above
the symphysis and the uterus 11 1/2 cm.; the cervix was soft as
that of a primipara at term. Operation, May 2d: Uterus found
empty, cavity 14 1/2 cm. long. Median incision in abdominal wall;
cyst walls exposed; seen to be very slight and filled with
enormous vessels, some greater than the little finger. On seizing
the wall one of these vessels burst, and the hemorrhage was only
rendered greater on attempting to secure it, so great was the
friability of the walls. The cyst was therefore rapidly opened
and the child extracted by the foot. Hemorrhage was restrained
first by pressure of the hands, then by pressure-forceps and
ligatures. The walls of the cyst were sewn to the margins of the
abdominal wound, the edge of the placenta being included in the
suture. A wound was thus formed 10 cm. in diameter, with the
placenta for its base; it was filled with iodoform and salicylic
gauze. The operation lasted an hour, and the child, a boy
weighing 5 1/2 pounds, after a brief period of respiratory
difficulties, was perfectly vigorous. There was at first a slight
facial asymmetry and a depression on the left upper jaw caused by
the point of the left shoulder, against which it had been pressed
in the cyst; these soon disappeared, and on the nineteenth day
the boy weighed 12 pounds.
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