<7 7 f / > RESULTS OF FORTY-FOUR CASES OF* "SUB-SEROUS UTERIN&-SSHBRQIDS TREATED RY GALVANISM. INSTITUTED BY DRS. GILMAN KIMBALL, OF LOWELL, AND EPHRAIM cATT&ft i OF CAMBRIDGE, VASS., AUGUST 21, 1871. XVI, Enormous. Sensibly reducei XVII. Large tumor. Marked relief; ed. Could put on her boots, which before she conTcI not. XVIII. Small tumor. Xo relief; not arrested. XIX. Large pelvic growth. Xo relief; not ar- rested. XX. Large growth. Great relief; sensibly re- duced. XXI. Small tumor. Entirely disappeared. XXII. Medium growth. Xo relief; proved to be malignant. XXIII. Enormous growth. Xineteen applica- tions ; very much diminished. XXIV. Enormous growth. Xo relief; notar- rested. XXV. Hopeless case. Tumor very large ; asci- tes and a parietal abscess between umbilicus and pubis. Arrested. Patient asserted great relief. XXVI. Medium size ; fibro-cystic. Xot arrest- ed ; no relief. XXVII. Single woman, large as a parous woman at term. Xow no enlargement is noticed. Obliged to give up teaching ; now has resumed it. Pain re- curred and was annulled by one operation. XXVIII. Large tumor. Diminished to one-third its former size. Xow is increased to one-half. XXIX. Large multilobar fibro-myoid pelvic. Diminished somewhat. Remarkable relief to pain. Restoration to active life. XXX. Multilobar pelvic libro-myoma. Fatal. Died in eleven days, from peritonitis. She was weak- er than she appeared. A morphine eater ; used Ji. a week sometimes. XXXI. Large multilobar ; very dense. Dimin- ished one-third. Softened ; ten operations ; general health restored. XXXII. Enormous multilobar tumor; ascites. Diminished somewhat; dropsy cured ; general health improved. In progress. XXXIII. Multilobar, large, dense. Diminished somewhat. From a state of dependent invalidism, she was enabled to rise to a position of self support, by her own labor. Is now invalided again. XXXIV. Quite large tumor. Patient an invalid, and had given up her position as house servant. Diminished ; she returned to work for one year, and then died from hjemorrhage. XXXV. Large pelvic tumor. One operation di- minished it one-halt. Subsequently it disappeared. XXXVI. Fibro-myoma, pelvic, multilobar ; one operation, fifteen minutes. Great prostration ; skin peeled from hands. Slightly diminished. Perfect relief from constipation of at least ten years stand- ing, lasting two months. Able to retain urine all night. Great improvement in sleep. Dec. 1, 1876. The abdominal portion has changed into a cyst 6-8 inches in diameter. Fluid aspirated looks like chocolate-colored pus. Pus cells, fine gran- ules, fat globules and granules, and brownish colored compound corpuscles were seen under the microscope. Systemic symptoms of grave character. Pelvic portion diminished two-thirds. Cyst diminishing under per cutan electricity. XXXVII. Small fibro-myoid multilobar. One op- eration, three minutes. Tumor diminished sensibly in four weeks. Pain removed. General health remarka- bly improved. Progressing well. XXXVIII. Large multilobar fibro-myoid. Patient bedridden three weeks. Ascites. One operation, three minutes. Dropsy removed and patient up out of bed in three days. Improving. XXXIX. Large growth ; operation apparently ineffectual. A year after last application, tumor diminished one-half in size. XL. Xo relief. XLI. Diminished one-half. XLII. Large ; not much effect. XLIII. Very large and hard. First two opera- tions improve ; third operation not so favorable. Went home and refused assistance till moribund, and died in 14 weeks. Xo one knows but that she might have been saved with ordinary care. XLI V. Pelvic ; one operation produced but little effect beyond soreness and tenderness. In progress. CODMAN & SHURTLEFF, BOSTON. Battery and Electrodes. Cutter. Eight pairs carbon and zinc plates 6 by 9 inches. Electrodes specially invented for this operation, and designed for the certain and controllable penetration of dense fibroids. Length over all, lh inches ; blade, inches. Method of Puncture, Kimball. a, b, abdominal outline. Time consumed by operation in passage of constant current, three to fifteen minutes. Design.—Simply hoped to arrest further develop- ment. Number erf Applications.—One to nineteen. Frequency.—Once every day to once in two months. Exciting Fluid.—Saturated solution of potassic bi- chromate, with sulphuric acid gj. to gvj. Case I. Reported by Dr. W. S. Brown, of Stone- ham, Mass. Pliila. Med. & Surg. Reporter, Feb. 8, 1873. Myo-fibroid. Application incomplete; no results. Patient dissatisfied. II. Very large fibro-myoma, ascites, orthopnea and general malaise. Tumor diminished ; ascites arid orthopnea relieved at once; astonishing flow of urine. III. Large tumor; had given up to die. Three operations of three minutes each, followed by entire disappearance and permanent cure. IV. Large tumor ; growth arrested ; not dimin- ished. Patient much relieved. V. Large tumor. Diminished one half. VI. Large fibro-myoma. Arrested for two years and then remarkably diminished; many applications. VII. Large tumor. Patient bed-ridden. After two applications, very much diminished with such relief that she was able to be up and about the house. In a week’s time, she rode out in a carriage comfort- ably, and went about town as well as ever she did. Two years afterwards, tumor returned to its former size, but the patient was in a good state of health. VIII. Haemorrhage entirely arrested, but tumor proved malignant. IX. Sub-peritoneal; no effect. Pedunculated. Afterward successfully removed by gastrotomy by Kimball. X. Sub-peritoneal. Tumor large. Fatal case. Extreme exhaustion, with typhoid symptoms. Death occurred four weeks after operation. XI. Enormous growth : no impression. XII. Enormous growth ; not sensibly diminished. Arrested ; much relieved. Able to cross her lower limbs and tie up her shoes—both of which were im- possible before electrolysis. XIII. Large tumor. Sensibly reduced. XIV. Large tumor. Sensibly reduced. XV. Large tumor. Growth arrested. Cambridge, Jan. 13, 1877.