases labor had preceded the operation by 5 
and 7 weeks respectively ; both recovered. 
In 1 case premature labor at 7 months had been 
induced 5 weeks before operation ; both mother and 
child survived. 
In 1 case abortion followed 10 days after operation ; 
the woman recovered. 
In 1 case labor at 8 months occurred on the 7th day 
after operation ; the patient died. 
In 2 cases, pregnant respectively 4 and 5 months, 
gestation was not interrupted. 
In 2 cases the abdomen was reopened, in one to 
check hemorrhage from pedicle, in the other on ac- 
count of suspected suppuration ; both died. 
NUMBER OF OVARIES REMOVED. 
NO. NO. 
CASES. DEATHS. 
MORTALITY. 
One ovary removed, 
128 15 
11.7 per cent. 
Both ovaries removed. 
, 65 9 
13.8 “ 
Number removed not stated in 14 cases. 
ADHESIONS. 
Of 200 cases in which the matter of adhesions is 
noted, 
In 79 there were no adhesions ; of these there were 
6 deaths, a mortality of 7.6 per cent. CAUSE OF DEATH. 
Of the 27 fatal cases, the cause of death is reported 
in 18, as follows ; Shock, 2 ; tetanus 2 ; peritonitis, 
1 ; hemorrhage, 2 ; exhaustion, 3 ; intestinal obstruc- 
tion, 2 ; septicaemia, 5 ; capillary bronchitis, 1. 
LAPAROTOMIES FOR REMOVAL OF OVARIES NOT THE SEAT 
OF TUMOR. 
AGE. 
Between 17 and 25 years 37 
26 “ 35 “ 61 
“ 36 “ 40 “ 10 
“ 41 “ 50 “ 5 
Age not stated in 2 
SOCIAL CONDITION. 
Single (of these 3 had borne children) 45 
Married 62 
Widows 4 
Social condition not stated in 4 
NUMBER OF CHILDREN. 
Single women who had borne no children 18 
Married “ “ “ “ “ 16 
Women “ “ “ 1 child 19 
“ “ “ “ 2 children 6 
U u u u g u g 
“ “ “ more than 3 child’n 5 
Number of children not stated in 48 
PATHOLOGICAL CONDITIONS AND SYMPTOMS. 
Pathological condition alone is stated in 67 cases. 
Symptoms necessitating operation alone are 
stated in 8 “ 
Both pathological condition and symptoms 
stated in 40 “ 
In many cases, of course, a number of pathological 
conditions and symptoms co-exist in the same case. 
« 
PATHOLOGICAL CONDITIONS STATED. 
Dislocation of a single ovary...- 3 cases. 
“ “ hoth ovaries 9 “ 
“ “ “ (one or both not 
stated) 1 “ 
One ovary adherent 1 “ 
Both ovaries “ 4 “ 
Atrophy of a single ovary 1 “ 
Single ovaritis 4 “ 
Double “ 8 “ 
Ovaritis (single or double not stated) 23 “ 
Cirrhosis of a single ovary 1 “ 
“ “ both ovaries 2 “ 
“ (one or both not 
stated) 2 “ 
One ovary cystic 2 “ 
Both ovaries cystic 21 “ 
Hsematoma of ovary 1 “ 
Abscess of a single ovary 10 “ 
“ “ both ovaries 3 “ 
Small fibromata on ovaries 1 “ 
Single salpingitis 3 “ 
Double “ 3 “ 
Salpingitis (single or double not stated) 10 “ 
Both tubes cystic 5 “ 
Single haunatosalpinx 1 “ 
Single pyosalpinx 8 “ 
Double “ 9 “ 
Pyosalpinx (single or double not stated)..... 13 “ 
Occlusion of one tube 2 “ 
“ “ both tubes 8 “ 
Congenital defect of ovaries and tubes 1 “ 
Retroflexion of uterus with repeated pelvic 
inflammations 1 “ 
Uterine fibroma 7 “ 
COMPLICATIONS. 
Pelvic peritonitis in 3 cases. 
“ abscess in 2 “ 
Parovarian cyst in 2 “ 
SYMPTOMS STATED. 
Hystero-epilepsy 11 cases. 
Mental aberration 4 “ 
Dysmenorrhoea 6 “ 
Uterine hemorrhage 4 “ 
Pain 31 “ 
Confirmed invalidism 13 “ 
NUMBER OF OVARIES REMOVED. 
Single ovary removed in 23 cases. 
Both ovaries “ “ 92 “ 
ADHESIONS. 
Adhesions existed in 78 cases. 
were absent in 18 “ 
“ “ not noted in 19 “ 
TREATMENT OF PEDICLE. 
Tied and dropped in 106 cases. 
Abscess sac sewed into wound in 1 “ 
Treatment not noted in 8 “ 
DRAINAGE. 
Drained 35 cases. 
Not drained 64 “ 
Drainage not noted 16 “ 
PLACE OF OPERATION. 
Hospital 45 cases 
Private Hospital 26 “ 
Private 44 “ 6 
MORTALITY LIST. 
Of these 115 cases, 10 died—a mortality of 8.7 per 
cent. 
1. Death in 2 hours from shock of operation done 
during acute peritonitis following rupture of ovarian 
abscess. 
2. Death on 7th day from rupture of secondary 
omental abscess, the wall of an ovarian abscess hav' 
ing been sewed into wound. 
3. Death from sepsis following extirpation of 
ovarian abscess which hurst during removal. 
4. Death from pyosalpinx operation done during 
peritonitis on 11th day of puerperium. 
5. Death from pyosalpinx operation done during 
acute peritonitis and intestinal obstruction. 
6. Death from pyosalpinx operation—cause not 
stated. 
7. Death from uraemia after removal of ovaries 
and tubes for mental aberration. 
8. Death from syncope after removal of cystic 
and cirrhotic ovaries. 
9. Death from double pneumonia after removal of 
cystic ovaries. 
10. Death after removal of ovaries for hystero- 
epilepsy. 
EFFECT OF OPERATION UPON THE CONDITION 
REQUIRING IT. 
Operations for removal of ovaries or tubes the subject of 
inflammatory disease. 
Cure 44 cases. 
Complete relief. 3 “ 
Improved 12 “ 
Doubtful 1 “ 
Not stated 3 “ 
Total 63 “ 
Operations for removal of cystic ovaries with accompany- 
ing symptoms. 
Cure 3 cases. 
Improved 4 “ 
Not stated 2 “ 
Total 9 “ 
Operations for removal of cystic tubes with attendant 
symptoms. 
Cure 3 cases. 
Improved 1 “ 
Total 4 “ 
Operations for adherent ovaries and tubes. 
Cure 2 cases. 
Temporary relief only 1 “ 
Total 3 “ 
Operation for hcematosalpinx. 
Cure 1 case. 
Operations for hemorrhage from uterine fibroma. 
Cure 1 case. 
Improved 2 “ 
No definite result yet 1 “ 
Total 4 “ 
Operations for pain from uterine fibroma. 
Cure 1 case. 
Some improvement 1 “ 
Total 2 “ 
Operation for dyimenorrhcea. 
Cure 1 case. 
Operations for dysmenorrhcea with convulsions. 
Cure 1 case. 
Improved..... 2 “ 
No permanent effect 1 “ 
Total 4 “ 
Operations for hystero-epilepsy. 
Cure 3 cases. 
Relieved so far 1 “ 
Much improved 1 “ 
Pain cured, but convulsions con- 
tinue 1 “ 
Total 6 “ 
Operations for ovarian insanity. 
Encouraging 1 case. 
Temporary effect 1 “ 
Total 2 “ 
Operation for menstrual insanity. 
Cure 1 case. 
Operations for ovarian neuralgia. 
Cure 1 case. 
Great relief. 1 “ 
Total 2 “ 
Operation for retroflexion with repeated pelvic inflamma- 
tions. 
Cure 1 case. 
Opera'ion for chronic invalidism with pelvic pain. 
Improved 1 case. 
Operation for congenital defect of ovary and tubes. 
Cure 1 case. 
REMARKS. 
Tubes were removed with the ovaries in 88 cases. 
In 4 cases both ovaries and tubes were removed, 
and menstruation continued. 
Gonorrhoeal history was noted in 2 cases. 7 
LAPAROTOMIES FOR OTHER PURPOSES THAN REMOVAL 
OF OVARIES. 
CLASSIFICATION. 
NO. CASES. 
1. Exploratory incisions 31 
2. Sections for drainage 8 
3. Sections for evacuation of abscesses 10 
4. Sections for evacuation of blood-collections.. 4 
5. Section for drainage of cyst 1 
6. Sections for release of adhesions 2 
7. Sections for relief of intestinal obstruction.. 12 
8. Gastrotomy 2 
9. Sections for partial or entire removal of 
tumors other than ovarian 6 
10. Section for extra-uterine foetation 1 
11. Hysterectomy 8 
12. Nephrectomy 1 
13. Splenectomy 1 
14. Sections for traumatism 8 
15. Section for repair of vermiform appendix... 1 
16. Cholecystotomy 1 
17. Sections for radical cure of hernia not 
strangulated 3 
The exploratory incisions were for the following 
causes : 
Ovaries and tubes the subject of inflam- 
matory disease and too adherent for re- 
moval 3 cases. 
Chronic pelvic peritonitis 1 “ 
Suppurative peritonitis 1 “ 
Tumors of omentum 3 “ 
Tumor of spleen 1 “ 
Adherent uterine fibro-cyst 1 “ 
Adherent uterine fibroids 4 “ 
Cancer of stomach 1 “ 
Cancer of ovary surrounding rectum 1 “ 
Cancer of peritoneum 1 “ 
Sarcoma of liver 1 “ 
Sarcoma of kidney 1 “ 
Sarcoma of ovary (adherent) 1 “ 
Sarcoma—Retroperitoneal 1 “ 
Papilloma of uterus and ovary 1 “ 
Cyst of kidney 1 “ 
Encysted peritoneal dropsy 1 “ 
Ascites from malignant disease 1 “ 
Ascites from unknown cause 1 “ 
Tubercular peritonitis 3 “ 
Perforating gall-stone (irremovable) 1 “ 
Fcecal fistula 1 “ 
The sections for drainage were all for peritonitis ; 1 
puerperal; 5 tubercular; 1 acute septic from burst- 
ing pyosalpinx ; 1, nature not stated. 
The sections for the evacuation of abscesses were for 
the following : 6 pelvic ; 1 perityphlitic ; 1 hepatic ; 
1 perivesical; 1 suppurating cyst of urachus. 
The sections for evacuation of blood-collections were : 
3 for intra-peritoneal hsematocele and 1 for haema- 
toma of broad ligament. 
The sections for relief of intestinal obstruction were : 
4 for external strangulated hernia ; 5 for constricting 
hands ; 1 for adhesion to abdominal wall; and 2 for 
volvulus. 
Of the gastrotomies, one was for the extraction of a 
foreign body, the other for the formation of a fistula. 
Of the sections for entire or partial removal of tumors, 
4 were for uterine fibroids, 1 for cancer of omentum, 
and 1 for cyst of mesentery. 
Of the sections for traumatism, 4 were for shot 
wounds, 3 for stab wounds and 1 for ruptured bladder. 
RESULTS. 
T3 
© 
> 
O 
© 
© 
Sh 
ft 
a 
w 
© 
*6 
© 
c3 
6 
ft 
ft 
EH 
Exploratory incisions 
2 
5 
20 
4 
31 
1 
1 
1 
1 
*1 
3 
1 
5 
1 
1 
“ “ evacuation of abscess 
9 
1 
10 
“ blood-collection 
3 
1 
4 
“ “ drainage of cyst 
1 
I 
“ “ release of adhesions 
1 
1 
2 
“ “ relief of intestinal obstruction . 
3 
7 
10 
2 
2 
“ “ gastrotomy for foreign body ... . 
“ “ formation of gastric fistula 
1 
1 
1 
1 
“ “ entire or partial removal of tumors 
1 
2 
3 
6 
“ “ ruptured tubal pregnancy 
1 
1 
Hysterectomy 
2 
6 
8 
Nephrectomy 
1 
1 
Splenectomy 
1 
1 
2 
2 
“ “ “ of liver .. ' 
1 
1 
1 
1 
3 
3 
1 
1 
“ “ ligation of vermiform appendix, 
1 
1 
1 
1 
Sections for rad. cure of hernia not strangulated 
Total 
3 
3 
34 
13 
22 
31 
100 
* Another case of cure of tubercular peritonitis 
is 
tabulated 
above as a cure by exploratory incision, as no 
drainage 
was 
used. 
Of the entire number of laparotomies here recorded, 
177 had been reported before, 126 had not before been 
reported, and in 119 cases this question was un- 
answered. 8 
OPERATORS: 
NO. CASKS REPORTED. 
Dr. Washington Akin 1 
“ W. F. Atlee 4 
“ J. M. Baldy * 7 
“ Eobert Battey 2 
“ Henry Beates, Jr 6 
“ E. B. Bontecou 1 
“ J. D. Bryant 1 
“ J. J. Buchanan 2 
“ N. B. Carson 7 
“ D. W. Cheever 3 
“ N. P. Dandridge 1 
“ Joseph Eastman 18 
“ William Goodell 29 
“ S. W. Gross 4 
“ Virgil O. Hardon 2 
“ Neil Hardy 1 
“ J. W. Heddens, 3 
“ Hampton E. Hill. 8 
“ H. O. Hitchcock 5 
“ John Homans 33 
“ Edward J. Ill 17 
“ A. Eeeves Jackson 3 
“ C. A. Jersey 2 
“ Joseph Taber Johnson 12 
“ A. W. Johnstone 9 
“ Mary A. Dixon-Jones 12 
NO. CASKS REPORTED. 
Dr. B. A. Kinloch 5 
“ Daniel Longaker 3 
“ Matthew D. Mann 15 
“ A. S. von Mansfelde 2 
“ Henry O. Marcy 4 
“ E. B. Maury 8 
“ T. J. Maxwell 3 
“ E. E. Montgomery 10 
“ Eobert T. Morris 3 
“ Paul F. Munde 26 
“ W. H. Myers 6 
“ L. S. McMurtry 2 
“ F. K. Owen . 1 
“ M. Price 3 
“ David Prince 7 
“ John C. Eeeve . 3 
“ M. H. Eichardson 10 
“ E. S. Sutton 20 
“ L. McLane Tiffany 5 
“ A. Yander Yeer 22 
“ J. E. Weist 6 
“ X. O. Werder 2 
“ William C. Wile 6 
“ Elwood Wilson 1 
“ W. Gill Wylie 56 STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period 
covered by his report. 
No. 
Operator. 
Date of 
Operation. 
Age. 
Married or 
Single. 
No. of 
Children. 
No. 
Tappings. 
Time since 
first noticed. 
8ire and Nature 
of Tumor. 
One or 
both Ovaries ? 
Adhesions. 
Treatment of 
Pedicle 
1 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere? 
Nos. 1 to 33, in- 
elusive, Antisep- 
48 lbs. Cyst of rt. 
tic, with Carbol. 
1 
Dr. John Homans, Boston, Mass.... 
Jan. 9, ’86. 
38 
W 
2 
2 
12 yrs. 
broad lig. 
One. 
None. 
Tied and burnt. 
None. 
H 
R 
Spray. 
8% lbs. Round 
Patient feeble 
cell sarcoma of 1. 
before operation. 
2 
14 
II 
44 
Jan. 14, ’86. 
21 
S 
0 
0 
4 mos. 
ovary with ascites. 
44 
44 
II 
44 
II 
D 
Death on 9th day 
86 lbs. Multiloc. 
Universal 
3 
44 
II 
44 
Jan. 16, ’86. 
51 
M 
2 
0 
3 yrs. 
cyst of r. ovary. 
44 
parietal. 
44 
44 
H 
R 
40% lbs. Multiloc. 
4 
II 
44 
44 
Jan. 19, ’86. 
33 
M 
1 
1 
2 yrs. 
cyst of 1. ovary. 
44 
44 
44 
44 
H 
R 
* 
43 lbs. Multiloc. 
44 
5 
44 
II 
II 
Jan. 27, ’86. 
35 
M 
4 
4 
2 yrs. 
cyst of r. ovary. 
44 
and intestinal. 
44 
44 
H 
R 
In articulomor- 
tis when operated 
upon, and proba- 
L. ovary gangren- 
bly had not one 
ous, with twisted 
Slight, recent, in- 
chance in a mil- 
6 
II 
II 
II 
Jan. 28, ’86. 
52 
M 
0 
1 
1 week. 
pedicle. 
44 
testinal. 
41 
41 
II 
D 
lion of recovering. 
R. ovarv % lb. L. 
/ 
ovary % lb. Papil- 
7 
44 
II 
Feb. 1, ’86. 
26 
M 
1 
1 
2 yrs. 
lomat. with ascites. 
Both. 
Pelvic. 
Yes. 
II 
R 
Desperate case. 
Multiloc., rotten, 
friable, adherent 
Peritonitis at 
8 
II 
44 
14 
Feb. 8, ’86. 
49 
W 
0 
1 
6 mos. 
cyst of 1. ovary. 
One. 
Intestinal. 
II 
None. 
II 
R 
time of operation. 
Multiloc. cyst of r. 
9 
II 
II 
Feb. 13. ’86. 
19 
s 
0 
0 
10 mos. 
ovary. 
44 
None. 
14 
44 
11 
R 
As< ites present. 
Largely solid: 
15 lbs. Multiloc. 
cyst 7 lbs.; fluid 8 
10 
(1 
44 
II 
Feb. 16,’86. 
48 
M 
2 
1 
7 mos. 
cyst of r. ovary. 
44 
General. 
II 
44 
H 
R 
lbs. 
14% lbs. Papillo- 
11 
44 
41 
Feb. 16, ’86. 
53 
M 
4 
0 
6 mos. 
ma ot r. ovary. 
44 
None. 
44 
H 
R 
28% lbs. Multiloc. 
12 
14 
II 
II 
Mar. 4, ’86. 
24 
M 
0 
0 
11 mos. 
cyst of r. ovary. 
41 
44 
44 
44 
H 
R 
45 lbs. Multiloc. 
cyst of r. ovary,with 
13 
II 
Mar. 30, ’86. 
25 
S 
0 
0 
4 yrs. 
ascites. 
44 
44 
II 
H 
R 
22 lbs. Multiloc. 
14 
II 
14 
Apr. 1, ’86. 
36 
M 
0 
0 
2 weeks. 
cyst of r. ovary. 
44 
14 
“ 
II 
R 10 
No. 
Operator. 
Date of 
Operation. 
© 
bJD 
1 Married or 
| Single. 
I No. of 
1 ( hildren. 
br 
. S3 
© *s 
& £ 
cs 
H 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries? 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Privaie. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere? 
Multiloc. cyst ofr. 
Pedicle twisted, 
ovary, with twisted 
vessels plugged. 
15 
Dr. John Homans, (Continued) 
Apr. 1, ’86. 
35 
M 
2 
0 
6 mos. 
ped icle. 
One. 
None. 
Tied and burnt. 
None. 
H 
R 
tumor gangrenous 
Both ovaries papil- 
Universal pari- 
A long, difficult 
lomatous; 5 lbs. and 
etal and intesti- 
operation. Death 
16 
44 
Apr. 29, ’86. 
45 
S 
0 
0 
1 yr. 
2% lbs. Ascites. 
Both. 
nal. 
44 
44 
H 
D 
on 7th day. 
A piece of omen- 
3 lbs. and 10% lbs. 
tal tumor also re- 
17 
44 
44 
(i 
Apr. 22, ’86. 
42 
M 
5 
0 
1 week. 
Ascites. 
44 
Yes. 
«< 
44 
H 
R 
moved. 
Dermoid cyst of r. 
18 
May 22, ’86. 
41 
S 
0 
0 
4 yrs. 
ovary. 
One. 
Intestinal. 
u 
44 
H 
R 
44 
Cyst insepara- 
13 lbs. Multiloc 
ble; completely 
Un- 
cyst of 1. ovary and 
drawn up, siitched 
19 
44 
May 25, ’86. 
41 
M 
0 
0 
known. 
right. 
Both. 
44 
44 
Yes. 
P 
R 
and drained. 
19% lbs. Multiloc. 
20 
“ 
44 
u 
June 3, ’86. 
26 
M 
1 
c 
7 mos. 
cyst of 1. ovary. 
One. 
None. 
M 
None. 
H 
R 
Cyst wall in one 
Multiloc. cyst, of 
place 2 in. thictc. 
which ovary is un- 
Treated like Case 
21 
44 
June 3, ’86. 
34 
W 
0 
0 
4 moa. 
known. 
44 
Inseparable. 
(None.) 
Yes. 
H 
R 
19. 
Uniloc. cyst of r. 
22 
44 
u 
44 
June 7, ’86. 
37 
M 
2 
0 
3 weeks. 
ovary. 13% lbs. 
44 
None. 
Tied and burnt. 
None. 
H 
R 
Confined 7 weeks 
14 lbs. Multiloc. 
before and tapped 
cyst ot r. ovary. 3 oz. 
To every adjacent 
twice since con- 
23 
44 
44 
June 8, ’86. 
23 
M 
2 
4 
1 yr. 
1. ovary. 
Both. 
part. 
U 
44 
H 
R 
finement. 
Multiloc. cyst of 1. 
Confined5 weeks 
24 
44 
44 
44 
June 10, ’86. 
22 
M 
2 
1 
9 mos. 
ovary. 
One. 
Yes. 
44 
44 
H 
R 
before. 
Multiloc. cyst of r. 
25 
44 
44 
44 
July 6, ’86. 
43 
M 
10 
0 
8 mos. 
ovary. 
44 
<« 
44 
Yes. 
H 
R 
M ultiloc. cyst of r. 
ovary, with twisted 
26 
44 
44 
July 8, ’86. 
44 
S 
0 
0 
5 mos. 
pedicle. 
44 
None. 
44 
44 
II 
R 
Twisted pedicle. 
27 
44 
44 
July 9, ’86. 
56 
w 
0 
0 
3 yrs. 
25 lbs. L. ovary. 
44 
44 
44 
None. 
H 
R 
28 
44 
4/ 
July 27, ’86. 
34 
s 
0 
0 
15 mos. 
12 lbs. L. ovary. 
44 
44 
44 
44 
H 
R 
29 
a 
Sept. 4, ’86. 
23 
s 
0 
0 
mos. 
13 lbs. R. ovary. 
44 
44 
44 
H 
R 
ft} 
Cause of death 
30 
<< 
44 
Oct. 9, ’86. 
48 
M 
2 
0 
8 mos. 
Both 14 lbs. 
Both. 
Yes. 
44 
44 
H 
D 
—Tetanus. 
31 
44 
Oct. 16, ’83. 
60 
s 
0 
0 
25 yrs. 
111% lbs. L. ovary. 
One. 
44 
44 
44 
H 
R 
32 
44 
44 
Nov. 10, ’86. 
36(?) 
s 
0 
0 
1 yr. 
Lett, ovary. (?) 
“ 
44 
44 
44 
H 
R 
Twisled pedicle. 
33 
44 
Nov. 20, ’86. 
21 
s 
0 
0 
6 mos. 
L. ovary. 
None 
“ 
“ 
H 
R 
1 
STATISTICAL TABLES.—OVARIOTOMY. (Continued.) No. 
Operator. 
Date of 
Operation. 
© 
tc 
j Married or 
Single. 
I No. of 
| Children. 
No. 
| Tappings 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries? 
1 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death ) 
Remarks. 
Reported 
Elsewhere'.' 
34 
Dr. A. Reeves Jackson, Chicago, 111. 
Jan. 3, ’86. 
24 
S 
0 
0 
6 mos. 
16 lbs. Multiloc. 
One. 
None. 
Tied & dropped. 
None. 
P 
R 
35 
Feb. 25,’86. 
35 
M 
2 
0 
9 mos. 
8 lbs. Dermoid. 
CC 
P 
R 
36 
Dr. M. D. Mann, Buffalo, N. Y.... 
Jan. 11, ’86. 
16 
S 
0 
0 
15 mos. 
12 lbs. Multilos. 
u 
4, 
Tied & burnt off. 
H 
R 
37 
« ii “ 
Feb. 10, ’86. 
29 
M 
1 
0 
4 mos. 
7 lbs. “ 
“ 
ll 
“ 
11 
R 
Undoubted fi- 
broid. M uch asci- 
38 
cc cc u 
Feb. 18,’86. 
54 
M 
10 
0 
3 yrs. 
5 lbs. Solid fibroid. 
* C 
CC 
“ 
H 
R 
tes. 
Died four weeks 
later of Intestinal 
Obstruction, from 
adhesion to pedi- 
39 
u a cc 
Feb. 25, ’86. 
48 
M 
9 
0 
8 mos. 
15 lbs. Multiloc. 
CC 
Slight. 
H 
R(?) 
cle. 
Very extensive 
40 
ic « cc 
Mar. 25, ’86. 
56 
M 
6 
0 
4 yrs. 
40 lbs. “ 
and firm. 
IC 
“ 
II 
R 
Very bad case. 
41 
41 Cl Cl 
Apr. 28. ’86. 
18 
M 
0 
0 
3 yrs. 
12 lbs. “ 
“ 
Slight. 
“ 
“ 
H 
R 
Pedicle very 
% lb. Thin cyst. 
short. Patient fat. 
42 
cc 1C cc 
May 5, ’86. 
34 
M 
0 
0 
18 mos. 
Filled blood. 
“ 
Firm pelvic. 
cc 
“ 
H 
R 
Oper.very difficult 
20 lbs. Cyst of 
43 
cc ct cc 
May 19, ’86. 
59 
S 
0 
0 
18 mos. 
broad lig. 
None. 
“ 
H 
R 
29 lbs. Cyst of 
44 
44 It ll 
June 2, ’86. 
37 
S 
0 
0 
6 yrs. 
broad lig. 
cc 
CC 
“ 
“ 
H 
R 
45 
cc cc cc 
June 12, ’86. 
28 
M 
1 
0 
4 mos. 
10 lbs Monocyst. 
“ 
CC 
IC 
“ 
H 
R 
46 
tc c ll 
June 18, ’86. 
56 
M 
6 
0 
8 yrs. 
20 lbs. Double cvst. 
cc 
“ 
“ 
P 
R 
47 
a ll 1C 
Sept. 27, ’86. 
57 
S 
0 
0 
16 mos. 
8 lbs. Monocvst. 
“ 
IC 
<C 
“ 
P 
R 
48 
1C cc CC 
Sept. 28, ’86. 
53 
w 
13 
0 
9 mos. 
13 lbs. Multiloc. 
CC 
cc 
cc 
“ 
H 
R 
49 
ic cc cc 
Oct. 14, ’86. 
57 
s 
0 
1 
3 yrs. 
30 lbs. “ 
cc 
cc 
‘C 
“ 
11 
R 
50 
.c cc cc 
Oct. 28, ’86. 
21 
s 
0 
1 
6 mos. 
Cl 
cc 
cc 
H 
R 
54 lbs. Uniloc. of 
51 
Dr. Edward J. Ill, Newark, N. J.. 
Feb. 27, ’86. 
39 
s 
0 
0 
18 yrs. 
r. ovary. 
cc 
cc 
Double Lig. 
CC 
H 
R 
73 lbs. Multiloc. 
of r. ovary. L. ova- 
52 
1'. IC <C 
Nov 15, ’80. 
59 
s 
0 
0 
14 yrs. 
ry cystic. 
Both. 
cc 
“ 
H 
R 
• 
STATISTICAL TABLES.—OVARIOTOMY. (Continued.) STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period 
covered by his report. 
12 
No. 
Operator 
Date of 
Operation. 
© 
be 
<5 
1 Married or 
| Single. 
No. of 
Children. 
No. 
Tappings. 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Report e-' 
Elsewhei, 
53 
Dr. Henry 0. Marcy, Boston, Mass... 
Aug. 1, ’86. 
27 
S 
6 mos. 
30 lbs. Comp, 
cyst. Rt.ovary large; 
1. small. 
Both. 
None. 
Tendon Su- 
ture; Marcy 
shoemaker’s 
stitch. 
None. 
PH 
R 
Multiple cysts, 
very small and 
firm. 
No. 
54 
it l< fi 
Sept. 22, ’86. 
32 
M 
0 
2 yrs. 
18 lbs. Single 
cyst r. ovary. 
One. 
PH 
R 
Cyst wall very 
thick. 
55 
<« rt t« 
Oct. 23, ’86. 
32 
M 
0 
4 yrs. 
8 lbs. Single der- 
moid cyst of r.ovary. 
“ 
ii 
“ 
“ 
PH 
R 
Bony p 1 a t e in 
cyst wall 2x3 in. 
“ 
56 
it it it 
Nov. 11, ’86. 
26 
S 
0 
1 yr. 
23 lbs., R. ovary. 
L. size of egg. 
Both. 
“ 
Ii 
“ 
PH 
R 
Both tubes dis- 
eased and re- 
moved. 
Complete anti- 
sepsis, with car- 
bol. spray. 
“ 
57 
Dr. Robert Rome, Ga 
Mar. 1, ’86. 
43 
M 
1 
0 
9 yrs. 
Both dermoid. 
Pelvic. 
Ligated. 
Yes. 
PH 
R 
Trans. Ga. 
State Med. 
Assoc’n, ’86. 
58 
a it <i 
Mar. 30, ’86. 
31 
S 
0 
0 
2 yrs. 
22 lbs. Uniloc. 
cyst of r. ovary. L. 
ovary cystic. 
None. 
None. 
PH 
R 
Remo'd at same 
time a pediculated 
sarcoma of uterus. 
59 
Dr. R. B. Maury, Memphis, Tenn.... 
Jan. 7, ’86. 
46 
M 
7 
7 
2% yrs. 
60 lbs. Multiloc. 
cyst. Much solid 
matter. 
One. 
Extensive. 
If 
Yes. 
P 
R 
No. 
60 
it ti it 
Sept. 10, ’86. 
25 
M 
1 
2 
22 mos. 
56 lbs. Polycyst 
of rt. ovary. 
Both. 
if 
Si 
P 
R 
61 
ti Ci II 
Oct. 28, ’86. 
32 
M 
3 
0 
1 yr. 
30 lbs. Mostly 
solid. 
One. 
ii 
44 
P 
R 
Extensive peri- 
tonitis for months 
before operation. 
4< 
62 
ti II ti 
Nov. 12, ’86. 
35 
M 
0 
0 
15 yrs. 
20 lbs. Simple 
monocyst. 
None. 
None. 
P 
R 
63 
Dr. A. Rec res Jackson, Ch’cago, 111.. 
Nov. 3, ’86. 
39 
M 
3 
1 
4 yrs. 
3 lbs. Ovarian 
cyst. 
“ 
Adherent to every 
part. 
Tied and drop- 
ped. 
“ 
P 
R 
64 
Dr. Neal Hardy, U. Sandusky, 0 
■J 
Oct. 12, ’86. 
48 
M 
3 
1 
2 yrs. 
25' lbs. Multiloc. 
it 
Slight. 
Ligated in sec- 
tions and ret’d. 
P 
R  
No. 
Operator. 
Date of 
Operation. 
© 
be 
1 Married or 
| Single. 
No. of 
Children. 
No. 
1 Tappings. 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
1 Hospital or 
| Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
65 
Dr. Jos. Taber Johnson, Wash. D. C. 
Apr. 21, ’86. 
31 
M 
6 
0 
2 yrs. 
15 lbs. Parovar- 
One. 
None. 
Ligated silk 
None. 
P 
R 
Va. Med. 
ian cyst. 
and uropped. 
Alon’y, Uec. 
1886. 
66 
44 44 
44 
May 7, ’86. 
42 
M 
3 
0 
1 yr. 
20 lbs. Round cell 
Both. 
Few. 
44 
« 
H 
R 
44 
sarcoma. 
67 
u u 
44 
Oct. 28, ’86. 
31 
S 
0 
0 
3 mos. 
12 lbs. Parovar- 
ian cyst. 
One. 
None. 
44 
“ 
H 
R 
“ 
68 
44 <4 
44 
Nov. 11, ’86. 
48 
M 
5 
0 
1 yr. 
15 lbs. Round cell 
44 
Universal. 
Yes. 
H 
R 
*• 
sarcoma. 
69 
Dr. L. S. McMurtry, Danville, Ky. 
June 24, ’86. 
27 
M 
2 
0 
8 mos. 
Large monocyst. 
« 
Exten’ve parietal 
Silk Ligature. 
None. 
P 
R 
Med. Her. 
and omental. 
Universal to ab- 
Aug. 1886. 
70 
Nov. 18, ’86. 
31 
M 
4 
2 
2% yrs. 
Large polycyst. 
dom. wall, blad- 
der, and intes- 
tines. 
44 
Yes. 
P 
R 
71 
Dr. Wm. C. Wile, Newtown, Conn.... 
Jan. 11, ’86. 
63 
M 
0 
0 
2 yrs. 
12 lbs. Sim p 1 e 
One. 
Mural. 
Tied iron-dyed 
None. 
P 
D 
Extensive adhe- 
Conn. St. 
cyst of r. ovary. 
silk and drop- 
sions. All the vi- 
Med. Soci’y. 
M 
ped. 
cinity melted to- 
gether. 
N. E. Med. 
Monthly. 
72 
44 44 
44 
Feb. 12, ’86. 
49 
0 
0 
11 mos. 
42 lbs. L. ovary. 
None. 
“ 
“ 
P 
R 
No. 
73 
U 44 
.. 
Mar. 18, ’86. 
37 
S 
0 
0 
26 mos. 
47 lbs. Dou b 1 e 
Both. 
Abundant: al- 
44 
Yes. 
P 
D 
Double Suppur- 
cyst. 
most every wh’re 
ating cysts. 
74 
44 U 
44 
Mar. 20, ’86. 
52 
M 
8 
0 
9 mos. 
39 lbs. L. ovary. 
One. 
Moderate. 
44 
None. 
P 
R 
44 
75 
44 44 
44 
Mar. 28, ’86. 
41 
M 
3 
2 
1 yr. 
27 lbs. R. ovary. 
44 
4 
“ 
P 
R 
“ 
76 
44 44 
44 
May 10, ’86. 
53 
S 
0 
0 
11 mos. 
19 lbs. R. ovary. 
“ 
“ 
“ 
P 
R 
“ 
STATISTICAL TABLES.—OVARIOTOMY. (Continued.) 14 
No. 
Operator. 
Date of 
Operation. 
© 
be 
1 Married or 
Single. 
1 No. of 
1 Children. 
No. 
Tappings. • 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death ) 
Remarks. 
Reported 
Elsewhere. 
77 
Dr. Elwood Wilson, Philad’a, Pa 
Oct. 10, ’86. 
37 
S 
0 
0 
2 yrs. 
8 mos. 
Cyst size of goose 
egg- 
Both. 
Few. 
Dropped. 
None. 
H 
R 
Simple case. 
No. 
78 
Dr. David Prince, Jacksonville, 111... 
Feb. 3,’86. 
50 
w 
0 
0 
Large multiloc. 
One. 
None. 
Cat-gut Ligat’re. 
PH 
D 
Abscesses; one 
Am.Prac- 
communica ti n a 
tito'er, Apr. 
with intestinal 
canal. 
3 & 17,’86. 
79 
« « .. 
Feb. 25, ’86. 
26 
M 
3 
0 
5 yrs. 
43 lbs. Multiloc. 
«. 
Extensive. 
u 
« 
PH 
R 
Abortion ten 
44 
days after opera- 
tion. 
80 
t< 44 44 
May 13, ’86. 
20 
M 
1 
0 
1 yr. 
Medium Multiloc. 
“ 
Several. 
44 
“ 
PH 
R 
“ 
81 
(( 44 44 
June 2, ’86. 
47 
M 
0 
2 yrs. 
Cancer. 
“ 
Extensive. 
(None.) 
ti 
PH 
D 
No distinct ped- 
icle. 
No. 
82 
u <t « 
Aug. 5, ’86. 
38 
M 
0 
4(7) 
2 yrs. 
“ 
“ 
“ 
“ 
“ 
PH 
D 
“ 
“ 
83 
<1 It it 
Aug. 19, ’86. 
37 
M 
8 
1 
9 mos. 
Large Multiloc. 
“ 
Recent, extensive. 
Cat gut Ligat. 
“ 
PH 
R 
Prostrated, but 
made a good re- 
“ 
covery. 
84 
it u tt 
Nov. 11, ’86. 
25 
S 
0 
0 
1 yr. 
Multiloc. 
“ 
None. 
“ 
“ 
PH 
D 
Obstruction in 
small intestine. 
“ 
85 
Nov. 20, ’86. 
M 
2 
0 
Large parovarian 
cyst and cystic ova- 
Both. 
a 
Tied and cut off. 
PH 
R 
ion. Opeiation 
Surg. Rep. 
Jan. 1, ’87. 
ry on 1. side. R, ova- 
complete in 30 
ry cystic. 
minutes. No car- 
bol. or other chem- 
ical used in water 
or over instru- 
ments. 
86 
Dr. J. R. Weist, Richmond, Ind 
Jan. 7, ’86. 
37 
W 
3 
0 
2 yrs. 
15 lbs. Dermoid. 
One. 
Moderate. 
Silk. Cut short. 
“ 
H 
R 
No. 
87 
Dr. J. J. Buchanan, Pittsburgh, Pa.. 
Oct. 23, ’86. 
27 
M 
3 
0 
4 yrs. 
16 lbs. Multiloc. 
“ 
Extensive omen- 
Tied silk and 
•• 
P 
R 
44 
tal. 
dropped. 
STATISTICAL TABLES.—OVARIOTOMY. (Continued.) STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period 
covered by his report. 
No. 
Operator. 
Date of 
Operation. 
V 
be 
< 
Married or 
Single. 
No. of 
Children. 
No 
Tappings. 
Time since 
first noticed. 
Sue and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
88 
Dr. Wm. Goodell, Philadelphia, Pa. 
Jan. 10, ’86. 
20 
S 
0 
i 
15 lbs. Colloid cyst 
of r ovary. 
One. 
Pelvic. 
Tied with silk. 
None. 
PII 
R 
3fed. News, 
Jan. 29, ’87. 
89 
Jan. 24, ’86. 
36 
M 
5 
0 
58 lbs. R. ovary. 
Both. 
Universal. 
II 
PH 
R 
Dong and tedi- 
ous operation. 
Many ligat ures. 
ii 
90 
Jan. 25, ’86. 
21 
S 
0 
0 
2 lbs. Parovarian 
cyst of 1. side. 
One. 
None. 
PH 
R 
91 
“ “ 
it 
Jan. 31,’86. 
23 
S 
0 
0 
10 lbs. R. ovary. 
“ 
“ 
“ 
PH 
R 
ii 
92 
Feb 7,’86. 
54 
M 
0 
0 
20 lbs. Malignant 
colloid cyst of r. ova- 
ry. 
“ 
Omental. 
44 
H 
R 
Cyst had burst, 
infecting all ab- 
dominal organs. 
it 
93 
“ 
Feb. 14, ’86. 
48 
M 
2 
0 
5 lbs. R. ovary. 
Both. 
None. 
44 
44 
PH 
R 
94 
ii 
Mar. 7, ’86. 
57 
M 
5 
0 
10 lbs. Parovari- 
an cyst, r. side. 
“ 
“ 
14 
44 
PH 
R 
ti 
95 
44 It 
it 
Mar. 9, ’86. 
36 
M 
3 
0 
2 lbs. R. ovary. 
“ 
“ 
II 
“ 
H 
R 
it 
96 
it ti 
“ 
Mar. 21, ’86. 
49 
1 
6 
49 lbs. Cyst of 1. 
ovary. One pound 
dermoid of r. ovary. 
4< 
II 
PH 
R 
Bedridden for 
nine months. 
it 
97 
Apr. 25, ’86. 
45 
M 
2 
1 
20 lbs. R. ovary. 
One. 
Omental, parie- 
tal and intestinal. 
it 
“ 
PH 
R 
98 
it 
May 9, ’86. 
42 
W 
0 
0 
2 lbs. L. ovary. 
Both. 
Pelvic. 
<4 
PH 
R 
Multiple fibroids 
of womb. 
ii 
99 
it 
May 16, ’86. 
60 
W 
8 
0 
20 lbs. L. ovary. 
One. 
Parietal, omen- 
tal and intestinal. 
ii 
PH 
R 
Appendix vermi- 
formis dissected 
off cyst. 
ii 
100 
May 16, ’86. 
39 
s 
0 
0 
15 lbs. L. ovary ; 
1 lb. cyst of r. ovary. 
Both. 
Pelvic, parietal. 
II 
PH 
R 
101 
May 25, ’86. 
38 
s 
0 
3 
30 lbs. Cyst of r. 
ovary. 
Parietal and 
omental. 
P 
R 
Left ovary re- 
moved on account 
of multiple fi- 
broids of womb. 
102 
it 
it 
June 13, ’8 . 
31 
s 
0 
0 
1 lb. L. ovary. 
Pelvic. 
PH 
R No. 
Operator. 
Date of 
Operation. 
6 
to 
< 
1 Married or 
! Single. 
1 No. of 
| Children. 
No. 
1 Tappings. 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Privaie. 
Eesult: 
(Eecovery or 
Death.) 
Eemarks. 
Deported 
Elsewhere 
103 
June 17, ’86. 
23 
M 
0 
0 
10 lbs. Cyst of r. 
ovary. 1 lb. of 1. 
Both. 
Pelvic, omental 
and intestinal. 
Tied with silk. 
None. 
r H 
E 
Jan. 29, '87. 
ovary. 
5 lbs. Dermoid of 
r. ovary. % lb. 1. 
104 
II II 
u 
June 17, ’86. 
35 
S 
0 
0 
II 
1* 
It 
PH 
E 
E. ovary full of 
hair. 
II 
- 
and intestinal. 
M 
ovary. 
105 
II II 
I* 
June 22, ’86. 
43 
0 
0 
54 lbs. Intra-liga- 
mentous cyst. 
It 
Universal. 
Y s. 
PH 
D 
Died on table. 
<1 
106 
July 6, ’86. 
39 
M 
4 
0 
15 lbs. Intra-liga- 
mentous cyst of 1. 
One. 
Pelvic. 
None. 
PH 
E 
M 
ovary. 
107 
<1 11 
July 31, ’86. 
45 
0 
1 
50 lbs. Malignant 
colloid cyst of 1. 
Both. 
None. 
P 
E 
Cyst had burst, 
infecting every 
u 
Sept. 14, ’86. 
Sept. 24, ’86. 
74 
0 
ovary. 
abdominal organ. 
108 
109 
1 
20 lbs. L. ovary. 
25 lbs. E. ovary. 
1 lb. 1. ovary. Col- 
P 
R 
(I II 
II 
18 
0 
0 
<< 
Universal. 
None. 
II 
PH 
E 
Large cyst enu- 
cleated without a 
II 
loid intra-ligamen- 
tous cysts. 
Tied with silk. 
pedicle. 
110 
111 
II (( 
I# 
Sept. 24, ’86. 
Sept. 26, ’86. 
36 
S 
0 
0 
1 lb. L. ovary. 
48 lbs. K. ovary. 
II 
P II 
R 
»* « 
tl 
32 
M 
2 
0 
Parietal. 
PH 
E 
112 
(i II 
II 
Oct. 10, ’86. 
28 
M 
0 
0 
2 lbs. K. ovary. 
u 
II 
II 
PH 
E 
II 
ine and to broad 
ligament. 
113 
it u 
Nov. 6, ’86. 
44 
M 
2 
0 
20 lbs. E. ovary. 
2 lbs. L. ovary. 
Omental. 
* 
P 
E 
• 
Malignant cysts. 
114 
u, it 
M 
Nov. 21, ’86. 
37 
S 
0 
0 
16 lbs. L. ovary. 
,, 
II 
II 
PH 
D 
Also large fibroid 
of womb. Died on 
II 
sixth day from in- 
testinal obstruc- 
tion. 
115 
it it 
II 
Dec. 16, ’86. 
54 
M 
9 
3 
29 lbs. E. ovary. 
One. 
** 
*1 
PH 
E 
II 
omental. 
116 
II (1 
II 
Dec. 18, ’86. 
36 
M 
0 
c 
Both. 
Yes. 
PH 
D 
Died in twenty- 
six hours, from 
II 
10 lbs. L. ovary. 
pelvic. 
shock. In com- 
plete operation. 
16 
STATISTICAL TABLES.—OVARIOTOMY. (Continued.) STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the pcrio< 
covered by his report. 
No. 
Operator. 
Date of 
Operation. 
QJ 
bn 
< 
| Married or 
Single. 
No. of 
Children. 
No. 
Tappings. 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 1 
both Ovaries. | 
Adhesions. 
Treatment of 
Pedicle. 
1 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
117 
Jan. 6, ’86. 
52 
M 
4 
Suppurating der- 
moid of rt. ovary. 
One. 
Tied, seared 
and dropped. 
None. 
H 
R 
testine and blad- 
der. 
118 
CC 
U 
cc 
Mar. 4, ’86. 
47 
M 
1 
Suppurating cyst 
of 1. ovary. 
„ 
CC 
Yes. 
H 
D 
Previous rup- 
ture and sub-acute 
peritonitis. Septi- 
caemia. 
119 
<1 
(1 
cc 
Mar. 31, ’86. 
40 
M 
Suppurating cyst 
of rt. ovary. 
CC 
Numerous. 
CC 
>, 
H 
D 
Septicaemia. 
120 
If 
May 12, ’86. 
22 
S 
0 
3 yrs. 
Double ovarian 
cyst. 
Both. 
Left much ad- 
herent. 
cc 
$ 
None. 
H 
D 
Died on 11th day 
of Septicaemia. 
Temp never ab’v. 
101°. Obstinate 
vomiting. 
121 
CC 
Cl 
“ 
Oct. 13, ’86. 
34 
M 
4 
1 
1 yr. 
Multiloc. cyst of 
1. ovary. 
One. 
Broad; fresh. 
cc 
“ 
P 
R 
Pregnant 5 mos. 
Not interrupted. 
N. Y. Obst. 
Soc. Am 
Journal of 
Obst. 
122 
(« 
it 
it 
Dec. 1, ’86. 
23 
M 
Monocyst of 1. 
ovary. 
Rt. adherent. 
Both. 
Rt. adherent. 
cc 
ii 
H 
R 
123 
Cl 
cc 
cc 
Dec 5, ’86. 
63 
M 
4 
8 yrs. 
Large monocyst 
of rt. ovary. 
One. 
None. 
“ 
“ 
P 
R 
124 
« 
it 
cc 
Dec. 8, ’86. 
27 
M 
Suppurating cyst 
of rt. ovary. 
CC 
Extensive. 
cc 
Yes. 
H 
D 
Death on 6th d’y 
from Septicaemia. 
Wound re-opened 
and explored, but 
no pus. 
125 
(« 
A 
Ct 
Dec. 22, ’86. 
47 
M 
3 
10 yrs. 
Dermoid cysts with 
hair and bones. 
Both. 
Adhesions of rt. 
cyst enormous. 
None. 
H 
R 
Exploratory in- 
cision last March, 
but adhesions 
thought too ex- 
tensive. 
126 
(( 
cc 
cc 
Jan. 5, ’87. 
30 
s 
8 mos. 
Rt. ovarian cyst. 
Left haematoma. 
<C 
None. 
cc 
«« 
H 
R 
Left hospital on 
17th day. 
127 
Dr Jos. Taber Johnson, Wash., D. C. 
Feb. 5, ’87. 
29 
s 
0 
0 
1 yr. 
Dermoid cyst with 
bone and teeth. 
U 
CC 
Transfixed, 
tied and drop- 
ped. 
H 
R 
Other ovary 
cystic. 
Med. Soc. 
Dist. of Col. No. 
Operator. 
Date of 
Operation. 
d 
bC 
<3 
1 Married or 
Single. 
No. of 
Children. 
No. 
Tappings. 
Time since 
first noticed. 
Size and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
128 
Dr. 'Walter F. Atlee, Philad’a, Pa. 
<t u u 
May 14, ’86. 
July 31, ’86. 
30 
M 
3 
4 yrs. 
4 yrs. 
One. 
Some omental. 
P 
R 
Died of Bright’s 
Disease Aug. 7th. 
Clamp included 
left cornu of 
womb. 
Specimen 
presented to 
College of 
Physicians. 
129 
17 
S 
lar cyst. 
20 lbs. Solid. 
and dropped. 
Clamp. 
• 
P 
R 
130 
u t( a 
Nov. 16, ’86. 
48 
M 
2 
2 mos. 
10 lbs. Multilocu- 
Dropped. 
P 
R 
lar. 
131 
it (C (1 
Dec. 8, ’86. 
50 
s 
3 
10 yrs. 
P 
R 
enormous. 
inal parietes. 
1 ,°.5> 
Dr. Edward J. Ill, Newark, N, J, 
Sept. 25, ’86. 
45 
6 mos. 
Multilocular cyst 
of broad ligament. 
« 
None. 
H 
R 
Partial removal. 
133 
134 
C< it U 
Jan. 15, ’87. 
Nov. 11, ’86. 
22 
s 
8 lbs. Rt. ovary. 
Sarcoma of rt. ov- 
ary and broad liga- 
ment. 
Ligated. 
Silk ligature; 
dropped. 
« 
PH 
R 
Left ovary cys- 
tic. 
Death from Te- 
tanus on 4th day. 
Dr. H.O.Hitclicock,Kalamazoo,Mich. 
17 
S 
0 
0 
2 mos. 
One. 
Omental, parie- 
tal and pelvic. 
P 
D 
American 
Lancet, 
March 1887 
135 
U it It 
Jan. 11, >87. 
36 
M 
3 
0 
18 mos. 
16 lbs. Simple 
ovarian cyst. 
None. 
«< 
P 
D 
Thermometer 2° 
below zero. Lake 
wind severe. 
House poor; com- 
forts none: nur- 
sing accidental: 
Death on 10th day 
from peritonitis. 
No. 
136 
Dr. R. S. Sutton, Pittsburgh, Pa. 
Mar. 7, ’87. 
31 
M 
1 
0 
4 yrs. 
30 lbs. Multilocu- 
lar cyst of rt. ovary. 
“ 
it 
Tied, burnt 
and dropped 
PH 
R 
il 
18 
STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period 
covered by his report. STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period 
covered by his report. 
No. 
Operator. 
Date ol 
Operation. 
6 
be 
<3 
j Married or 
Single. 
No. of 
Children. 
No. 
Tappings. 
Time since 
first noticed. 
She and Nature 
of Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
137 
Fib. 15,’86. 
36 
M 
3 
10 
Extensive. 
Tied with silk; 
dropped. 
Yes. 
H 
R 
Patient very 
feeble and nearly 
N. Y. State 
cyst. 
Soc., ’87. 
died from exhaus- 
Med. Reco’d, 
tion. 
Mar. 19,’87. 
138 
it (4 
a 
Mar. 28, ’86. 
30 
M 
1 
6 lbs. Suppura- 
ting cyst. 
Complete; over 
whole mu face. 
it 
FI 
R 
it 
wound. 
139 
U (t 
a 
Ap'l 24, ’86. 
64 
M 
5 
11 
Extensive. 
Tied and drop- 
ped. 
it 
H 
D 
Patien t very 
feeble; cannot lie 
a 
cyst. 
down, a|nd too 
weak to sit up. 
Died of exhaus- 
tion on 4th day. 
140 
U it 
a 
Ap’l 26, ’86. 
42 
M 
3 
None. 
None. 
P 
R 
a 
it U 
cyst. 
141 
May 8, ’86. 
30 
M 
2 
Large cyst filled 
with papilloma, and 
Complete. 
Yes. 
P 
R 
Removal of part 
of tumors. 
a 
aft r tying. 
a large adherent 
fibro-cyst of uterus; 
one on either side of 
pelvis. 
142 
(K f 
«» 
Oct. 27, ’86. 
49 
s 
Six cysts size of 
oranges; character 
Over all surface. 
No pedicle. 
a 
H 
R 
a 
tacks of peritoni- 
doubtful. 
tis; chronic peri- 
143 
tonitis. 
a m 
Oct. 29, ’86. 
53 
w 
4 
To almost every 
organ in abdomen. 
Tied and drop- 
ped. 
a 
P 
D 
suppurating cyst. 
pulse 140; very 
feeble; pus dis- 
charging from last 
tapping. Died in 
10 days of exhaus- 
tion. 
a 
Nov. 6, ’86. 
43 
M 
6 
4 yrs. 
To all organs. 
it 
a 
P 
R 
M 
144 
cyst. 
to prevent shock. 
Septic peritonitis 
treated by moving 
bowels. 
145 
it «• 
a 
Nov. 16, ’86. 
42 
M 
1 
Yes. 
None. 
a 
P 
R 
Hemorrhage; 
irrigation of ab- 
M 
iau cyst and adher- 
eat. sarcoma, filling 
dominal cavity 
whole pelvis. 
prevented shock. 
- 
Large sarcoma 
also removed. Re- 
covery after septic 
peritonitis. STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period 
covered by his report. 
glj 
CD 
U 
u 
o 
No. 
Operator. 
Date of 
Operation. 
o 
H3® 
.£ tc 
8d 
6.2 
§1 
w o 
0) 3 
Size and Nature of 
Tumor. 
O o3 
® > 
a O 
Adhesions. 
Treatment 
of 
<D 
bO 
CJ 
r- 6 
52 
•s > 
a 
3 CD ta 
73 >■ rt 
Remarks. 
Reported 
Elsewhere. 
Age. 
03CC 
s 
£<2 
o 
* a 
CtJ 
H 
jjU 
H S 
°5 
o 
& 
Pedicle. 
2 
u 
P 
£-5 
y 
« gQ 
« 
146 
Dr. M. H. Richardson, Boston,Mass. 
July 13, ’86. 
40 
M 
0 
2 yrs. 
30 lbs. Unilocular, of 
One. 
Very exten- 
Tied and 
None. 
H 
R 
left ovary. 
sive to omen- 
tum and colon. 
dropped. 
147 
(C it «* 
Sept. 7, ’86. 
23 
S 
0 
0 
6 yrs. 
12 lbs. Simple mono- 
<• 
Very exten- 
« 
«* 
H 
R 
• 
Nov. 18, ’86. 
cyst of right ovary. 
sive; recent. 
148 
21 
s 
0 
0 
4 yrs. 
Unilocularof rt. ovary. 
“ 
None. 
“ 
H 
R 
149 
«t ft <t 
Feb. 12, ’87. 
35 
M 
2 
0 
It 
Extensive. 
•i 
a 
PD 
R 
semi-solid. Left ovary. 
150 
Mar. 15, ’87. 
33 
M 
2 
0 
9 mos. 
Multilocular of left 
ovary; semi-solid. 
None. 
(i 
»< 
PH 
R 
151 
Dr. Jos. Eastman, Indianapolis, Ind. 
May 24, ’86. 
57 
M 
6 
0 
20 lb. cyst of rt ovary. 
Ligated. 
„ 
P 
R 
Med. Jour. 
Dec, ’86. 
152 
.< •• « 
Mar. 22, ’87. 
27 
M 
0 
0 
« 
P H 
R 
No. 
<« 
153 
Dr. J. R. Weist, Richmond, Ind. 
Mar. 14, ’87. 
59 
M 
0 
0 
13 mos. 
30 V<i lbs. Single cyst. 
U 
Serious adhe- 
Silkligature 
None. 
PH 
R 
Never any fever nor 
Thick walls. Practically 
sions to small 
cut short. 
vomiting. Slight cyst- 
no pedicle. Left ovary. 
intestines. 
itis only. Very weak 
at time of operation. 
Dr. W. Gill Wylie, New York, N. Y. 
Careful antisepsis; cat- 
gut sutures externally. 
154 
Dec. 2, ’86. 
33 
M 
Left ovary size of or- 
ange, and filled with jel- 
ly-like mass. Rt. ovary 
Both. 
Yes. 
P 
R 
-everal gallons of 
fluid in peritoneal cav- 
N. Y. State 
Soc., ’87. 
dropped. 
ity; mvxoma had es- 
Med. Reco'd, 
had burst. 
caped from right ova- 
ry into peritoneum. 
Omentum and all oth- 
Mar. 19,’87. 
er organs studded with 
myxomata Drainage 
for two weeks. No ele- 
vation of temperature. 
155 
Dr.A. W. Johnstone, Danville, Ky. 
Mar. 31,87. 
46 
M 
11 
0 
4 mos. 
Papillary carcinoma 
M 
None. 
(t 
ti 
P 
D 
Secondary hemorr- 
of both ovarie , uterus 
and portion of periton- 
eum. Rt,size of cocoanut, 
L. size of apple. 
hage on fourth day.  
* 
0> 
.d 
U 
u 
o 
No 
Operator. 
Date of 
Operation. 
Age. 
Married o 
Single. 
No. of 
Children. 
No of 
Tapping. 
a « 
1! 
Size and 
Nature 
of Tumor. 
One or bo 
Ovaries 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
1 Hospital o 
1 Private. 
Result 
(Recovery 
Death. 
Remarks. 
Reported 
Elsewhere. 
156 
Dr. Hampton E. llill, Saco, Me 
May 29, ’86. 
49 
M 
0 
0 
2 yrs. 
60 lbs. Comp. 
One. 
Extensive to 
Tied and burnt 
Yes. 
p 
R 
Lower extremities badly 
Pgh. Med 
mixed cyst. 
abdominal wall 
off. 
swollen. 
Rev.—June, 
and intestines. 
Right pedicle very short. 
’87. 
157 
a a a 
June 26, ’85. 
46 
M 
0 
0 
1 yr. 
18 lbs. Comp. 
Both. 
To colon. 
44 
44 
p 
R 
gelatinous cyst of 
rt. ovary. 1 lb. 
cyst of It. ovary. 
Not 
R 
158 
M 41 44 
Nov. 11, ’86. 
45 
M 
1 
0 
noticed. 
11b. Fibro-cyst. 
One. 
None. 
“ 
p 
169 
44 44 44 
Jan. 8, ’87. 
22 
S 
0 
0 
44 
3 lbs. Simple 
cyst. 
44 
“ 
“ 
“ 
p 
R 
44 
160 
44 44 44 
Mar. 24, ’87. 
58 
M 
4 
0 
10 mos. 
20 lbs. Colloid. 
44 
Slight i n t e s- 
« 
p 
R 
Cyst ruptured, and about 
“ 
tinal. 
a gallon of sticky contents 
among the viscera, leri- 
tonitis. 
161 
44 44 44 
Apr. 7, ’87. 
63 
S 
0 
0 
Several 
30 lbs. Comp. 
Both. 
Slight i n t e s- 
“ 
p 
R 
years. 
cyst of rt. ovary, 
partlv fluid, partly 
gelatinous. Scirr- 
hus of It. ovary. 
tinal. 
162 
44 44 44 
May 31, ’87. 
47 
M 
5 
1 
1 yr. 
Total wt., 38 lbs. 
One. 
Adherent ev- 
Tied, cut and 
dropped. 
44 
p 
R 
Hemorrhage severe dur- 
No. 
14% lbs. solid. 
erywhere, ex- 
cept on very 
back part. 
ing operation. 
163 
Dr. Paul F. Mundg, New York, N.Y. 
Mar. 30, ’87. 
42 
M 
3 
2 yrs. 
Large dermoid 
Both. 
Slight. 
None. 
p 
R 
Premature labor of 7 
cyst and small 
cystic ovary. 
mos. induced 5 weeks 
164 
Apr. 6, ’87. 
6 yrs. 
Tied,seared & 
Yes. 
p 
R 
before operation; living 
child. 
a n 
of It. ovary. Rt. 
ovary and tube 
adherent. 
dropped. 
165 
Dr. J. R. Weist, Richmond, Ind. 
May 21, ’87. 
M 
1 
2 yrs. 
20% lbs. single 
One. 
None. 
Ligated silk & 
None. 
PH 
R 
No. 
cyst of rt. ovary. 
dropped. 
166 
Dr. A. S. v Mansfelde, Ashland, 
[Neb. 
Mar. 16, ’86. 
48 
M 
0 
1 yr. 
13 lbs. unilocu- 
lar cyst. 
u 
Dropped. 
44 
P 
R 
Nebraska 
R.R. Sur.So. 
167 
Apr. 23, ’86. 
M 
0 
0 
30 lbs. multiloc- 
Severe. 
u 
P 
R 
44 
ular cyst. 
21 
STATISTICAL TABLES.—OVARIOTOMY. 
« 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
Age. 
Married or 
Single. 
No. of 
Children. 
No. 
Tappings. 
Time since 
first noticed. 
Size and Nature of 
Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment 
of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
168 
Dr. A. Vander Veer, Albany, N. Y. 
Feb. 19, ’86. 
30 
M 
3 
19 mos. 
27 lhs. Unilocular. 
Both. 
Slight. 
Tait knot. 
H 
R 
April, ’87. 
169 
it ii ii 
Mar. 25, ’86. 
26 
s 
17 lbs. Unilocular. 
20 lbs. Multilocular. 
(i 
None. 
it 
H 
R 
170 
u u ii 
May 17, ’86. 
47 
M 
5 mos. 
One 
ii 
H 
R 
Seven ligatures and 
thermo - cautery re- 
quired for adhesions. 
vascular over 
right side. 
171 
It it ii 
May 26,’86. 
27 
s 
3 yrs. 
23 lbs. Simple ovarian 
cyst. 
it 
None. 
%t 
H 
R 
Health splendid in 
April, ’87. Menstrua- 
tion normal. 
172 
it M it 
Oct. 13, ’86. 
62 
M 
9 
9 mos. 
37 lbs. Unilocular. 
it 
it 
ii 
H 
R 
Many; all 
over tumor. 
il 
H 
R 
Very fat and well in 
June, ’87. 
173 
*• tt <i 
Oct. 21, ’86. 
26 
M 
2 
19 mos. 
13 lbs. Unilocular. 
Both. 
• 
174 
it a u 
Jan. 20, ’87. 
49 
2 yrs. 
Solid tumor of right 
ovary. 
Many adhe- 
sions; many 
ligatures used. 
Yes. 
H 
D 
No. 
Death from exhaus- 
tion. 
175 
it (1 it 
Feb. 10, ’87. 
70 
M 
6 
3 
16 mos. 
42 lbs. 
Both. 
Extensive 
and firm. 
Tait knot. 
P 
R 
Many ligatures and 
thermo-cautery. Ex- 
cellent condition in 
June, ’87. 
176 
it il (1 
Mar. 11, ’87 
33 
M 
3 
5 yrs. 
9 mos. 
16 lbs. Multilocular. 
14 lbs. Unilocular. 
One. 
Both. 
Omental. 
Slight. 
i« 
H 
R 
177 
ii ii ii 
Apr. 12, ’87. 
25 
8 
il 
H 
R 
July 30, ’87. 
178 
it a a 
Apr. 28, ’87. 
47 
M 
2 
22 mos. 
20 lbs. Multilocular 
of rt. ovary. 
One. 
Some. 
it 
H 
R 
No. 
179 
May 9, ’87. 
Mar. 31, ’86. 
71 
M 
10 
1 
1 yr. 
1 yr. 
40 lbs. Mono-cyst. 
10 lbs. Mono-cyst. 
«( 
None. 
Slight to ab- 
dominal wall. 
Ii 
None. 
P 
R 
II 
180 
Dr. Thos. J. Maxwell,Keokuk, Iowa. 
35 
W 
0 
0 
“ 
Tied and 
dropped. 
P 
R 
Embolism of right 
lung on 9th day pro- 
tracted convalescence. 
“ 
181 
Dr. Washington Akin, Troy, N. Y... 
July 14, ’87. 
37 
M 
m 
1 
2 
3 yrs. 
Cyst held nearly two 
large pails of fluid. 
Both. 
Not formid- 
able. 
Tied silk 
& dropped. 
Yes. 
H 
R 
Rapid recovery, and 
is now (Aug.21) doing 
light house-work. 
STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
Age. 
Married or 
Single. 
No. of 
Children. 
be 
o a 
6 ’3* 
►z ~ 
H 
Time since 
first noticed. 
Size ml Nature of 
Tumor. 
One or 
both Ovaries. 
Adhesions. 
Treatment 
of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Remarks. 
Reported 
Elsewhere. 
182 
Dr. Jos. Eastman, Indianapolis, Ind. 
June 29, ’87. 
65 
M 
4 
0 
1 year. 
Two cysts, one and twelve 
pounds respectively. Con- 
tents gelatinous. 
Both. 
None. 
Intra-peri- 
toneal; tied 
and burnt. 
Yes. 
P II 
R 
One cyst of each ovary. 
No. 
183 
U it tt 
July 7, ’87. 
30 
M 
1 
0 
2 yrs. 
Suppurating cyst; fifteen 
pounds pus. 
« 
P 
R 
Septic, with resulting 
hectic. 
« 
to bowel and 
abdominal 
wall. 
None. 
burnt. 
184 
a a tt 
% 
July 21, ’87. 
32 
M 
3 
0 
18 mos. 
6 lbs. fluid, bloody serum- 
like. 
One. 
Cut, tied 
and burnt. 
None. 
P H 
R 
Very broad pedicle. 
“ 
186 
a tt tt 
July 23, ’87. 
42 
M 
0 
0 
4 yrs. 
5 lbs. Fibro-cystic. 
** 
Yes. 
Tied and 
burnt. 
Yes. 
P H 
R 
Cystic part ruptured; 
pedicle beginning to de- 
generate. 
186 
Dr. N. B. Carson, St. Louis, Mo 
July 9, ’86. 
54 
W 
2 
0 
2 yrs. 
Large multilocular. 
u 
None. 
Ligated. 
H 
R 
<• 
187 
tt a a 
Aug. 15, ’86. 
52 
M 
0 
0 
a 
P 
R 
188 
tt tt n 
Nov. 15, ’86, 
21 
S 
0 
0 
1 year. 
Large multilocular. 
Two tumors, each the size 
of a child’s head ; rt. mul- 
tilocular ; 1. unilocular. 
(( 
H 
R 
„ 
189 
Dr. Wm. H. Myers, Fort Wayne, Ind. 
June 28, ’87. 
42 
w 
0 
0 
Both. 
None. 
Intra-peri- 
toneal. 
Yes. 
H 
R 
190 
M it it 
Oct. 13, ’87. 
23 
s 
0 
2 yrs. 
35 lbs. Multilocular. 
it 
Omental. 
None. 
H 
R 
Rt. ovary enlarged to 
size of small orange; 
surface studded with 
vesicles. 
191 
Dr. J. K. Weist, Richmond, Ind 
Sept. 19, ’87. 
51 
w 
5 
0 
1 year. 
15 lbs. Compound cyst of 
rt. ovary. Tumor nearly 
solid. Large and short 
pedicle. 
One. 
None except 
to fundus of 
uterus. 
Ligated 
silk, cauter- 
ized & drop- 
ped. 
P H 
R 
There had been com- 
plete procidentia for 8 
years. Uterus easily re- 
turned. At operation 
stump of attachment to 
fundus sutured to ab- 
dominal wall, uterus 
being first replaced. 
Pedicle 1 inch in diam. 
192 
Dr. Frank K. Owen, Tpsilanti, 
Nov. 4, ’86. 
29 
M 
1 
0 
6 mos. 
Double ovarian cyst. 
3 lbs. Compound cyst of 
left ovary. Tumor nearly 
solid. Short, thick pedicle. 
Both. 
L. clamp- 
ed K lig- 
ated silver 
wire. 
Tied silk. 
Peritoneum 
stitch ed 
over p e A i- 
cle. 
« 
P 
R 
193 
[Mich. 
Dr. John J. Buchanan, Pittsburgh, 
[Pa. 
Oct. 8, ’87. 
31 
M 
3 
0 
1 year. 
None. 
Yes. 
H 
R 
Patent bucket-ful of 
ascites. Tumor partly 
intraligamentous,close- 
ly attached to cornu of 
womb and surface stud- 
ded with vesicles. Rt. 
ovary cystic. 
Co. Soc. Am 
Lancet, 
June, 1887. 
No. 
STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they incluae all of his ovariotomy cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
U 
o 
.2 * 
to 
bo 
6.2 
<D T3 
.5 a 
‘w o 
© a 
Size and Nature of 
Tumor. 
CD 
O s 
© > 
GO 
Adhesions. 
Treatment 
of 
£ 
p 
U, 
o 
_ © 
U 
O 
3 © +-> 
« > 
Remarks. 
Reported 
Elsewhere. 
© 
bo 
f- y? 
o*CO 
62 
Jz ft 
c3 
a*. 
H £ 
°5 
Pedicle 
03 
U 
8-c 
CPs 
<4 
o 
H 
«p 
Q 
194 
Dr. Edward J. Ill, Newark, N. J 
Apr. 2, ’87. 
36 
M 
3 yrs. 
Fibro-sarcoma of right 
jvary. 
One. 
None. 
Ligated. 
None. 
H 
D 
hemorrhage from ped- 
icle ; though the hem- 
orrhage was checked 
by re-opening cavity. 
195 
tt a 
Apr. 23, ’87. 
30 
M 
1 yr. 
33 lbs. Monocyst of 
right ovary. 
(f 
PH 
R 
Pregnant 4 month, 
at time of operation. 
196 
u tt (i 
Apr. 27,’87. 
60 
M 
3 
5 yrs. 
Ovarian cyst. 
Universal. 
H 
R 
ble; opened and sewed 
to abdominal walls. 
197 
tt tt tt 
Sept. 24, ’87. 
31 
5 mos. 
Multiple cvst of broad 
One. 
Yes. 
P II 
R 
dropped. 
No return of fluid or 
ligament. Rupture of 
cyst; tubercular (?) peri- 
tumor. Only part of 
toniiis. 
tumor removed. 
198 
tt tt tt 
Oct. 11, ’87. 
53 
S 
30 yrs. 
32 lbs. Dermoid of 
left ovary. 
U 
Universal. 
Ligated. 
H 
R 
Twenty ligatures to 
bleeding points. 
199 
it it tt 
Noy. 5, ’87. 
33 
M 
2 yrs. 
Monocyst of left ovary. 
Both. 
None. 
PH 
R 
200 
Dr. R. S. Sul ton, Pittsburgh, Pa 
Jan. 4, ’87. 
48 
M 
6 
11 
5 'yrs. 
Double multil ocular 
ovarian cyst. 
ft 
Universal. 
Yes. 
PH 
D 
Two tumors filled 
No. 
pelvis,fixed uterus and 
W're embedded in the 
broad ligament. Right 
was partly enucleated, 
partly cut out; the left 
drained. About 75 lig- 
atures used. Death 
from capil ary bron- 
cbitis on 6th day. 
201 
ft ft tt 
Mar. 9, ’87. 
38 
S 
0 
0 
5 yrs. 
Enormous fibro-cyst 
One. 
ff 
Ligated. 
None. 
II 
R 
Nearly 100 lig. used. 
P'g'h Med. 
of right ovary. 
Left pedicle twisted. 
Rev., Apr .’87 
202 
ft tt ft 
Oct. 4, ’87. 
36 
M 
2 
0 
2 yrs. 
10 lbs. Multilocular 
Both. 
Yes. 
“ 
Yes. 
PH 
R 
No. 
203 
ft ft tt 
Nov, 5,’87. 
36 
M 
1 
0 
2 yrs. 
Cy s f • 
12 lbs. Multilocular 
« 
None. 
Tied and 
None. 
PH 
R 
Left ovary also re- 
“ 
cyst of right ovarv. 
burnt. 
PH 
moved. 
204 
f' ft ft 
Nov. 9, ’87. 
27 
M 
2 
0 
3 yrs. 
30 lbs. Right parova- 
One. 
Yes, 40 square 
tt tt 
Yes. 
R 
Unique on account 
« 
rian cyst. 
inches. 
of adhesions. 
Penna.State 
205 
Dr. E. E. Montgomery, Philad’a, Pa. 
Apr. 10, ’86. 
26 
M 
5 mos. 
5 lbs. Multilocular. 
ft 
Tait knot. 
P 
D 
Death trom septicse- 
mia on 14th day. W as 
Soc. Trans- 
8 months pregnant. 
Labor on 7th day. 
act. 1887. 
20fi 
ft ft ft 
May 13, ’87. 
52 
M 
9 
1 
18 mos. 
Very large cyst. Rup- 
tured 3 months. Ascites. 
ft 
Intra-per- 
itoneal. 
P 
D 
Abdomen filled with 
No. 
jelly-like matetial. 
Philadel- 
207 
Dr. J. M. Baldy, Philadelphia, Pa ... 
Sept. 13, ’87. 
32 
M 
3 
0 
2 yrs. 
Multilocular ovarian 
Both. 
Slight. 
tt tt 
None. 
P 
R 
Out of bed on 3d 
cyst. Ot her ovary cystic 
dav and a number ol 
phia Obstet. 
and cirrhosed with cyst 
times thereafter. Gen- 
Soc. 
' 
of broad ligament. 
ei al peritonitis. 
STATISTICAL TABLES.—OVARIOTOMY. 
These reports are invariably secured directly from the operator, and they include all of his ovariotomy cases within the period covered by his report.  
o 
Pathological Con- 
i 
9 
bC 
9 
a 
S 
4h 
O 
U 
© 
Effect of 
Opera tion 
upon the 
condition 
requiring it. 
No. 
Operator. 
Date of 
Operation. 
9 
be 
arried 
Single. 
1 No. of 
| Children 
u ration 
Disease 
dition or Symptoms 
necessitating Opera- 
tion. • 
o 3 
So 
°5 
Adhesions. 
Treatment of 
Pedicle. 
ospital 
Private 
Result 
tecover 
Death 
Remarks. 
Reported 
Elsewhere. 
•< 
< 
ft 
1 
o 
B 
1 
Dr. Paul F. Mundfi.New York, N.Y. 
Apr. 14, ’86. 
34 
M 
0 
10 yrs. 
Double ovarian 
Both. 
Extensive. 
Tied, seared 
Yes. 
H 
R 
Cure. 
Rupture of ab- 
N.Y. Obst. 
abscess and pyo-sal- 
and dropped. 
scess during re- 
Soc. Amr. 
pinx. 
moval. 
Journal of 
ObU. 
2 
44 
Nov. 3, ’86. 
26 
M 
Ovarian abscess. 
One. 
Too extensive 
for removal. 
Sewed in wou’d. 
44 
H 
D 
Cyst wall in- 
flamed and rotten. 
Sudden death on 
7th day, from rup- 
ture of secondary 
omental abscess. 
3 
44 44 
44 
Nov. 7, ’86. 
28 
M 
2 yrs. 
Both. 
Complete. 
44 
H 
R 
Cure. 
N.Y. Obst. 
scess and double 
pyo-salpinx. 
and dropped. 
S: c. Amr. 
Journal oj 
Ost. 
4 
** 
Nov. 14, ’86. 
23 
S 
2 yrs. 
6 mos. 
(4 
Yes. 
44 
P 
R 
44 
44 
6 
44 44 
“ 
Nov. 24, ’86. 
25 
M 
Left hsemato-sal- 
One. 
44 
Yes. 
H 
R 
44 
Abdominal irri- 
44 
pinx. 
gation during op- 
eration. 
6 
** 
Dec. 16,’86. 
24 
M 
2 yrs. 
Salpingo-oSphori- 
tis. 
Ovarian abscess. 
Both. 
Complete. 
44 
None. 
II 
R 
44 
7 
44 44 
44 
Dec. 23, ’86. 
30 
M 
2 yrs. 
Extensive. 
44 
Yes. 
H 
D 
removal. Stinking 
pus. Abdomen ii- 
rigated with 
Thiersch’s Solu- 
tion. Did well for 
10 days. Died on 
13th day, of Septi- 
cceniia. 
8 
44 44 
44 
Jan. 10, ’87. 
20 
S 
8 yrs. 
44 
None. 
44 
None. 
p 
R 
Ih lief, so 
far. 
lepti form convul- 
sions. 
18th day. 
9 
Dr. Jos. Taber Johnson, Wash., D. C. 
May 27, ’86. 
19 
s 
0 
6 yrs. 
Dysmenorrhoea, 
<‘ 
44 
Tied & dropped. 
“ 
H 
R 
Marked 
Tubes also re- 
Va. Med. 
with epileptic con- 
improve- 
moved. Both ova- 
Monthly, 
vulsions. 
ment. Op- 
eration pro- 
bably cura- 
tive. 
ries cystic. 
Dec. 1886. 
10 
Oct. 27, ’86. 
24 
M 
0 
10 yrs. 
Ovaro-epilepsy. 
Yes. 
44 
** 
H 
R 
Cured. 
Tubes also re- 
moved. 
44 
11 
44 44 
44 
Feb. 15,’87. 
41 
M 
1 
2 yrs. 
Uterine fibroid, 
“ 
None. 
<« 
H 
R 
Too soon 
Tubes also re- 
No. 
size of foetal head. 
to say, but 
expect a 
moved. 
cure. 
12 
Dr. H. Beates. Jr.. Philadelphia. Pa. 
May 4, ’86. 
32 
S 
0 
11 yrs. 
Cirrhosis. 
44 
Ligated with 
silk. 
44 
P 
R 
Cured. 
44 
hours after opera- 
tion. One appa- 
rent menstruation 
four months later. 
None since. Tubes 
also removed. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR, 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
o 
£ li 
5 
o 2 
O 
.2 £ 
Pathological Con- 
dition or Symptoms 
necessitating Opera- 
£ 
O m 
rO Cl) 
p *£ 
o a 
Adhesions. 
Treatment of 
Pedicle. 
© 
bo 
05 
a 
U 
o . 
—, © 
U 
© 
ftKri 
3 © ~ 
CC > $ 
& 
Effect of 
Opera tion 
upon the 
condition 
Remarks. 
Reported 
Elsewhere. 
© 
*rH 
cJCfi 
o2 
&£ 
g3 
tion. 
So 
2 
x Sh 
oft 
ft £« 
ft 
requiring it. 
◄ 
s 
o 
ft 
ft 
M 
13 
Dr. Paul F. Mundg.New York.N.Y. 
Feb. 9, ’87. 
30 
M 
11 yrs. 
Double salpingo- 
oophoritis. 
Both. 
Extensive. 
Tied seared and 
dropped. 
None. 
H 
R 
moved. 
14 
Feb. 23, ’87. 
25 
M 
Both ovaries and 
tubes adherent. 
u 
Yes. 
« 
P 
R 
ct 
Is now doing 
Philad a 
Tubes much en- 
larged aud filled 
with muco-serum. 
15 
July 9, ’86. 
30 
M 
2 
6 yrs. 
Great pain and 
tenderness and high 
H 
A number. 
Silk ligature. 
P 
R 
Perfect re- 
covery. 
her own work; has 
Obst. Soc. 
temperature, with 
not done so before 
pus in both ovaries. 
Now in 
for years. 
16 
U it «( 
Nov. 2, ’86. 
27 
M 
1 
1 yr. 
Pus in one ovary 
One. 
None. 
P 
R 
Tube also re- 
and tube. 
perfect 
health. 
moved. 
17 
Jan. 9, ’86. 
23 
s 
Several 
years. 
Right pyo-sal- 
piDx. 
ti 
Yes. 
PH 
R 
Improved. 
Improved. 
Tube occluded 
it 
18 
U «( u 
Mar. 23, ’86. 
31 
M 
1 
<( 
Dysmenorrhoea, 
with convulsions. 
<< 
it 
PH 
R 
Convulsions 
near uterus. 
cured. 
19 
(( it it 
Apr. 3, ’86. 
35 
W 
4 
Constant pain and 
mental aberration. 
Both. 
«< 
PH 
D 
Died of uraemia 
it 
on 8th day. Kid- 
neys contracted. 
20 
<< (( a 
Oct. 1, ’86. 
30 
s 
u 
Ovaritis; right 
pelvic peritonitis. 
One. 
it 
P 
R 
Cured. 
Result of ill-fit- 
ting pessary. 
21 
(( « (( 
Nov. 20, ’86. 
36 
M 
2 
18 mos. 
Both ovaries cys- 
tic, size of eggs. 
Both. 
None. 
PII 
R 
il 
Complicated by 
it 
parovarian cyst. 
22 
23 
U << u 
Dec. 7, ’86. 
Dec. 15, ’86. 
31 
27 
M 
M 
3 yrs. 
Salpingo-ovaritis. 
One. 
P H 
R 
(< 
it 
(i t< << 
1 
Yes. 
PH 
R 
it 
Bad case. Com- 
tt 
years. 
ry and tube. 
plicated by paro- 
varian cyst. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. *0. 
Operator. 
Date of 
Operation. 
<0 
< 
Married or 
Single. 
JNO. OI 
Children. 
Duration of 
Disease. 
Pathological Con- 
Jition or Symptoms 
necessitating Opera- 
tion. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
1 Privaie. 
Result: 
(Recovery or 
Death.) 
Effect of 
Opera tion 
upon the 
condition 
requiring it. 
Remarks. 
Reported 
Elsewhere. 
Dr. Mary A.D. Jones, Brooklyn,N.Y. 
Jan. 20, ’87. 
20 
s 
0 
3 yrs. 
Enlargement, dis- 
location and pain 
in right ovary. 
One. 
Yes. 
Intra-peritoneal 
H 
R 
Relieved. 
After operation, 
patient in excel- 
lent health. 
N. Y. 
M'S 
Pathol. Soc. 
CC M M 
Jan. 2G, ’87. 
18 
s 
5 yrs. 
Great pain and 
dysmenorrhoea. 
Both. 
„ 
It 
H 
R 
„ 
CC 
CC 
a (i a 
Jan. 29, ’87. 
36 
M 
15 yrs. 
Enlargement, dis- 
location and pain. 
(l 
II 
H 
R 
„ 
CC 
CC 
27 
u u cl 
Mar. 9, ’87. 
43 
M 
13 yrs. 
Fibroma and hem- 
orrhage. 
u 
None. 
Cl 
H 
R 
CC 
CC 
“ / 
28 
It tt M 
Mar. 14,’87. 
36 
M 
9 yrs. 
Chronic ovaritis 
and salpingitis. 
Yes. 
II 
H 
R 
„ 
CC 
29 
Dr. Edw. J. Ill, Newark, N. J. 
Feb. 10, ’8G. 
28 
S 
10 yrs. 
Cysts of both 
tubes. 
Cl 
None. 
H 
R 
Improved. 
moved through 
vagina later on. 
30 
Oct. 5, ’86. 
Sept. 25, ’86. 
23 
36 
s 
2 yrs. 
14 yrs. 
it 
Great. 
None. 
Ligated. 
Dropped. 
„ 
H 
R 
Negress. 
Dr. D. Longaker, Philadelphia, Pa. 
0 
Ovaritis; mania. 
P 
R 
• 
Temporary. 
No. 
It It 14 
Nov. 18, ’86. 
33 
g 
1 
4 yrs. 
Pyo-salpinx 
pain. 
ft 
Firm. 
II 
„ 
H 
R 
Cured. 
nal of Obsi. 
Feb. ’87. 
33 
» u « 
Feb. 14, ’87. 
23 
s 
Indefin- 
ite. 
Left pyo-salpinx 
peritonitis. 
One. 
« 
<1 
Yes. 
P 
D 
Operation 11 
days after deliv- 
ery of 7 months 
foetus. Patient 
had gonorrhoea. 
No. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR, 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.  * 
u 
uration of 
Disease. 
Pathological Con- 
© 
be 
cJ 
.2 
O 
u 
o 
Effect of 
Operation 
upon the 
condition 
requiring it. 
No. 
Operator. 
Bate of 
Operation. 
© 
arried 
Single. 
No. of 
tiiidren 
dition or Symptoms 
necessitating Opera- 
tion. 
© Ci 
°5 
Adhesions. 
Treatment of 
Pedicle. 
ospital 
Private 
Result 
tecover; 
Death 
Remarks. 
Reported 
Elsewhere 
<1 
2 
o 
O 
2 
Q 
34 
Di-.W. Gill Wylie, New York, N. Y. 
Jan. 28, ’86. 
39 
M 
3 
Pyo-salpinx: ovar- 
itis; pelvic abscess. 
Both. 
Extensive. 
Yes. 
P 
R 
Complete 
cure in ev- 
N Y. Rt, t 
witl) silk and 
move d. Three Soc. Feb. ’8 
dropped. 
ery way. 
ounces of pus in Med. JRec<n 
rt.. tube, six in Mar. 19,’8 
the left. 
35 
it “ 
Apr. 3, ’86. 
22 
M 
1 
Pyo-salpinx; ovar- 
Yes. 
it 
11 
R 
Discharg- 
Tubes also re- 
a 
itis. Large occluded 
tubes. 
ed cured. 
moved. 
36 
(t t u 
Apr. 7, ’86. 
27 
M 
Pyo-salpinx; ovar- 
ti 
a 
p 
R 
Complete 
Tubes also rr- 
a 
itis; ovaries size of 
cure but 
moved. 
lemons; tubes oc- 
cluded. 
menstruates 
37 
w t* 
Apr. 10, '86. 
28 
S 
Cystic degenera- 
tion and enlarge- 
it 
tt 
None. 
P 
R 
Local pain 
cured but 
Tubes normal, 
but removed. 
ment of ovaries. 
has had .3 
Local pain. H y s- 
epileptic at- 
tero-epilepsy. 
tacks. 
38 
it it t( 
Apr. 10, ’86. 
32 
S 
H 
it 
it 
H 
R 
Discharg- 
ed cured. 
Tubes also re- 
fibroids. 
moved. 
39 
it ti *• 
Apr. 21, ’86. 
27 
M 
Pyo-salpinx; ovar- 
itis ; ovaries size of 
it 
Yes. 
ti 
Yes. 
P 
R 
Improved 
but had 2d 
moved. 
orange; tubes oc- 
cluded and large as 
ope.r a t i o n 
for part of 
wrist. 
ovary and 
abscess. 
40 
a tt tt 
May 3, ’86. 
30 
s 
Intense pain over 
prolapsed and ad- 
herent left ovary. 
One. 
ti 
it 
None. 
P 
R 
Bedridden. 
44 
/ 
ed for 2 raos. 
but return- 
ed on other 
side. 
41 
u a a 
May 5, ’86. 
22 
s 
Left ovary atro- 
phied. Severe and 
it 
it 
it 
H 
R 
Discharg- 
ed cured;re- 
44 
“ 
constant pain. 
mains well. 
Tubes also re- 
42 
tt it (t 
May 10, ’86. 
28 
M 
Pyo-salpinx; ovar- 
itis. Tubes occluded. 
Both. 
Yes. 
tt 
Yes. 
H 
R 
Discharg- 
ed cured & 
4( 
moved. 
remains 
well. 
43 
a a it 
May 12, ’86. 
33 
M 
Pyo-salpinx; ovar- 
itis. 
ti 
Dense. 
i 
(i 
P 
D 
Tubes also re- 
<• 
moved. Quart of 
bloody fluid in two 
sacs Marked in- 
dications of intes- 
tinal obstruction. 
44 
«t <t tt 
May 20, ’86. 
33 
M 
Pyo-salpinx; ovar- 
itis ; tubes size of 
It 
Yes. 
it 
it 
II 
R 
Discharg- 
Tubes also re- 
«« 
ed well and 
moved. 
thumb, adherent 
and occluded. 
remains so. 
15 
ti tt tt 
May 26, ’86. 
45 
S 
Pyo-salpinx: ovar- 
U 
m 
U 
II 
R 
Discharg- 
Tubes also re- 
44 
itis; tubes size of 
ed cured & 
moved. 
thumb, adherent 
and occluded. 
is now well. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR, 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.  
Pathological Con- 
dition or Symptoms 
necessitating Opera- 
tion. 
A 
u 
o 
Effect of 
No. 
Operator. 
Date of 
Operation. 
Age. 
Married or 
Single. 
No. of 
Children. 
Duration o 
Disease. 
One or bo 
Ovaries 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
| Hospital o 
1 Private. 
Result: 
(Recovery 
Death.] 
Operation 
upon the 
condition 
requiring it. 
Remarks. 
Reported 
Elsewhere. 
Dr. W. Gill Wylie, New York, N. Y. 
May 27, ’86. 
34 
M 
Hydro-s a 1 p i n x. 
One tube size of 
One., 
Yes. 
Pedicle tied 
Yes. 
P 
R 
P e rfect 
One tube re- 
N.Y. State 
with silk and 
cure. 
moved. 
Soc. Feb.’87. 
orange. Both oc- 
dropped. 
Med. Record 
eluded & adherent. 
Complete 
cure in ev- 
Ovaries were 
Mar. i9, ’87. 
47 
May 29, ’86. 
33 
15 yrs. 
Typical cystic de- 
generation of ova- 
Both. 
Ci 
None. 
P 
R 
it 
bags of small cysts. 
ries; constant local 
ery way sat- 
Tubes also remov- 
pain; confirmed in- 
H 
R 
isiactory. 
Fora time 
ed. 
48 
|| <( 
June 3, ’81. 
45 
M 
9 
Prolapsed, adhe- 
rent ovaries, con- 
U 
Yes. 
i 
U 
Unable to walk 
better, but 
or work. Tubes 
stant, intense pain. 
H 
R 
not cured. 
also removed. 
it it it 
June 3, ’86. 
23 
M 
Pyo-salpinx; ovar- 
itis ; pelvic abscess 
ti 
Yes. 
Cure com- 
Tubes also re- 
it 
R 
plete. t 
Complete 
moved. 
Confirmed inva- 
with left ovary in 
center; tubes oc- 
50 
(4 it it 
June 3, ’86. 
33 
S 
8 yrs. 
Prolapsed, ad he- 
44 
None. 
P 
44 
rent ovaries. Local 
pain. 
cure. 
lid for eight years, 
six years in bed. 
Tubes also remov- 
ed. 
Bedridden for 
51 
June 12, ’86. 
21 
s 
Cystic degenera- 
« 
. « 
P 
R 
Much im- 
il 
proved b u t. 
three yrs. Tubes 
larged and pro- 
lapsed. Local pain. 
not yet well. 
also removed. 
52 
ii it it 
June 19, ’86. 
32 
M 
Hystero-epilepsy. 
Pyo-salpinx; de- 
generated ovaries. 
„ 
Extensive. 
it 
Yes. 
P 
R 
Complete 
Had been open- 
a 
relief but 
ed six yrs. ago by 
Cysts held a quart 
still men- 
Dr. Marion Sims, 
of dirty fluid. 
struates. 
and closed on ac- 
countof adhesions. 
Tubes also remov- 
ed. 
53 
ll it M 
Oct. 4, ’86. 
21 
s 
Prolapse of ova- 
(1 
it 
None. 
P 
R 
Four mos. 
Tubes and pam- 
It 
after opera- 
piniform plexus 
% 
lepsy.’ 
tion had no 
menstruat’n 
nor convul- 
also removed. No 
elev. of temp. 
sions. 
54 
it it il 
Oct. 4, ’86. 
30 
M 
1 
Salpingitis: ovar- 
itis; pelvic abscess; 
it 
Extensive. 
(i 
Yes 
H 
R 
Discharg- 
History of se- 
u 
ed cured. 
vere, local perito- 
pyo-salpinx. 
nitis. Abscess of 
several ounces in- 
volving tube and 
ovary. Tubes and 
abscess sac also re- 
moved. Highest 
temp. 100°. 
Laparotomy for removal of ovaries not the seat of tumor. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
6 
Wj 
1 Married or 
ingle. 
1 No. of 
1 Children, 
Duration of 
Di ease. 
Pathological Con- 
dition or Symptoms 
n ecessitai i n g Ope i a- 
tion. 
One or 
both Ovaries. 
Adhesions. 
lieatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Vi 
o 
JJ 
3 i; w 
3h gO 
03 
Effect of 
Operation 
upon the 
condition 
lequirmgit. 
Remarks. 
Reported 
Elsewhere 
55 
nr. W. Gill Wv lie New York. N. Y. 
Oct. 13, ’86. 
23 
Cystic ovaries. In- 
tense local pain. 
Both. 
None. 
It 
N.Y. State 
with silk and 
dropped. 
after opera- 
tion much 
improved; 
up & about; 
no pain. 
valid for years. 
Tubes and pam- 
piniform piexu s 
also removed. No 
elev. of temp. 
Soc. Feb. ’87. 
Med. Record 
Mar. 19, ’87. 
56 
u it 
m 
Oct. 16, ’86. 
25 
Salpingitis; ovar- 
itis; pyo-salpinx; 
tubes indurated and 
size of thumb. 
(( 
Extensive. 
*1 
Yes. 
II 
ft 
History of local 
peritonitis. Tubes 
Mso removed. 
Highest temp. 
99K°- 
II 
hospital in 
five• weeks 
well. 
57 
it it 
u 
Oct. 21, ’86. 
32 
M 
1 
3 yrs. 
Enlarged and pro- 
lapsed ovaries; size 
of a lemon. Severe 
pelvic pain. 
l< 
Slight. 
None 
H 
R 
Discharg- 
ed cured. 
Three years an 
invalid. Tubes 
also removed. 
Highest temp.1010 
58 
« «e 
46 
Nov. 4, ’86. 
30 
M 
1 
One. 
Extensive. 
<( 
Yes. 
P 
It 
It 
pelvic tumor, part 
of ovary left in first 
operation 3 mos.ago. 
still men- 
struates reg- 
ularly. 
suppuration about 
pedicle of a for- 
mer operation. 
Abscess sac also 
removed. No elev. 
of temp. 
59 
M • 
ft 
Nov. 15, ’86. 
27 
W 
Ovaries diseased; 
both tubes distend- 
ed size of wrist with 
clear fluid. 
Both. 
Extensive. 
II 
None. 
H 
R 
Local pain 
cured but 
she still 
menstruates 
II 
moved. Highest 
temp. 99%°. 
60 
64 »« 
II 
Nov. 15, ’86. 
Nov. 18, ’86. 
31 
S 
Pyo-salpinx; dou- 
ble pelvic abscess; 
rt. held 3 ounces of 
pus; left, involving 
tube and ovary, held 
6 ounces. 
Ovarian neuralgia. 
i< 
Extensive. 
Yes. 
None. 
H 
R 
Tubes and sac 
II 
61 
«5 9 
II 
31 
One. 
N 
P 
R 
ble cured 
but she i * 
dying of 
pulmona r y 
phthisis. 
Cure. 
of abscess also re- 
moved. Highest 
t. e m p. 103*4° on 
eighth day. 
Rt. ovary and 
II 
. 
tube removed. 
Six months ago 
left ovary was re- 
moved for neural- 
gia ; pain came on 
in rt. two months 
later; fibroids in 
uterus and in ova- 
ries found at last 
operation. No 
elev. of temp. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR. 
These reports are invaiiably secured directly from the operaror, and they include all of his operations in this class of cases within the period covered by his report. No. 
Opei ator. 
Date of 
Operation. 
V 
bo 
< 
Married or 
Single. 
No. of 
Children. 
Duration of 
Disease. 
Pathological Con- 
dition or Symptoms 
necessitating Opera- 
tion. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of 
Opera tion 
upon the 
condition 
requiring it. 
Remaiks. 
Reported 
Rlsewher 
62 
Dr. W. Gill Wylie, New York, N. Y. 
Nov. 21, ’86. 
33 
M 
8 yrs. 
Both. 
None. 
P 
R 
Local pain 
cured but 
Had been under 
N.Y.Statt 
us. Intense local 
with silk and 
constant treat- 
Soc. Feb. ’87 
puiu. 
dropped. 
general con- 
ment eight years. 
Med. Recon. 
diti on un- 
satisfactory. 
Wore pessary most 
of the time. Tubes 
and pampiniform 
plexus also r e- 
Mar. 19, ’87 
moved. No elev. 
of temp. 
63 
if M it 
Nov. 27, ’86. 
25 
M 
Salpingitis; ovar- 
itis; pyo-salpinx. 
it 
Decided. 
(( 
Yes. 
P 
R 
Complete 
relief. 
Two attacks of 
peritonitis, last 
due to stem pessa- 
ry. Complete in- 
valid. Tubes also 
removed. Highest 
temp. 101°. 
61 
(' <1 f 
Nov. 29, ’86. 
26 
M 
Pyo-salpinx; tubes 
enlarged and hard- 
„ 
tl 
(t 
H 
R 
Complete 
cure. 
Tubes also re- 
intestines, etc. 
moved. Highest 
• 
eued. 
temp. 99%°. 
65 
u tt u 
31 
S 
Prolapse of both 
ovaries. Intense 
„ 
U 
None. 
P 
R 
Local pain 
cured; gen- 
Small fibromata 
on uterus and ova- 
pain for years. Ova- 
eral health 
ries. Tubes and 
ries large anl very 
better. 
pampiniform 
hard. 
• 
plexus also r e- 
moved. No elev. 
of temp. 
16 
u a a 
Dec. 11, ’86. 
M 
5 yrs. 
Salpingitis; ovar- 
u 
Extensive. 
tl 
Yes. 
P 
R 
Complete 
Several attacks 
“ 
itis; pyo-salpinx. 
relief. 
of peritonitis; bed- 
lidden for five yrs. 
> 
History of gonor- 
rhota. Tubes al- 
so removed. High- 
est temp. 100%°. 
67 
Dec. 13, ’86. 
35 
W 
Pyo-sal p i n x; fi- 
broids. Tube sen- 
Yes. 
li 
H 
It 
left but old 
fi b r o i d also re- 
larged, filled with 
pains cured. 
moved, the latter 
pus; very adherent. 
to secure a pedicle. 
68 
Dec. 18, ’86. 
50 
s 
u 
None. 
P 
R 
No hem- 
us; intense pain; 
orrhage 3 
ny years; unable 
menorrhagia. 
months a f - 
to go about; treat- 
ter opera- 
ed for peritonitis; 
tion and 
bedridden; tubes 
othe r w i s e 
improved. 
and i ampiniform 
plexus also re- 
moved. No elev. 
of temp. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT TIIE SEAT OF TUMOR. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
© 
U) 
Married or 
Single. 
. a 
© £ 
©2 
Duration of 
Disease. 
Pathological Condi- 
tion or Symptoms neces- 
sitating Operation. 
One or 
both Ovaries. 
Adhesions. 
Treatment 
ot Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of 
Opera tion 
upon the 
condition 
requiring it. 
Remarks. 
Reported 
Elsewhere 
69 
Dr. Joseph Eastman, Indianapolis, 
[Ind. 
Mar. 12, ’86. 
24 
S 
1 
4 yrs. 
Cystic degeneration. 
Both. 
Staffordsli’e 
knot; intra- 
peritoneal. 
None. 
PH 
R 
Improved. 
Tubes also removed. 
Indiana 
Med. Jour. 
D> c. 1886. 
70 
71 
(4 «t 
44 
May 17, ’86. 
Aug. 5, ’86. 
32 
33 
M 
S 
0 
10 yrs. 
12 yrs. 
Salpingitis. 
Cystic degeneration. 
One. 
Both. 
44 
PH 
P II 
R 
R 
Cured. 
Much bet- 
ter. 
Cured. 
« 
44 
72 
a 44 
“ 
Aug. 12, ’86. 
23 
S 
7 yrs. 
44 44 
44 
Yes. 
“ 
“ 
P 
R# 
•< 
“ 
73 
44 44 
a 
Sept. 17, ’86. 
38 
M 
3 
20 yrs. 
Congenital defect of 
rt. ovary and tubes. 
“ 
“ 
PH 
R 
“ 
“ 
* 
74 
44 a 
Feb. 24, ’87. 
27 
M 
0 
12 yrs. 
Salpingitis and ovar- 
itis. 
“ 
Yes. 
44 
“ 
PI1 
R 
Better, 
“ 
No. 
75 
Dr. Mary A. D. Jones, 
Brooklyn, 
[N. Y. 
Jan. 23, ’86. 
1 
21 
M 
0 
5 yrs. 
Pain and repeated at- 
tacks of peritonitis. 
Large and 
strong. 
Dropped. 
Yes. 
H 
R 
Entire re- 
lief. Rest’ed 
to health & 
vigor. 
A large abscess in 1. 
ovary burst during 
removal. Tubes also 
removed. 
Med. Record 
Aug. 21,’86 
76 
Feb. 10, ’86. 
26 
M 
2 
6 to 10 
yrs. 
Ovaritis and Salpin- 
gitis. Both ovaries en- 
larged and dislocated. 
Consider- 
able. 
None. 
PH 
R 
Tubes also removed. 
77 
4* 44 
44 
Mar. 31, ’86. 
23 
s 
0 
5 yrs. 
Ovaritis; salpingitis; 
ovarian hsematoma; re- 
peated attacks of peri- 
tonitis ; constant pelvic 
pain. 
Very great. 
PH 
R 
44 
44 
78 
Apr. 6, ’86. 
24 
s 
0 
44 
Ovaritis; abscess in rt. 
ovary; salpingitis; endo- 
arteritis. Constant pain 
and repeated attacks of 
peritonitis. 
44 
PH 
R 
44 
44 
79 
44 44 
44 
June 17, ’86. 
21 
s 
0 
8 yrs. 
Myo-fibroma; ovaritis. 
“ 
Some. 
Intra-peri- 
toueal. 
44 
H 
R 
Favorable. 
No. 
80 
44 44 
44 
July, ’86. 
20 
M 
0 
7 yrs. 
Enlarged ovarips, 4 in. 
in diameter. Pain. 
“ 
Very con- 
siderable. 
Yes. 
H 
R 
“ 
44 
81 
44 44 
44 
July, ’86. 
21 
M 
1 
6 yrs. 
Peritonitis; ovaritis; 
Pyo-salpingitis. 
Very great. 
44 
H 
D 
Patient had acute 
peritonitis and intes- 
tinal obstruction. 
44 
82 
Dr. A. W. Johnstone, Danville, Ky. 
Sept. 8, ’86. 
31 
M 
1 
3 yrs. 
Repeated attacks o f 
pelvic inflammation. 
Enlargement to left ol 
uterus. 
44 
Slight. 
Tied and 
dropped. 
None. 
P 
R 
Cure. 
Tubes also removed. 
83 
44 44 
Oct. 19, ’86. 
28 
S 
Si’ce be- 
ginning 
of men- 
strua’n. 
Retre-flexion with re- 
pealed pelvic inflamma- 
tions. 
P 
R 
44 
44 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.  
u 
o . 
Pathological Con- 
s 
Sh 
*- 
O 
la* 
Effect of 
O p er ation 
upon the 
condition 
iequirmgit. 
No. 
Operator. 
Date of 
Operation. 
<V 
60 
<5 
I Married 
Single 
No. of 
| Children 
a 
.2 ® 
d 
ft 
dition or Symptoms 
necessitating Opei a- 
tion. 
O ctf 
go 
°3 
O 
X2 
Adhesions. 
Treatment of 
Pedicle. 
Drainag 
rt c3 
£ > 
K 
Itesul 
(Recover 
Death 
Remarks. 
Reported 
Elsewhere. 
b4 
Dr. Hampton E. Hill, Saco, Maine. 
Jan. 23, ’86. 
39 
S 
0 
10 yrs. 
Bedridden for last 
Both. 
None. 
Tied and cut. 
Yes. 
p 
R 
Able to go 
Tubes also re- 
P'gh Med. 
two year.-. Pain, 
about & im- 
moved. 
Rev.— June, 
lameness etc. 
proviut;. 
1887. 
85 
Dr. Henry Beates, Jr., Philadelphia, Apr. 28, ’87. 
17 
s 
0 
4 mos. 
Pyos-dpinx ; ab- 
scess of broad liga- 
One. 
Yes ; to uterus 
and fascia 
Tied and burnt. 
44 
p 
R 
Cure. 
Exten’vedis'ec- 
[Pa. 
tion; free ligatur- 
No. 
ment. Cystic horary 
ing; thermo-cau- 
and caseous tube. 
tery. 3d operat’n. 
Rt. appendages re- 
moved six months 
before. Tube also 
removed. 
86 
<4 44 44 
May 30, ’87. 
39 
s 
0 
18 yrs. 
Rt. ov. cirrhotic; 
Both. 
Very firm. 
Ligated. 
44 
p 
D 
Adhesions very 
44 
leit cystic. 
firm, requiring in- 
cisions. Tubes 
tortuous and con- 
* 
tracted. Tubes al- 
so removed. Death 
M 
on 4th day from 
syncope. Incision 
well healed. 
87 
Dr. J. M. Baldv, Philadelphia, Pa. 
Sept. 9, ’86. 
35 
0 
7 yrs. 
Cystic degenera- 
44 
None. 
Tied and drop- 
None. 
p 
R 
Cured. 
44 
M 
tiou of ovaries and 
chronic salpingitis. 
ped. 
88 
(4 44 44 
Feb. 3, ’87. 
28 
1 
4 wks. 
Lt. pyosalp nxand 
One. 
Universal. 
44 
Yes. 
p 
R 
44 
This case was of 
Phil a. Obst. 
ovarian abscess. 
puerpe’l origin, 4 
and County 
M 
Rt. pyosalpinx and 
weeks after labor. 
Med. Soc’es. 
89 
44 44 44 
Mar. 3', ’87. 
31 
5 
7 yrs. 
44 
44 
44 
44 
p 
R 
44 
Was suffering 
Phila. Obst. 
ovarian Ubsccss. 
from general peri- 
tonitis at time of 
operation. 
Soc iety. 
90 
June 7, ’87. 
27 
M 
0 
4 yrs. 
Ovarian cirrhosis 
Both. 
Lt. ovary ad- 
« 
None. 
p 
R 
Doubtful 
Phila. Co. 
and c\ Stic degenei a- 
herent in poste- 
as yet. 
Med. Soc. 
M 
tion. 
rior cul-de-sac. 
91 
Dr. Jos. Taber Johnson, Washing- 
May 2, ’87. 
40 
0 
10 yrs. 
Mvoma of uterus; 
44 
None. 
Transfixed, tied 
44 
PII 
R 
Perfect re- 
Med. Soc., 
[ton D. 0. 
mosi profuse and 
and dropped. 
covery. 
D. C. 
> 
dangerous hem’rh’s. 
So far good 
92 
May 23, ’87. 
23 
S 
0 
7 yrs. 
Chronic ovaritis. 
PH 
R 
Haspas’ed 1 
period with 
no menses. 
93 
Dr. Jos. Eastman, Indianapolis, Ind. 
Mav 28, ’87. 
32 
S 
0 
2 yrs. 
Cystic degenerat’n 
44 
44 
Tied with silk 
44 
PH 
R 
Enc’ragingl 
of ovaries causing 
insanity; rt.-anglea 
and dropped. 
a t present. 
Not yet time 
kink in one tube 
to judge 
M 
causing occlusion. 
fully. 
94 
44 44 44 
June 14, ’87. 
30 
0 
5 yrs. 
Salpingitis and 
44 
Yes. 
44 
Yes. 
PH 
R 
All that 
Tubes at least 10 
cystic degeneration 
could be de- 
times normal size. 
of ovaries. 
sired. 
95 
Dr. Paul F. Mundg, New York, N. Y. 
Mar. 9, ’87. 
W 
0 
“ 
Salpingo-oophoritis. 
44 
Complete. 
Tied, seared 
and dropped. 
None. 
H 
R 
Cured. 
Small intestine 
accidentally in- 
jured ; running 
catgut suture. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
Age. 
Married or 
Single. 
No. of 
Children. 
Duration of 
Disease. 
Pathological Con- 
dition or Symptoms 
necessitating Opera- 
tion. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of 
Opera tion 
upon the 
condition 
requiring it. 
Remarks. 
t 
Reported 
Elsewhere. 
96 
Dr. A. Vander Veer, Albany, N. Y. 
May 26, ’86. 
24 
S 
10 yrs. 
7*>ysmen or rh oe a 
■with epileptic con- 
Both. 
Quite severe. 
Tait knot. 
None. 
H 
R 
Cure. 
Tubes also re- 
moved. 
Am. Jour- 
nal of Obs'., 
vulsions. 
Improved, 
but relapsed 
May, ’87. 
97 
Oct. 6, ’86. 
19 
5 yrs. 
Cystic ovaries. 
Dy smenorrh cea with 
t< 
H 
R 
epileptic c o n v u 1- 
in 3 mos. as 
sions. 
bad as ever. 
Tubes also re- 
98 
M II (l 
Jan. 13, ’87. 
33 
S 
18 yrs. 
Both ovaries cys- 
Slight. 
41 
H 
R 
Cure. 
tic. L. dislocated 
moved. 
and painful. Hys- 
tero-cat alept i f o r m 
Left ovary and 
convulsions. 
No. 
99 
U it it 
Feb. 25, ’87. 
33 
M 
1 
18 mos. 
Double, salpingo- 
oophoritis. 
One. 
Very firm. 
it 
H 
R 
Improved. 
tube removed. Rt. 
ovary ci rrhosed 
and adherent and 
impossible of re- 
moval. 
100 
Dr. Richard B. Maury, Memphis, 
[Tenn. 
Mar. 9,’87. 
24 
M 
1 
4 yrs. 
Pelvic peritonitis. 
Double pyo-salpinx. 
Both. 
Extensive and 
firm. 
Staffordshire 
knot. 
Yes. 
P H 
R 
Now has 
good health. 
Treated 1 % 
years without 
L. ovary a cy st. Two 
No men- 
benefit. Tubes al- 
thirds of ft. ovary 
struation 
so removed. Op- 
cystic. Confirmed 
invalidism. 
since. 
eration difficult 
on account of ad- 
hesions and hem- 
orrhage. Drain- 
age for six days. 
101 
u u u 
May 13, ’87. 
24 
M 
1 
5 yrs. 
Ovaries pale, con- 
tracted and cirrhos- 
“ 
None. 
Tied and cut. 
None. 
PH 
R 
Much im- 
proved i n 
• Tubes healthy, 
but removed. Op- 
ed. Bedridden for 6 
health, but 
eration easy. 
mos. Constant,pelvic 
feeble; n o 
pain. Dysmenorr- 
men strua- 
hcea. Intractable, 
tion since. 
102 
Dr. Jos. Taber Johnson,Washington, 
[D.C. 
Dr. R. A. Kinloch, Charleston, S. C. 
m 
June 26, ’87. 
23 
S 
0 
severe vaginismus. 
Chronic ovaritis 
and infantile uterus. 
Yes. 
Transfixed/tied 
and dropped. 
P H 
R 
Perfect re- 
covery. 
Left hospital 
well in 3 weeks. 
7 yrs. 
No. 
103 
Jan. 15, ’87. 
28 
M 
0 
None. 
p 
R 
one natural size; the 
other size of lemon. 
Menstrual 
flow stopped 
Tubes also re- 
moved. The 
104 
Dr.H.O. Hitchcock,Kalamazoo,Mich. 
May 10, ’87. 
35 
M 
5 
6 yrs. 
An invalid for six 
years with ovarian 
pain and occasional 
44 
it 
Tait knot. Silk 
ligature. 
“ 
P 
R 
since opera- 
general appear- 
discharges of pus. 
tion; pain 
greatly re- 
lieved. 
ance indicates 
that a cure will 
result. 
106 
Dr. Jas. W. Heddens, St. Joseph, Mo. 
Jan. 31, ’86. 
34 
M 
14 yrs. 
Both ovaries en- 
larged, congested 
4* 
Tied and 
dropped. 
P 
D 
Died from dou- 
ble pneumonia on 
and cyst ic. Constant 
8th day, from neg- 
pain kept her in bed 
lect in nursing. 
Autopsy showed 
month. 
wound healed by 
first intention and 
peritoneal cavity 
clean and healthy. 
34 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
Age. 
Married or 
Single. 
No. of 
Children. 
Duration of 
Disease. 
Pathological Con- 
dition or Symptoms 
necessitating Opera- 
tion. 
One or 
both Ovaries. 
Adhesions. 
Treatment of 
Pedicle. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of 
Opera tion 
upon the 
condition 
requiring it. 
Remarks. 
Beported 
Elsewhere. 
106 
Dr. R. S. Sutton, Pittsburgh, Pa 
Feb. 17, ’87. 
24 
S 
0 
6 inos. 
L. pyosalpinx. 
One. 
Yes. 
Ligatured. 
None. 
P H 
R 
Health 
improved. 
The other ovary 
and tube removed 
11 months before. 
No. 
107 
it (1 it 
April 16,’87. 
32 
M 
0 
Double pyosal- 
pinx. 
Both. 
None. 
„ 
PH 
R 
Improved. 
it 
108 
<t it <( 
April 26,’87. 
27 
s 
o 
Chronic 
Salpingitis. 
« 
Yes'. 
tt 
P H 
R 
u 
lbs.iu 6 mos. 
J09 
U U U 
Nov. 17, ’87. 
31 
s 
0 
9 mos. 
One. 
„ 
u 
u 
P H 
R 
Right ovary and 
tube removed one 
year ago. 
It 
pingitis and ovaritis. 
110 
111 
Dr. E. E. Montgomery, Philad’a, Pa. 
Jan. 17, ’87. 
April, ’87. 
26 
35 
M 
2 
1 yro 
Menstrual insan- 
ity ; tender andpro- 
lapstd ovaries. 
Contihimus pain; 
ovaiies enlarged. 
Both. 
Slight. 
Extensive. 
Tait knot. 
H 
R 
Cure. 
S 
3 yrs. 
H 
R 
moved. 
Register. 
No. 
moved. 
112 
u a u 
Oct. 6, ’87. 
33 
M 
1 
10 yrs. 
Cystic ovaiies; 
hemorrhage and 
„ 
P 
R 
Improved. 
a 
moved. 
113 
u u a 
Nov. 21, ’87. 
37 
M 
2 
15 yrs. 
and pro- 
lapsed ovaries. 
14 
It 
P H 
R 
Was 2% months 
pregnant. 
a 
114 
115 
22 
34 
s 
0 
Hystero-epilepsy. 
Acute peritonitis 
from rupture of ab- 
scess of left ovary. 
„ 
Ligated. 
None. 
H 
D 
Society. 
No. 
Dr. Yirgil 0. Hardon, Atlanta, Ga... 
Sept. 15, ’87. 
M 
0 
36 hrs. 
One. 
Yes. 
P 
D 
bolized silk and 
dropped. 
in two hours after 
operation. A dis- 
charge of pus from 
the navel had ex- 
isted for 14 years. 
There had been 
frequent attacks 
of acute peritoni- 
tis during that 
time. 
LAPAROTOMY FOR REMOVAL OF OVARIES NOT THE SEAT OF TUMOR. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.  
<4-1 
g 5 a 
O O 
No. 
Operator. 
Date of 
Operation. 
I Sex. 
© 
&C 
< 
Duration 
Disease. 
Pathological Condi- 
tion or symptoms ne- 
cessitating Operation. 
Nature of Operation. 
Drainage. 
Hospital oi 
Private. 
Result: 
(Recovery 
Death.) 
Fffect of 
operation u 
the condit 
requiring it 
Remarks. 
Reported 
Elsewhere. 
1 
Dr. Paul F. Mund€, New York, N. Y. 
Jan. 20, ’86. 
F 
44 
3 yrs. 
17 lb>. Pediculated 
Fihro-myoma. 
Hysterectomy. 
None. 
H 
D 
Adhesion to intestines, &c. 
Pedicle clamped. Second- 
ary hemorrhage from mes- 
enteric adhesions. Trans- 
fusion of saline fluid; wound 
re-opened. 
2 
Dr. D. W. Cheever, Boston, Mass. 
’86. 
M 
27 
4 weeks 
Perityphlitis and ab- 
scess. 
Two incisions in ab- 
domen. 
Yes. 
H 
R 
Cure. 
Sussex Dist. 
Med. Soc. 
3 
U H U 
’86. 
M 
25 
6 days. 
Volvulus and perito- 
nitis. 
Cut in Itnea semiluna- 
ris. 
“ 
H 
D 
t 
“ 
4 
« « M 
’86. 
M 
21 
4 days. 
Hernia and mortifica- 
tion. 
Herniotomy, followed 
by cut in abdomen and 
excision of gut and su- 
ture. 
No. 
H 
D 
5 
Dr. N. P. Dandridge, Cincinnati, 0. 
Odt. 12, ’86. 
F 
4 
6 mos. 
Stricture of (Esoph- 
agus from swallowing 
washing fluid. 
Gastrotomy. 
P 
R 
Stricture 
remai’d im- 
permeable. 
Child contracted measles, 
and the wound, which had 
healed, ulcerated and was 
attacked by erysipelas. 
Child died 2 months after 
operation. 
6 
Dr. Henry Beates, Jr., Phila., Pa. 
Sep. 14, '86. 
F 
43 
Abscess of rt. ovary. 
Exploratory incision. 
P 
R 
None. 
Adhesions universal and 
of such a character as to 
prevent removal. 
No. 
7 
U It (C 
Dec. 9, ’86. 
M 
51 
4 mos 
Tumor of omentum 
or hepatic flexure of 
colon. 
No. 
P 
R 
Mass involved omentum 
and colon, and could not be 
removed. 
U 
8 
Dr. J. R. Weist, Richmond, Ind 
July 13, ’86. 
F 
47 
3 yrs. 
Fibro-cystic tumor of 
uterus. 
Hysterectomy. 
Yes. 
P 
D 
Removal very difficult 
because of adhesions. Death 
on 5th day from peritonitis. 
“ 
9 
U « ti 
July 15, ’86. 
F 
37 
2 yrs. 
Cyst of rt. kidney 
supposed to he ovarian. 
Cyst treated by aspir- 
ation. Not removed. 
No. 
PH 
R 
Cued. 
Recovery rapid. 
it 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by this report.  
No. 
Operator. 
Date of 
Operation. 
I Sex. 
© 
Duration of 
Disease. 
Pathological Condi- 
tion or symptoms ne- 
cessitating Operation. 
Nature of Operation. 
Drainage. 
1 Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of the 
operation upon 
the condition 
requiring it. 
Remarks. 
Reported 
Elsewhere. 
10 
Dr. Robt. T. Morris, New York, N. Y. 
Mar. 18, ’86. 
F 
17 
4 days. 
Puerperal peritonitis; 
patient comatose. 
Two-inch incision in 
linea alba. Cavity flush- 
ed with hot water. 
Sip’n 
dra’n- 
age. 
P 
D 
Marked 
improvem’t 
for few hrs. 
Operation as a last hope 
only. 
Annals of 
Surgtry, 
Dec., ’86. 
11 
„ „ „ 
June 27, ’86. 
F 
52 
13 yrs. 
For 
P 
R 
Cure. 
U 
inal cavity. Chronic 
peritonitis. 
num to pubes; separa- 
tion of adhesions; chole- 
cy ototomy. 
cystic 
duet 
only. 
* 
12 
U (i It 
July 20, ’86. 
F 
60 
Chronic pelvic peri- 
tonitis. 
Five-inch exploratory 
incision in linea alba. 
None. 
P 
R 
No effect. 
Cause not discovered. 
it 
13 
Sep. 25, ’86. 
M 
37 
3 yrs. 
Adhesions due to 
traumatism. 
Laparotomy for re- 
leasing adhesions. 
tt 
P 
R 
Left oper- 
ator’s hands 
in good con- 
dition. 
No. 
14 
Dr. Edward J. Ill, Newark, N. J 
Apr. 18, ’86. 
F 
39 
6 yrs. 
Fibro-eyst of uterus. 
Partial removal. 
u 
PH 
R 
Tumor 
30 lbs. fluid removed. 
ceased to 
g ow. Im- 
provement. 
15 
II M II 
May 1, ’86. 
F 
40 
Exploratory. 
H 
R 
Adhesions too great for 
removal. 
double pyo-salpinx. 
16 
U M « 
Jan. 22, ’87. 
F 
56 
2 yrs. 
4« 
Yes. 
H 
D 
Death on 12th day from 
exhaustion. 
peritonitis. 
17 
M It U 
Feb. 12, ’87. 
F 
44 
4 yrs. 
Fibro-cyst of uterus. 
«« 
None. 
H 
R 
• 
of universal adhesions. 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.  
• 
g 
•5 © o , 
NTo. 
Operator. 
a 8 
© 
Pathological Condi- 
© 
O 
— 
o bo 
Remarks. 
Operation. 
o 
tion or symptoms ne- 
Nature of Operation. 
So > a 
Elsewhere. 
M 
© 
m 
© 
be 
< 
55 
Q 
cessitating Operation. 
c5 
M 
Q 
odi 
W 
« SO 
P3 
® ® c 
P~ S 
18 
I>r. W. Gili Wylie, New York, N. Y. 
Jan. 21, ’86. 
F 
47 
Several 
Large, irreducible, um- 
Laparotomy; redu- 
None. 
H 
R 
Hernia 
Very fat woman. 
N. Y. State 
years. 
bilical hernia; skin ul- 
ceiating; painful. 
cing and sewing up her- 
was cured. 
Soc. Feb. 87. 
nia. 
Med.Re' ord 
Mar. 19, ’87. 
I'J 
tt 44 4t 
Feb. 4, ’86. 
F 
29 
6 raos. 
Laparotomy aDd sew- 
ing up hernia. 
P 
R 
following use of drain- 
age tube after former 
laparotomy. 
cured. 
20 
u ct u 
Feb. ’86. 
F 
30 
Very large ventral 
hernia after former lap- 
Laparotomy and sew- 
ing up hernia. 
it 
II 
R 
44 
cured. 
and part of stomach hang 
out; the ring and mass 
reaches half way to knees. 
aroiomy. 
21 
u u u 
Mar. 20, ’86. 
F 
36 
Laparotomy; washed 
out and drained. 
Yes. 
H 
D 
Patient tn very oad con- 
dition ; pulse 150. Laigegan- 
peritonitis due to burst- 
ing pyosalpinx 
grenuus abscess evacuated. 
22 
u 44 (« 
Apr. 12, ’86. 
32 
Laparotomy and per- 
manent drainage. 
H 
R 
44 
from tubercular peri- 
con ditio n 
tonitis. 
much im- 
proved. 
23 
May 20, ’86. 
F 
30 
Prolapsed, slightly ad- 
herent ovaries. 
Uterine appendages 
loosened irom adhe- 
None. 
H 
R 
patient t et- 
sions 
ter but no 
pernian e nt 
effect. 
24 
cc 44 44 
May 26, ’86. 
54 
Abdominal dropsy 
Laparotomy and per- 
Yes. 
H 
R 
Genera 1 
“ 
from tubercular peri- 
manent drainage. 
health i m - 
tonitis. 
proved and 
patient com- 
fortable. 
Uterus inaccessible from 
25 
u i< u 
Sept. 21,’86. 
F 
44 
Multiple myomata; 
severe hemorrhages. 
Hysterectomy. 
None. 
P 
R 
Complete 
relief of 
vagina; supra-pubic wire. 
both gener- 
al and local 
trouble. 
Stump externally. Highest 
temperature 100°. 
26 
<4 44 44 
Oct. 10, ’86. 
F 
50 
4 days. 
Intestinal obstruction. 
Tying and cutting 
«« 
P 
R 
Recovery 
Peritonitis 10 years ago 
Band of adhesion size of 
constricting band. 
complete. 
from sounding to diagnose 
lead pencil completely 
fibroid; complete obstruc- 
occluded ileum. 
tion for four days. 
<4 
27 
U 44 44 
Dec. 8, ’86. 
F 
22 
Pelvic abscess and 
fibroid tumor. 
Abdominal incision. 
Yes. 
P 
R 
No perma- 
nent relief 
Three weeks later large 
abscess was drained by va- 
given by 
gina. 
t peration. 
Fundus of gall-bladder 
drawn backward and adhe- 
28 
44 44 tt 
Dec. 21, ’86. 
35 
Perforating gall-stone. 
Exploratory incision. 
None. 
P 
R 
feet & since 
the opera- 
rent walls thickened ; stone 
1 " 
tion no re- 
turn of col- 
icky pains. 
out of reach posteriorly; sac 
not disturbed. 
38 
u 
© 
ft 
© 
U 
2 
>> 
x> 
n | 
w ® 
►—« ~ 
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h-< — 
I 
s. 
o ® 
tH c 
O I 
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V- rt 
P> « 
O o 
led <» 
S .2 
H 73 
Ph ” 
5 
W 2 
hpH m 
£ 
H .2 
CtJ 
s 
<! o 
a 2 
pH <*-H 
© 
CO =3 
K ® 
W s 
21 
03 1 
Ld 5 
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hh a 
aJ 
c5 
w « 
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>-H c. 
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I 
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td £ 
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EH « 
o S 
Ph ~ 
.2 
- Sh 
CLi a 
.2 
X £ 
TO 
£ 
O 
Ch 
<D 
0) 
OJ 
J2 
H No. 
Operator. 
Date of 
Operation. 
M 
£ 
© 
Duration of 
Disease. 
Pathological Condi- 
tion or symptoms ne- 
cessitating Operation. 
Nature of Operation. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death ) 
Fffect of the 
operation upon 
the condition 
requiring it. 
Remarks. 
Reported 
Elsewhere. 
29 
Dr. M. H. Richardson, Boston, Mass. 
Aug. 5, ’86. 
M 
37 
11 mos. 
Lodgment of plate of 
Gastrotomv with ex- 
None. 
II 
R 
Cure. 
Plate detected by digital 
BoslnnMed- 
false teeth in (Esophagus. 
traction of teeth from 
manipulation with hand and 
ical and Sur- 
Inanition threatened. 
oesophagus. 
forearm introduced into 
gical Jour,, 
stomach. 
Dec. 16, ’86. 
30 
«« *• “ 
Aug. 18, ’86. 
F 
23 
1 hour. 
Stab with sharp knife 
Enlargeme’tof cut and 
44 
II 
R 
into abdominal cavity. 
examination of intes- 
No symptoms. 
tines. 
81 
U M it 
Sep. 17, *86. 
F 
65 
5 days. 
Gangrene of loop of in- 
Laparotomy, resection 
Yes. 
H 
D 
Death from shock. Sutured 
testiue with herniotomy 
and suture of intestine. 
bowel found in good con- 
done four days before. 
dition with perfectly tight 
joint. 
32 
t( M it 
Oct. 8, ’86. 
F 
44 
8 mos. 
Cancer of stomach. 
Exploratoiy incision. 
None. 
H 
R 
None. 
No operation on storn- 
ach practicable. 
33 
U M it 
Mar. 14, ’87. 
F 
40 
18 mos. 
Intra-mural lymphan- 
Hysteiectomy, hut 
•• 
II 
D 
Death on fifth day from 
giectatic fibromyoma of 
uterinecanal not opened 
volvulus and strangulation 
uterus. 
Elastic ligature and ex- 
V 
with gangrene of bowel. 
tra-peritoneal treatment 
ot pedicle. 
34 
Dr. A. W. Johnstone, Danville, Ky. 
Sep. 5, ’86. 
F 
40 
5 mos. 
General tubercular 
Laparotomy with 
Yes. 
P 
R 
Cure. 
' 
peritonitis. 
drainage. 
35 
u u « 
Oct. 10, ’86. 
F 
54 
10 years. 
Suppurative calculous 
Enucleat ion of kidney 
•< 
P 
D 
Urine 
Had secondary abscesses 
• 
nephritis. 
with 5 large and many 
cleared of all 
for six months before. 
small stones. 
signs of pus. 
36 
u u 
Nov. 6, ’86. 
F 
32 
3 mos. 
Ruptured tubal preg- 
Primary laparotomy 
•• 
P 
R 
Cure. 
Med.Rerord, 
nancy with peritonitis. 
with removal of 3 mos.’ 
leb. 26, ’87. 
foetus and tube. 
37 
a u m 
Jan. 10, ’87. 
F 
36 
10 w’ks. 
Intussusception of 4 
Laparotomy with re- 
« 
P 
R 
« 
feet of. colon. 
dnetion by reverse per- 
istalsis. 
38 
*• U M 
Feb. 22, ’87. 
F 
31 
1 year. 
Suppurating cyst of 
Laparotomy with in- 
•* 
P 
R 
«• 
urachus. 
troduction of circular 
drainage. 
39 
U M U 
Mar. 25, ’87. 
F 
28 
11 w’ks. 
Suppurating pelvic hse- 
Laparotomy with ab- 
•> 
P 
R 
U 
Discharge almost stopped; 
matocele. 
dominal drainage. 
but still keep wound open 
with small rubber tube. 
40 
Dr. Jos. Eastman, Indianapolis, Ind. 
Sep. 9, ’86. 
F 
49 
2 years. 
Encephaloid cancer 
Exploratory incision. 
44 
P 
R 
None. 
Entire recovery from ope- 
Ind'a Med. 
of left ovary surround- 
ration. Death 2 weeks later 
Journ'l, De 
ing rectum. 
from the disease. 
86. 
41 
u u u 
Feb. 3, ’87. 
F 
35 
4 years. 
6 ft> fibroid of uterus. 
Hysterectomy. 
it 
PH 
R 
Cured. 
No. 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
. 
Operator. 
Date of 
Operation. 
1 Sex. 
© 
be 
<5 
Duration of 
Disease. 
Pathological Condi- 
tion or symptoms ne- 
cessitating Operation. 
Nature of Operation. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death). 
FfFect of the 
operation upon 
the condition 
requiring it. 
Remarks. 
Reported 
Elsewhere. 
42 
Dr.L.McLane Tiflany, Baltim’e, Md. 
Mar. 21, ’86. 
F 
73 
7 days. 
Obstruction of bowel 
by peritoneal band at 
splenic flexure of colon. 
Belly opened; band 
torn through ; small gut 
burst while outside of 
cavity: gut sewed and 
returned. 
None. 
P 
D 
Gas and fe- 
ces at once 
began to 
pass per an- 
um. 
Negress. Did not react 
from operation. 
No. 
43 
M M It 
July 3, ’86. 
F 
50 
4 days. 
Adhesion of gut to 
belly wall with obstruc- 
tion. 
Laparotomy and re- 
section of gut. 
« 
P 
D 
Died same day. 
« 
44 
U it ti 
Aug., ’88. 
M 
28 
Splenic tumor. 
Laparotomy for digit- 
al examination. 
14 
H 
R 
months. 
45 
MU it 
Mar.,’87. 
M 
24 
Several 
months. 
Abscess of liver. 
Belly opened; perito- 
neum sewed to liver; 
abscess opened and 
drained. 
P 
R 
Cure. 
Abscess contained two 
quarts or more. 
46 
47 
U U U 
Dr Paul F. Mundfi, New York, N.Y. 
Mar 
Mar. 17, ’87. 
F 
F 
11 
32 
3 weeks. 
Purulent peritonitis. 
Intestinal obstruc- 
tion. 
i 
Laparotomy and irri- 
gation. 
Laparotomy with re- 
lease of constricting 
bands. 
Yes. 
P 
P 
R 
D 
Feeal fis- 
tula not yet 
healed. 
Child tuberculous; vom- 
icae in lungs. 
Stercoraceous vomiting. 
Numerous bands constrict- 
ing small intestine, 6 feet of 
wnich was black. Operation 
not permitted early enough. 
Death from exhaustion 16 
hours later. Patient was 
operated on by Dr. Mundg 
for ovarian tumor, Oct. 13, 
1886 (see case 121), during 
pregnancy. Child born 
March 5, 1887. 
48 
mu m 
Mar. 30, ’87. 
F 
37 
7 years. 
Hsematoma of left 
broad ligament. 
Laparotomy; endeav- 
or to sew edges of liga- 
ment into abdominal 
wound. 
Yes. 
D 
Severe, deep hemorrhage 
requiring intestines all to 
be drawn out. Shock severe. 
Rallied and did well for six 
days then suddenly took 
peritonitis and died on the 
11th day. 
49 
Dr. J. M. Baldy, Philadelphia, Pa. 
July 14, ’86. 
F 
43 
7 years. 
Double inflammatory 
tubal disease. 
Incomplete operation 
for removal of tubes and 
ovaries. 
None. 
P 
R 
Entire re- 
lief for 3 or 
4 mos. Lat- 
er, return of 
symptoms. 
Operation not completed 
on account of adhesions, it 
being impossible to even 
reach the pelvic inlet. In- 
testines glued to each other 
and to abdominal wall and 
matted over pelvic inlet. 
No. 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.  
U 
o 
Effect of 
No. 
Operator. 
Date of 
Operation. 
M 
© 
OQ 
O eg 
53 © 
Pathological Condi- 
tion or Symptoms neces- 
sitating Operation. 
Nature of Operation. 
© 
| 
fl 
©' 
•a-g 
— £\s 
SS75 
ffl O 9 
Opera tion 
upon the 
condition 
Remarks. 
Reported 
Elsewhere. 
= 5 
03 
epn 
requiring it. 
< 
ft 
a 
a 
50 
Dr. Thos. J. Maxwell, Keokuk, la. 
Oct. 24, ’86. 
F 
43 
l year. 
Encysted ascites of tu- 
Opening abdomen and 
None. 
H 
R 
Prog r e s s 
Case simulated ovarian 
No. 
bercular character. 
sac filled with ascitic 
fluid. 
of disease 
retarded. 
Marked im- 
provem e n t 
for few mos; 
died J’ly,’87. 
disease. 
51 
U M «t 
Dec. 4, ’86. 
F 
30 
Exploratory incision. 
H 
D 
Tumor and appendages so 
matted together as to make 
<< 
tain. 
peritonitis. 
removal impossible. 
52 
Dr. Jas. W. Heddens, St. Joseph, Mo. 
Feb. 28, ’86. 
M 
30 
Incision 5% inches; 
removal of blood and 
Yes. 
P 
R 
Rubber drain placed from 
wound in liver. 
through peritoneal cav- 
to natural 
Med. Assoc.. 
ity and into liver. 
foreign body. 
functions. 
1886. 
53 
Nov., ’86. 
M 
26 
Enlargement of wound 
and removal of blood. 
None. 
P 
R 
No. 
peritoneal cavity. 
54 
Dr. Joseph Eastman, Indianapolis, 
May 16, ’87. 
F 
48 
6 yrs. 
Pelvic abscess, result 
Laparotomy with re- 
Yes. 
P II 
R 
All that 
Intermittent discharges of 
Si. Louis 
[Ind. 
of hsematocele in right 
moval of % gal. of pus. 
could be de- 
pus per rectum had occurred 
Med. Review 
broad ligament. 
sired. 
for six years. 
June 11, ’87. 
55 
it tt u 
May 21, ’87. 
F 
28 
2 yrs. 
Pelvic abscess, result 
Laparotomy with re- 
“ 
PH 
R 
“ 
Intermittent discharges of 
“ 
of hsematocele in broad moval of 4 oz. pus. 
pus per rectum had occurred 
ligament. 
for one year. 
56 
Dr. R. B. Bontecou, Troy, N. Y. 
Apr. 20,’87. 
M 
78 
6 days. 
Obstruction of bowels, 
Free incision; remov- 
None 
P 
D 
Immediate 
Seemed to be in fair con- 
No. 
caused by strangulation 
al of viscera; relief of 
cessation of 
dition when operation was 
of 8 inches of jejunum 
constriction. 
vomiting. 
Had 2 or 8 
begun. D ath from shock 
by mesentery; stercora- 
in eight hours. 
ceous vomiting. 
free stools 
after opera- 
tion. • 
57 
Dr. Richard B. Maury, Memphis, 
[Tenn. 
June 24, ’87. 
F 
35 
5 weeks. 
Intra-peritoneal hsern- 
atoceie and consequent 
Laparotomy, removal 
of 2 quarts of liquid 
Yes. 
P 
R 
Before operation, condi- 
tion was one of septicaemia. 
a 
peritonitis; high pulse. 
blood and coagula and 
Straight recovery. 
fever and chills. 
washing out of cavity. 
58 
F 
37 
17 yrs. 
Large uterine fibroids. 
Supra-vaginal hyster- 
ectomy, including both 
ii 
PH 
D 
[D. C. 
tumor completely filled pel- 
D. C. 
ovaries and tubes. 
vis. the other rose so high 
that it was taken for an en- 
Dr. H. Beates Jr., Philadelphia, Pa. 
larged kidney. 
59 
May 23, ’87. 
F 
55 
15 mos. 
Carcinoma of omen- 
Laparotomy and ex- 
None. 
P 
R 
Tempora- 
The intense agony of omen- 
No. 
turn. Nodules also in 
cision of %"ol omentum. 
ry marked 
tal growths determined the 
peri-rectal and peri- 
relief. 
operation. Three years ago 
uterine tissues and re- 
removed an ovarian cyst 
tro-peritoneal glands. 
with papillomatous growths 
on its interior from this pa- 
tent 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. No. 
Operator. 
Date of 
Operation. 
<2 
Age. 
Duration of 
Disease. 
Pathological Condi- 
. ion or Symptoms neces- 
sitating Operation. 
Nature of Operation. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of 
Operation 
upon the 
condition 
requiring it. 
Remarks. 
Rep' irted 
Elsewhere 
60 
Dr. A. Vander Yeer, Albany, N. Y. 
Oct. 1, ’86. 
F 
42 
8 yrs. 
Fibro-cystic tumor of 
uterus. Tumor very 
large. 
Hysterectomy. 
Yes. 
H 
D 
Adhesions very great and 
secondary hemorrrhage 
from same, 'fait clamp. 
No. 
61 
U tt tt 
Oct. 28, ’86. 
F 
40 
5 yrs. 
Fibroma from left cor- 
Removal of uterine 
44 
H 
D 
. 
Adhesions to small intes- 
tines very extensive and 
firm; htmorrhage from 
same; pedicle ligated and 
dropped. 
tl 
• 
nu of uterus. 
fibroma. 
62 
46 44 “ 
Nov. 18, ’86. 
F 
18 
7 mos. 
Tuberculosis of peri- 
toneum. 
Exploratory incision. 
None. 
H 
R 
Cure. 
April, ’87, in splendid 
health. 
“ 
63 
U *1 M 
Feb. 4, ’87. 
F 
35 
9 yrs. 
Uterine fibroid size of 
large orange; severe 
hemorrhages. 
Exploratory incision. 
U 
H 
R 
Improved. 
Adhesions too firm to per- 
mit removal. 
44 
64 
(l l( u 
Feb., ’87. 
F 
52 
4 yrs. 
Fibroma with multi- 
Exploratory; large 
cyst opened. 
Yes. 
P 
D 
Death in four weeks from 
septic condition. 
locular ovarian tumor. 
65 
4. 4* It 
Feb. 17, ’87. 
F 
16 
8 mos. 
Tuberculosis of per- 
itoneum. 
Exploratory incision. 
None. 
H 
R 
Died 11 days after from 
acute pneumonia. 
66 
“ ** “ 
Mar. 15, ’87. 
F 
38 
3 yis. 
Fibroma size of foetal 
head. 
Exploratory incision. 
“ 
H 
R 
None. 
Adhesions too great to 
permit removal. 
44 
67 
Dr. R. A. Kinloch, Charleston, S. C. 
Jan. 21, ’87. 
M 
27 
5% hrs. 
Laparotomy; closure 
of six intestinal perfo- 
rations ; repair of mes- 
entery. 
Yes. 
H 
D 
Death on 3d day. 
Am. Snrg. 
Assoc., Med 
News, July 
16, ’87. 
small intestines. 
68 
it a u 
June 11, ’87. 
M 
60 
2 yrs. 
Cyst of mesentery. 
Laparotomy ; empty- 
ing of cyst; connecting 
it with external wound 
and drainage. 
ii 
P 
R 
No. 
health now 
improving. 
69 
ic :s « 
Aug. 16, ’87. 
M 
40 
Perivesical abscess 
Free opening and 
drainage. 
44 
P 
R 
mos. 
following stricture and 
stone in bladder. 
stored. 
70 
Dr. Richard B. Maury, Memphis, 
[Tenn. 
June 24, ’87. 
F 
35 
2 yrs. 
Intra-peritoneal hsem- 
atocele of great size and 
consequent peritonitis. 
Laparotomy; removal 
of coagula; lavage of sac. 
P 
R 
Cure. 
Operation 5 weeks after oc- 
currence of bsematocele; two 
quarts of blood removed; 
condition septic; high pulse 
and temp, and chills; recov- 
ered straightway. 
71 
Dr. Jos. D. Bryant, New York, N. Y. 
June 22, ’86. 
M 
45 
5 days. 
Perforation of vermi- 
form appendix. 
Median laparotomy; 
vermiform ap. ligated 
and removed. 
44 
P 
D 
Had general peritonitis at 
time of operation; died of 
exhaustion in 12 hours. 
Oaillard’t 
Med. Jour. 
42 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. 43 
O 
Hospital or 
Private. 
h 
O 
Ef 'ct of 
No. 
Operator. 
Date of 
Operation. 
Sex. 
Age. 
Duration 
Disease 
Pathological Condi- 
tion or Symptoms neces- 
sitating Operation. 
Nature of Operation. 
Drainage. 
*3 ® d 
S ► * 
® 5 9 
Opera tion 
upon the 
condition 
lequiringit. 
Remarks. 
Reported 
Elsewhere. 
72 
Dr. Wm. H. Myers,Fort Wayne,Ind. 
Aug. 7, ’86. 
F 
35 
Femoral Hernia; large 
irreducible, with ob- 
Laparotomy and re- 
moval of large amount 
Yes. 
H 
R 
No. 
cure. 
struction. 
of omentum. 
73 
<4 44 it 
Oct. 4, ’86. 
F 
32 
2 yrs. 
Enlarged, Indurated 
Splenectomy. 
44 
H 
R 
Complete 
Hot water used to prevent 
Jour. Am. 
and wandering spleen 
cure. 
shock. 
Med. Assoc. 
and peritoneal abscess. 
Apr. 2, ’87. 
74 
it it ii 
Mar. 28, ’87. 
F 
38 
7 yrs. 
Excessive enlargement 
of womb; hemorrhage; 
Hysterectomy. 
„ 
P 
D 
No. 
hours. 
rapid impairment of 
health. 
75 
July 28, ’87. 
F 
40 
7 mos. 
6 hrs. 
Fecal abscess result- 
ing in fistula ,in right il- 
iac fossa. 
Gun shot wound of ab- 
Laparotomy. 
44 
H 
R 
Abdominal 
section fail- 
ed to relieve 
the fistula ; 
but it w a s 
successf u 1- 
ly tre a t e d 
bypressure. 
The intestinal adhesion was 
regarded too extensive to jus- 
tify liberation and closure of 
the opening in the intestine. 
41 
76 
Dr. N. B. Carson, St. Louis, Mo 
Oct. 29, ’86. 
M 
29 
Laparotomy, enterec- 
tomy and suture of 
44 
H 
D 
Could not cleanse cavity on 
account of complications. 
Society. 
domen. 
* 
opening in gut. 
77 
it ti |« 
Dec. 13, ’86. 
M 
12 
6 days. 
Strangulated inguinal 
Median laparotomy 
None. 
II 
R 
Cure. 
Bone drain in inguinal 
Jour. Am. 
Jan. 5, ’87. 
hernia. 
Cancer of omentum, 
and enterectomy. 
wound. 
Med. Assoc. 
May 2,’87. 
78 
F 
42 
5 mos. 
Explorative laparo- 
tomy. 
Yes. 
H 
D 
etc. 
No. 
. 
day, caused by excessive drain. 
79 
Dr. Charles A. Jersey, New York, 
N. Y. 
July 2, '86. 
M 
44 
20 hrs. 
Pistol shot wound with 
Median laparotomy 
andsuture of intestines. 
None. 
H 
D 
Death from suppurative peri- 
tonitis and shock. 
perforation of intestine. 
cord, Oct. 
16,’86. 
80 
44 « U 
Nov. 2, ’86. 
M 
27 
36 hrs. 
Penetrating stab wound 
into liver with peritoni- 
tis. 
Laparotomy at site 
of wound. 
Yes. 
H 
D 
Death from shock. 
No. 
81 
Mar. 24, ’86. 
M 
28 
4 days. 
Suppurative peritonitis. 
Supposed obstruction of 
Laparotomy; central 
incision. 
44 
P 
D 
Death on 4th day. Remarks 
appended under “Surgical 
Notes.” 
44 
bowels. 
82 
«S it 44 
June 23,’86. 
F 
19 
Several 
Peritonitis. 
Median laparotomy. 
u 
P 
R 
Cure. 
mos. 
mer. Gyn. 
jSoc.,Vol.II. 
83 
ti t| 41 
Mar. 23, ’87. 
F 
28 
Several 
Ascites from malignant 
Exploratory laparo- 
None. 
H 
R 
Null. 
Had been tapped several 
No. 
mos. 
disease. 
tomy. 
times. Malignant disease found. 
Death t> weeks after operation. 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report. —_____ — 
No. 
Operator. 
Date of 
Operation. 
M 
© 
U) 
© 
&0 
Duration of 
Disease. 
Pathological Condi- 
tion or Symptoms neces- 
sitating Operation. 
Nature of Operation. 
Drainage. 
Hospital or 
Private. 
Result: 
(Recovery or 
Death.) 
Effect of 
Operation 
upon the 
condition 
requiring it. 
Remarks. 
Reported 
Elsewhere. 
84 
Dr. S. W. Gioss Philadelphia, Pa ... 
May 20, ’86. 
M 
23 
7 mos. 
Suspected abscess, but 
Exploratory laptroto- 
None. 
H 
R 
None. 
Lied subsequently. 
sarcoma ot liver. 
my. 
85 
U it «» 
Feb. 26, ’87. 
F 
37 
11 mos. 
Strangulation of sig- 
Median laparotomy. 
U 
H 
R 
Immediate 
The colon was so greatly dis- 
moid flexure by an 
relief. 
tended as to require two incis- 
omental band. 
ions to let out gas before it 
could be returned. 
86 
it it u 
Mar. 24, ’87. 
M 
54 
3 mos. 
Retroperitoneal sar- 
“ 
H 
R 
None. 
Died subsequently. 
coma. 
87 
(( U It 
Oct. 7, ’87. 
M 
3 
1 yr. 
Sarcoma of kidney. 
« 
H 
R 
buch’s incision. 
opposite kidney and mesenteric 
glams were sarcomatous. 
88 
Dr. Virgil 0. Hard >n, Atlanta, Ga... 
July 31, ’87. 
F 
24 
5 mos 
Pelvic abscess. 
Laparotomy; evacua- 
Yes. 
P 
R 
Cure. 
Both pus sac and abdominal 
No. 
tion of one quart of pus; 
cavity drained. Gained 11 lbs. 
suture of sac to abdomi- 
in the 4 weeks ''following opera- 
nal wall. 
tion. 
89 
Dr. J. M. Baldy, Philadelphia, Pa ... 
Oct. 13, ’87. 
F 
32 
2 yrs. 
Pelvic abscess with 
Laparotomy. 
Glass. 
P 
R 
Phil’a Obst. 
severe septicaemia. 
Soc. 
90 
Dr. R. A. Kinloch, Charleston, S. C. 
Aug. 31, ’87. 
F 
35 
Several 
Largo solid tumor, 14 
Laparotomy; pedicle 
Yes. 
P H 
R 
Bladder accidentally wounded 
years. 
lbs. Fibro-cystic; at- 
treated externally; rub- 
where attached to pedicle. 
taohed to left cornu of 
ber and silk ligature. 
Bladder wound suiured wi h 
uterus. 
cai gut for muscular coat and 
silk lor serous coat. Bladder 
healed without trouble. Cath- 
eter retained 4 days only. 
91 
Dr. E. E. Montgomery, Phi ’a, Pa .... 
April 12,’86. 
F 
50 
Exploratory. 
p 
R 
Death in eight weeks. 
No. 
j *“ 
turn; ascites. 
92 
Aug. 24. ’87. 
F 
26 
2 mos. 
Laparotomy. 
P H 
R 
Cure. 
osalpinx. 
Soc. 
93 
14 (t it 
Sept. 21 ’87. 
F 
28 
Exploratory. 
H 
R 
Improved. 
No. 
and uterus. 
94 
it it it 
Oct. 26, ’87. 
F 
16 
5 days. 
P 
R 
it 
lar peritonitis. 
95 
Mar. 29, ’87. 
F 
52 
1 yr. 
ii 
P H 
R 
None. 
it 
Abdominal distension 
and pain. 
96 
June 2, ’87. 
3 
tl 
P II 
D 
distension and pain. 
Medical Re- 
97 
Dr. H. 0. Hitchcock, Kalamazoo, 
Aug. 8, ’87. 
M 
35 
36 hrs. 
Intra-peritoneal rup- 
Laparotomy and cat- 
P 
D 
Patient had been insane for 
view, Nov., 
[Mich 
ture of urinary bladder, 
gut suture of bladder 
two years and was an inmate of 
1887. 
6 inches long. 
wound. 
an asylum. Bladder very full at 
lime of injury. Peritoneal cav- 
ity washed out with clean water. 
No. 
In two hours urine passed freely 
and clear through a retained 
catheter. Death next day. 
98 
Dr. X. 0. Werder, Pittsburgh, Pa.. 
July 15, ’86 
29 
j Removal of fibroids. 
H 
D 
it 
years 
sanity; metrorrhagia. 
99 
<i ii it 
Oct. 29, ’87. 
F 
40 
7 yrs. 
Ascites simulating 
i Exploratory. 
“ 
H 
R 
None. 
Cause of ascites undiscovered. 
Aly. Co. 
ovarian cyst. 
Soc. 
100 
Dr. Edward J. Ill, Newark, N. J 
Oct. 8, ’87. 
F 
30 
18 mos. 
Sarcoma of ovary. 
II 
1 R 
Extensive adhesions and very 
! 
large size prevented removal. 
LAPAROTOMY FOR OTHER PURPOSES THAN THE REMOVAL OF OVARIES. 
These reports are invariably secured directly from the operator, and they include all of his operations in this class of cases within the period covered by his report.