Report of five cases of uterine retrodisplacement treated by vaginal fixation (Mackenrodt) / by Frederick Holme Wiggin.

  • Wiggin, Frederick Holme, 1853-
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Report of five cases of uterine retrodisplacement treated by vaginal fixation (Mackenrodt) / by Frederick Holme Wiggin. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    tient, and under ether narcosis, the cervix was dilated, and the uterine cavity curetted and irrigated with a 1-to- 4,000 bichloride solution. The anterior vaginal wall was next incised, and after the bladder had been separated from the uterus the fundus was caught by bullet forceps, drawn forward, and fastened to the vaginal flaps by means of two heavy catgut sutures. The vaginal wound was closed with the aid of interrupted catgut sutures. The patient’s convalescence has been uneventful, her bodily temperature hardly rising above normal. The menstrual flow was re-established on February 22d; it was painless, and of four days’ duration. In March it was noted that the uterus had remained in good ante- rior position. S. C., a single woman, was admitted to the gynae- cological ward of the City Hospital on December 10, 1895. She stated that her first menstrual period occurred during her ninth year, and that the menstrual flow had been regular and of the monthly type until recently. It had always been accompanied by pain in the sides and back. Eight months ago she had had a child, and since that time her health had been poor, as she had suffered from menorrhagia and metrorrhagia. Vaginal examina- tion revealed an enlarged, tender, and retroplaced uterus. On December 14th, after the patient had been prepared in the usual manner and under ether narcosis, the cervix was dilated and a curettage performed. After this, Mackenrodt’s operation was performed. The patient’s convalescence was uneventful. On December 30th, as she complained of pain in her lower abdomen, an exploratory laparotomy was performed. The position of the uterus was satisfactory. The appendages were somewhat adherent, but were oth- erwise normal. After the adhesions had been broken up, and the peritoneal cavity had been freely irrigated with hot saline solution, the abdominal wound was closed by a single row of silkworm-gut sutures passing through all the different layers of tissue. The wound healed pri- marily, and the convalescence was uneventful. On Janu-