Keen reports the successful
performance of a hip-joint amputation for malignant disease of
the femur during pregnancy. The patient, who was five months
advanced in gestation, recovered without aborting.
Robson reports a case of strangulated hernia in the third month
of pregnancy with stercoraceous vomiting. He performed herniotomy
in the femoral region, and there was a safe delivery at full
term. In the second month of pregnancy he also rotated an ovarian
tumor causing acute symptoms and afterward performed ovariotomy
without interfering with pregnancy. Mann quotes Munde in speaking
of an instance of removal of elephantiasis of the vulva without
interrupting pregnancy, and says that there are many cases of the
removal of venereal warts without any interference with
gestation. Campbell of Georgia operated inadvertently at the
second and third month in two cases of vesicovaginal fistula in
pregnant women. The first case showed no interruption of
pregnancy, but in the second case the woman nearly died and the
fistula remained unhealed. Engelmann operated on a large
rectovaginal fistula in the sixth month of pregnancy without any
interruption of pregnancy, which is far from the general result.
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