The Ephemerides contains an account
of a case in which cystotomy was repeated four times, and there
is another record of this operation having been done five times
on a man. Instances of repeated Cesarean section are mentioned on
page 130.
Before leaving this subject, we mention a marvelous operation
performed by Billroth on a married woman of twenty-nine, after
her sixth pregnancy. This noted operator performed,
synchronously, double ovariotomy and resections of portions of
the bladder and ileum, for a large medullary carcinomatous growth
of the ovary, with surrounding involvement. Menstruation returned
three months after the operation, and in fifteen months the
patient was in good health in every way, with no apparent danger
of recurrence of the disease.
Self-performed Surgical Operations.--There have been instances in
which surgeons and even laymen have performed considerable
operations upon themselves. On the battlefield men have amputated
one of their own limbs that had been shattered. In such cases
there would be little pain, and premeditation would not be
brought into play in the same degree as in the case of M. Clever
de Maldigny, a surgeon in the Royal Guards of France, who
successfully performed a lithotomy on himself before a mirror.
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