Last One Hundred Abdominal Sections 
for Removal of Ovarian Tumors and 
Diseased Uterine Appendages. 
By R. STANSBURY SUTTON, M. D., 
PITTSBURGH, PA. 
Reported by J. P. HUNTER, M. D., 
ALLEGHENY, PA. 
Reprinted from the Pittsburgh Medical Review, November, 1894. 
Press of MURDOCH, KERR & CO., 
53 Ninth St., Pittsburgh, Pa. Last One Hundred Abdominal Sections for Removal of Ovarian Tumors 
and Diseased Uterine Appendages. 
By R. Stansbury Sutton, M. D , Pittsburgh, Pa. 
Reported by2Dr. J. P. Hunter, Late Resident Physician to Allegheny General Hospital. 
In these 100 cases which I have the pleas- 
ure to report,'there were 72 abdominal sec- 
tions for the removal of diseased appendages, 
with two deaths. The first of these deaths 
was due to intestinal obstruction. The dis- 
eased appendages were submitted to Dr. 
Matson for microscopical examination, and 
he reported the existence of round-celled 
sarcoma in the specimen. The second death 
occurred after the woman had recovered 
from her operation, from some intercurrent 
disease, the prominent symptoms of which 
indicated acute meningitis. 
Twenty-eight of the abdominal sections 
were for the removal of ovarian tumors, and 
there were 4 deaths. The first patient that 
died was really in extremis before operation. 
She had a large multilocular cyst, with com- 
plete procidentia uteri, extensive ulceration 
and foul odor. She was perfectly neurasthe- 
nic, and died from exhaustion. 
The second death was that of a woman, 
who prior to operation, weighed 226| pounds, 
and after operation weighed 99| pounds. 
Her tumor and its contents weighed 127 
pounds, the cysts alone weighing 13 pounds. 
In the operation, universal and very exten- 
sive adhesions were encountered. A fatal 
prognosis was given her friends prior to 
operation. 
The third case to die was a woman from 
whom Dr. Sutton removed a large multiloc- 
ular cyst in 1890. She returned for oper- 
ation, and was operated on August 19, 1893. 
Much free fluid was found in the abdominal 
cavity, the omentum was found to be in- 
fected with cancer; the ovarian cyst was 
malignant, and there was cancer of the liver 
and peritoneum. 
The fourth death was that of a woman 
aged 61 years, she had a large multilocular 
malignant cyst adherent in the pelvis, to 
rectum, to sigmoid flexure, to small intes- 
tines and transverse colon. Four inches of 
the ileum were resected. Died of shock. 
It will, therefore, be observed that in the 
six deaths, there were three malignant cases, 
one of sarcoma and two of cancer. It will 
also be observed, that two of the remaining 
three deaths occurred in patients whose 
cases had been permitted to go unoperated 
until they were practically in a hopeless 
condition, and yet entitled, through opera- 
tion, to whatever miserable chance was left 
to them. 
The preparatory treatment of patients 
has usually been limited to forty-eight hours 
of rest in bed after their arrival in the hos- 
pital. The ordinary careful preparation for 
operation has always been observed. Rarely 
have any sponges been used in the operation. 
No chemicals have been introduced into the 
abdominal cavity. 
The after-treatment has been of the sim- 
plest character. During the first twenty-four 
hours, the patients got nothing except an 
occasional sip of hot water. If she suffered 
much from thirst, occasionally four ounces 
of hot water were thrown into the rectum. 
At the end of twenty-four hours a Seidlitz 
powder or a couple of drachms of Rochelle 
salts were given, and sometimes repeated at 
the thirtieth hour. Occasionally a two grain 
pellet of calomel took the place of the first 
dose of Rochelle salts or Seidlitz powder. 
After the thirtieth hour, the nurse was in- 
structed to introduce into the rectum a short 
rubber syringe-nozzle to ascertain if flatus 
was being influenced by peristaltic action. 
If no gas was passed through the tube, the 
patient was gently turned, if possible, upon 
her left side for from thirty to sixty minutes. 
Passing the tube again at the end of thirty- 
six hours has usually been followed by the 
escape of gas. This having occurred, liquid 
nourishment at short intervals was begun. 
No opium, or any of its preparations, were 
given after the operation was ended. 
Suppuration at the abdominal wound did 
not occur to any great extent in more than 
two in the 100 cases, and in very few of the 
cases was even a small quantity of suppura- 2 
tion found ; healing by first intention being 
the rule. One peculiarity in regard to the 
after-treatment of these cases was that all 
the stitches were removed at the end of the 
sixth day. The operator claims that the 
early removal of stitches conduces to the 
successful healing of the wound, without 
pus, and that abdominal wounds that heal by 
first intention are rarely, if ever, the future 
site of hernia. 
Drainage was practiced in very few of 
these cases, and then never longer than 24 
hours. In one of the ovariotomies at the 
Allegheny General Hospital, the patient had 
a hemorrhagic diathesis. She was very 
anaemic at the time of operation, and during 
her convalescence had several nose-bleedings 
requiring packing at the posterior nares. 
In the operation, extensive pelvic adhesions 
were encountered. She was in Trendelen- 
burg's posture. Dr. Sutton packed her 
pelvis full of iodoform gauze, closed the ab- 
dominal wound rapidly, put a compress on 
the abdomen, secured by a scultetus bandage, 
and put the patient to bed. About 25 hours 
afterwards, he ordered her a little chloroform, 
re-opened the wound and took out the pack- 
ing. The wound was again closed and the 
patient recovered, healing without the form- 
ation of pus. 
In another case, that of a woman who was 
very obstreperous, and from whom a large 
ovarian cyst had been removed, the house 
physician removed the stitches at the end of 
the sixth day. When the last stitch was 
taken out, the patient gave a yell, and burst 
the wound clear open, a double handful of 
intestines protruding. About an hour latei* 
Dr. Sutton re-stitched the wound, first 
scraping the edges with a bistoury, and 
wiping them with iodoform gauze. The 
wound healed without difficulty and the 
patient recovered. 
The time occupied in the operations has 
varied from minutes to 1 hour, but in 
these 100 cases the time did not exceed 30 
minutes in half a dozen of them. The last 
4 ovariotomies were done in respectively 18 
minutes, 11 minutes, 23 minutes, and 16£ 
minutes, one nurse being specially detailed 
to keep the time of operation from beginning 
to end. These facts are mentioned in order 
to show the constant practice of these 
operations leads to shortening of the time 
required to perform them. 
The average time for these patients in the 
hospital has been about 23 days. 
Malignancy is a very frequent character- 
istic of abdominal tumors. Mr. Lawson 
Tait has made the statement that about 10 
per cent, of his ovariotomies that have re- 
covered, have subsequently died of malignant 
disease. No doubt some of these tumors 
are malignant ab initio,bw, there is no doubt 
on the other hand that some of them de- 
generate when they grow old. For this 
reason, as well as for many others that might 
be mentioned, the early removal of ovarian 
cysts is of the greatest importance. 
In Dr. Beatty's case, there is no doubt 
that the woman was pregnant at the time of 
the removal of the appendages, which was 
complete. After the birth of her twin chil- 
dren, she admitted sexual intercourse with 
a lover 42 days previous to operation. In 
answer to some of the questions prior to 
operation, and bearing upon the propriety 
of it, she had made false statements. 
In regard to the case of Dr. McCarter, of 
Beaver Falls, Pa., as stated in the column 
she was operated on October 20, 1892. The 
tumors on both sides were large. The 
pedicle on the right side was burnt through 
with the Pacquelin cautery close to the 
horn of the uterus. On the left side, the 
pedicle was divided by scissors, the Pac- 
quelin refusing to work, and the ligature 
lay close to the horn of the uterus. The 
uterus itself was stitched to the lower angle 
of the abdominal wound. On J une 10,1894, 
about 20 months after the operation, this 
woman gave birth to a healthy male child, 
weighing 10| pounds. She was attended by 
Dr. McCarter, who, with others, was present 
at her operation. 
A report of the 100 abdominal sections 
for the removal of ovarian tumors and dis- 
eased uterine appendages, preceding this 
100 which I now report, was written by Dr. 
Sutton himself and published in the Journal 3 
of the American Medical Association for 
July 30, 1892. 
Let me call the attention of the reader to 
the ages of 7 of the ovariotomy cases. They 
were respectively 58, 60, 60, 61, 65, 65 and 
70 years. 
Medical At- 
tendant. 
Patient 
Age. 
Operation. 
Single. 
Double 
Descriptive Remarks. 
Date. 
Place of 
Operation. 
Result. 
Dr. Sutton. 
Mrs. S. 
32 
Salpingo- 
oophorec- 
tomy. 
Both ovaries prolapsed; disorganized, and 
filled with chocolate-colored grumous blood; 
chronic inflammation. 
1892. 
May 24. 
Private 
Hospital. 
Recov- 
ered. 
Dr. Rodgers. 
Miss H. 
22 
Chronic salpingitis and ovaritis, with ad- 
hesions. 
28 
Allegheny 
General 
Hospital. 
CC 
A. G. H. 
Miss R. 
23 
•• 
Menstrual epilepsy; chronic salpingitis 
and ovaritis, with adhesions. 
June 1. 
c< 
Dr. Orr. 
Miss M. 
32 
Second operation; large tubercular abscess 
of left ovary, communicating with rectum, 
followed by fistula, which healed. 
3 
P. H. 
cc 
Dr. 
Emmerling. 
Mrs. B. 
43 
Ovariot- 
omy. 
•• 
Patient in extremis. Large multilocular 
cyst. Procidentia uteri, extensive ulcera- 
tion, odor foul. Very feeble; should have 
been operated 6 months earlier. 
5 
At Home. 
Died. 
Dr. Fife. 
Mrs. B 
40 
i 
Salplngo- 
oophorec- 
tomy. 
Enormous pus tubes with extensive ad- 
hesions Patient continues to be an invalid, 
probably because the infected uterus was 
not removed. 
11 
A. G. H. 
Recov- 
ered. 
Dr. Sutton. 
Miss S. 
32 
Ovariot- 
omy. 
cc 
Dermoid cyst of right ovary, with adhe- 
sions. 
16 
Dr. Thorne. 
Mrs. N. 
22' 
Salpin eto- 
oophorec- 
tomy. 
cc 
Chronic ovaritis and salpingitis, with ad- 
hesions. Right ovary cirrhotic; left, cystic. 
16 
<* 
cc 
A. G. H. 
Miss H. 
33 
Ovariot- 
omy. 
cc 
Impacted multilocular cyst of right ovary, 
with bad adhesions. Left ovary diseased. 
cc 
A. G. H. 
Mrs. S. 
34 
Salpingo- 
oophorec- 
tomy. 
•• 
Pus tubes with adhesions. 
18 
'c 
A. G. H. 
Miss P. 
29 
Ovariot- 
omy. 
Intra-ligamentous cyst, right side. Left 
ovary normal; difficult case. 
27 
cc 
A. G. H. 
Mrs. L. 
42 
Salpingo- 
oophorec- 
tomy. 
Salpingitis and ovaritis; ventral fixation 
of uterus. 
28 
«< 
cc 
A. G. H. 
Miss C. 
19 
Chronic salpingitis and ovaritis; ovaries 
prolapsed and adherent. 
29 
cc 
Dr. Bell. 
Miss L. 
29 
Ovaries large as turkey eggs, filled with 
bloody fluid. 
Sept. 1 
P. H. 
AA1 • 
McCready. 
Miss B. 
35 
cc 
Chronic salpingitis and ovaritis. Old pel- 
vic peritonitis; uterus and appendages en 
masse. Prolapsed and adherent. Drainage 
for 24 hours. 
3 
A. G. H. 
c» 
Dr. Sutton. 
Dr. 
Miss H. 
26 
cc 
Chronic ovaritis and salpingitis, Tissue 
disintegrated. Probably tuberculous. 
6 
P.H. 
cc 
Kirkpatrick 
Mrs. K. 
29 
c( 
•• 
Chronic ovaritis and salpingitis. Pus dis- 
charged per rectum. Chronic invalid. 
7 
cc 
Dr. Thorne. 
Mrs. R. 
20 
cc 
Both ovaries and tubes adherent and hy- 
pertrophied. Excessive dyspareunia. 
14 
A. G. H. 
cc 
Dr. Sutton. 
Mrs. T. 
32 
One ovary atrophied and cirrhotic; the 
other large and cystic. Chronic salpingitis. 
Mental disturbance; increased after opera- 
tion. 
17 
P. H. 
Cl 
A. G. H. 
Miss K. 
19 
Pus tubes, bad adhesions, bloody opera- 
tion. Pus escaped into peritoneal cavity. 
Drainage. 
24 
A. G. H. 
Dr.Rahauser 
Mrs. N. 
35 
cc 
cc 
Chronic ovaritis and salpingitis. Neuras- 
thenia. Severe menstrual headaches. 
29 
At Home. 
ft 
A G. H. 
Mrs. J. 
35 
cc 
Chronic invalid; ovaries and tubes hyper- 
trophied by chronic inflammation; adhe- 
sions. 
Oct 5. 
A. G. H. 
cc 4 
Ovarian Tumors and Diseased Uterine Appendages.-Continued. 
Medical At- 
tendant. 
Patient. 
Age. 
Operation. 
Single. 
1 
Descriptive Remarks. 
Date. 
Place of 
Operation. 
Result. 
Dr. Bell. 
Mrs. H. 
35 
Salpingo- 
oophorec- 
tomy. 
« 
Firm, adherent masses to right and left of 
retroverted uterus. Much bleeding; drain- 
age ; examination by Prof. Matson gave 
round-celled sarcoma. 
Oct. 6. 
P. H. 
Died. 
A G. H. 
Mrs. B. 
36 
ll 
Ovaries and tubes and uterus and vermi- 
form appendix adherent en masse, and bound 
down by firm adhesions. Appendages and 
vermiform removed. 
15 
A. G. H. 
Recov- 
ered. 
Dr. Sutton. 
Miss S. 
30 
•« 
ll 
Chronic ovaritis and salpingitis. 
18 
P. H 
.«« 
A. G. H. 
Mrs. S. 
37 
ll 
Chronic ovaritis and salpingitis. Ovaries 
prolapsed and adherent. 
19 
A. G. H. 
Dr. McCarter 
Beaver Falls, 
Pa. 
Mrs. P. 
28 
Ovariot- 
omy. 
Multilocular tumors on both sides; right 
side 25 pounds, left side 6 pounds. Cysts 
filled with colloid. Mirabile dictu. on June 
10, 1894, was confined at full term; male 
child of 10 pounds 
20 
P. H, 
Dr. Sutton. 
Mrs. L. 
28 
Salpingo- 
oophorec- 
tomy. 
** 
Chronic ovaritis and salpingitis. Made 
ventro-fixation of uterus. 
28 
•* 
A. G. H. 
Miss B. 
Pus tubes with adhesions. 
Nov. 2. 
A. G. H. 
ll 
Dr. Sutton. 
Mrs. P. 
30 
Chronic ovaritis and salpingitis, Slightly 
insane. Feb. 8,1893, reported entirely cured. 
3 
P. H. 
« 
Dr. Sutton. 
Mrs. L. 
70 
Ovariot- 
omy. 
<» 
T«o gallons of ascitic fluid in peritoneal 
cavity, and gallons in multilocular tumor 
of'right ovary. 
5 
<c 
Dr. Wallace. 
Miss S. 
52 
Salpingo- 
oophorec- 
tomy. 
Ovaries large and papilloid; much free 
fluid in the belly. Died 6 months later of 
cancer of the peritoneum. 
19 
« 
A. G. H. 
Mrs. R. 
35 
«< 
Chronic ovaritis and salpingitis. 
19 
A G. H. 
Dr. Ross. 
Miss W. 
24 
.. 
Chronic ovaritis and salpingitis, with ad- 
hesions. 
Dec. 8. 
P. H. 
« 
A. G. H. 
Mrs. B. 
27 
« 
Pus tube?; dense adhesions. 
14 
A. G. H. 
« 
Dr. Ross. 
Mrs. S. 
65 
Ovariot- 
omy. 
Large parovarian cyst, 35 pounds. 
18 
P. H. 
<c 
Dr. Leyda. 
A. G. H. 
Dr. Dodson. 
Mrs. M. 
Miss H. 
25 
Salpingo- 
oophorec- 
tomy. 
»< 
c< 
Pyo-salpinx; dense adhesions. 
Chronic ovaritis and salpingitis. 
Fibro-cystic tumor of left ovary; weight 
20 pounds. 
31 
1893. 
A. G. H. 
Mrs. B. 
39 
Ovariot- 
omy. 
28 
« 
Dr. King. 
Mrs. C. 
30 
Salpingo- 
oophorec- 
C4 
Chronic salpingitis and ovaritis. 
Feb. 1. 
P. H. 
« 
Dr. Taylor. 
Miss K. 
29 
tomy. 
<< 
Chronic ovaritis and salpingitis; chronic 
invalid. 
2 
<< 
Dr. Sutton. 
Miss M. 
24 
Ovariot- 
omy. 
Hemorrhagic diathesis; extensive pelvic 
adhesions. Pelvis packed with iodoform 
g uze; removed alter 24 hours under chloro- 
form. 
6 
A. G. H. 
<« 
Dr. Sutton. 
Dr. Sutton. 
Miss H. 
MissM. 
29 
38 
Salpingo- 
oophorec- 
tomy. 
<C 
Pyo-salpinx, with adhesions. 
Chronic ovaritis and salpingitis. 
9 
14 
P. H. 
<< 
Dr. Beatty. 
Fremont St., 
Allegheny, 
Mrs. D. 
34 
Widow 11 years. Says she menstruated 
last 4 weeks ago; severe pain in both groins; 
unable to work; stricture in upper third of 
vagina. Examination per rectum. Cervix 
lacerated; uterus slightly larger than nor- 
mal ; pain to right and left of uterus. Nine 
months less 40 days, after opera'ion she was 
confined and gave birth to twins; was preg- 
nant at the time of operation. 
18 
A. G. H. 
A. G. H. 
Mrs. B. 
39 
Ovariot- 
omy. 
A multilocular cyst, with its contents, 
weighed 127 pounds; cyst alone, 13 pounds. 
A fatal result was prognosticated to her 
friends before operation. Universal pelvic 
adhesions. 
26 
A. G. H. 
Died. 5 
Ovarian Tumors and Diseased Uterine Appendages.-Continued. 
Medical At- 
tendant. 
Patient. 
Age. 
Operation. 
iSingle. 1 
s 
s 
o 
Q 
Descriptive Remarks 
Date. 
Place of 
Operation. 
Result. 
A. G. H. 
Mrs. B. 
39 
Salpingo- 
oophorec- 
tomy. 
44 
Ovaries and tubes full of pus; adhesions 
to small intestine. 
31 
A. G. H. 
Recov- 
ered. 
Dr. Van 
Dyke 
Mrs S. 
32 
44 
Chronie ovaritis and salpingitis. Patient April 7. 
improved, but uterus continues to be a focus 
of evil. 
P. H. 
44 
Dr. Sutton. 
Mrs. Q. 
47 
Ovariot- 
omy. 
«• 
Multilocular cyst, adherent. Pedicle treat 
ed by Baker Brown's method. 
16 
A. G. H. 
44 
Dr. 
McCready. 
Mrs. P. 
27 
Salpingo- 
oophorec- 
tomy. 
44 
Chronic ovaritis and salpingitis. 
24 
P. H. 
44 
Dr. Sutton. 
Mrs. W. 
28 
44 
Chronic ovaritis and salpingitis, gonor- 
rhoeal origin. Mental disturbance prior to 
operation continues, because the infected 
uterus was left in the patient. 
29 
A. G. H. 
Dr. Welch. 
Mrs. W. 
37 
Chronic ovaritis and salpingitis. 
May 4. 
P. H. 
44 
Dr. Reimer. 
Mrs. R. 
60 
Ovariot- 
omy. 
Large multilocular cyst. 
13 
44 
Dr. Sutton. 
Mrs. D. 
27 
Salpingo- 
oophorec- 
tomy. 
Recurrent pelvic peritonitis; septic sal- 
pingitis and ovaritis. 
24 
Dr. Hocken- 
berry. 
Mrs. G. 
29 
Ovariot- 
omy. 
« 
Parovarian cyst. 
25 
<• 
Dr Puring- 
Mrs. D. 
38 
•• 
44 
Multilocular ovarian cyst. 
26 
toll. 
Dr. Sharp- 
neck. 
Mrs. K. 
36 
Large multilocular parovarian cyst. 
June 1. 
Dr. Martin. 
Dr. Mitchell. 
Miss P. 
Mrs. K 
29 
36 
Salpingo- 
oophorec- 
tomy. 
« 
Rapidly developed multilocular cyst. Ped- 
icle twisted. 
Prolapsed ovaries; chronic ovaritis and 
salpingitis; chronic invalid; slow conva- 
lescence. 
8 
A. G. H. 
P H. 
Dr. Sutton. 
Miss F. 
23 
Chronic salpingitis and ovaritis; recurrent 
pelvic peritonitis; adhesions. 
12 
A. G. H. 
<4 
Dr. Sutton. 
Mrs. T. 
26 
44 
44 
Chronic cough, anaemic; had been sent to 
Colorado for consumption. Chronic ovaritis 
and salpingitis. Cough disappeared at once 
and permanently after operation. 
15 
P. H. 
Dr. Huselton 
Mrs. K. 
35 
Salpin go - 
oophorec- 
tomy and 
ventral 
hernia. 
44 
A hernia existed above and below the 
umbilicus, the latter forming a bridge. 
Ovaries and lubes adherent and badly dis- 
eased. Wound closed with step, and buried 
sutures. Hernia cured; 
Aug. 14 
A. G. H 
44 
Dr. Sutton. 
Mrs. P. 
54 
Ovariot • 
omy. 
Operated by me for large ovarian tumor in 
1890. Returns with another. It proved to 
be malignant and complicated with cancer 
of peritoneum and liver. 
19 
Died. 
Dr. O'Brien. 
Mrs. O. 
29 
Salpingo- 
oophorec- 
totny. 
44 
Chronic ovaritis and salpingitis. Patient 
very feeble; wound suppurated; tedious con- 
valescence. 
Sept. 4. 
P. H. 
Recov- 
ered. 
Dr.Van Kirk 
Miss D. 
43 
44 
Fibroid tumor of the uterus. 
11 
A. G. H. 
Mrs. H. 
26 
44 
Salpingitis and ovaritis. Recovered from 
the operation, and afterwards died at the 
Hospital of acute meningitis. 
12 
A. G. H. 
Died. 
Dr. Sutton. 
Mrs R. 
23 
Salpingitis and ovaritis; recurrent pelvic 
peritonitis. 
15 
P. H. 
Recov- 
ered. 
Dr. Jamison. 
Mrs. A. 
38 
<< 
Chronic invalid; ovaritis and salpingitis. 
Could not find the second ovary. Patient 
better but not cured. 
18 
44 
Dr. Gladden. 
Mrs S. 
23 
Salpingitis and ovaritis; abscess in right 
ovary. 
24 
44 
44 
Dr. Sowash. 
Mrs A. 
36 
Ovariot- 
omy. 
Multilocular cysts, both sides; much free 
fluid m peritoneal cavity. 
Oct. 9. 
Dr. Ross. 
Mrs. M. 
33 
Salpingo- 
oophorec- 
tomy. 
u 
Chronic salpingitis and ovaritis; anterior 
fixation of uterus. 
10 
44 6 
Ovarian Tumors and Diseased Uterine Appendages.-Continued. 
Medical At- 
tendant. 
Patient. 
Age. 
Operation. 
Single. 1 
Double 
| 
Descriptive Remarks. 
Date. 
Place of 
Operation. 
Result. 
Dr. 
McClymons. 
Mrs. G. 
36 
Salpingo- 
oophorec- 
tomy. 
44 
Double pyo-salpinx. 
Oct. 17. 
P. H. 
Recov- 
ered. 
Dr. Bush. 
Mrs. M. 
58 ' 
Ovariot- 
omy. 
<• 
Large cyst; bad looking thing. Filled with 
pus and broken down blood and ovarian 
fluids. Extensive adhesions. Drained. 
31 
At Home. 
44 
Dr. Sutton. 
Mrs. S. 
33 
Salpingo- 
oophorec- 
tomy. 
44 
Chronic salpingitis and ovaritis. 
Nov. 4. 
A G. H. 
Dr. Ansley. 
Mrs. A. 
27 
«< 
44 
Salpingitis and ovaritis; pelvic peritonitis. 
11 
P. H. 
« 
Dr. 
McClymons. 
Dr. 
Kirkpatrick. 
Mrs. P. 
Mrs. M. 
42 
31 
•• 
Chronic salpingitis and ovaritis. The 
uterus was curetted, cervix sewed up, per- 
ineum repaired, and sphincter ani divulsed, 
and the laparotomy completed all in thirty- 
six minutes. 
Chronic salpingitis and ovaritis, puerperal 
peritonitis at last confinement. 
20 
22 
A. G. H. 
44 
44 
Dr. Clarke. 
Mrs. L. 
47 
Ovariot- 
omy. 
Multilocular intra-ligamentous cyst. Very 
large and universally adherent. 
24 
At Home. 
A. G. H. 
Mrs. H. 
20 
Salpingo- 
oophorec- 
tomy. 
Double pyo-salpinx 
Dec. IL 
A. G. H. 
A. G. H. 
Mrs. F. 
36 
« 
Ovaries prolapsed; chronic ovaritis and 
salpingitis; small fibroid in the uterus. 
«• 
Dr Sutton. 
Mrs. D 
48 
<• 
Small uterine fibroid; chronic ovaritis 
and salpingitis. 
23 
4 4 
Dr. Sutton. 
Mrs. W. 
22 
« 
Menstrual epilepsy, uterus infantile. Right 
ovary c>Stic; left ovary contained a large 
blood clot. Patient reported cured of her 
epilepsy. 
1894 
Jan. 17 
44 
Dr. Sutton. 
Mrs. L. 
61 
Ovariot- 
omy. 
Large multilocular malignant cyst, ad- 
herent in the pelvis, to rectum and sigmoid 
flexure; to small intestines and transverse 
colon. Four inches of ileum resected. 
20 
P. H 
Died. 
Dr. Shupe. 
MissD. 
55 
Six years ago had ovaritomy performed by 
Dr. Richmond of St. Joseph. Mo., has now 
ventral hernia, much free fluid in the belly, 
cancer of right ovary, omentum and peri- 
toneum. Removed ovarian cyst and omen- 
tum. 
25 
Recov- 
ered. 
Dr. Sutton. 
Mrs. H. 
27 
Saluingo- 
oophorec- 
tomy. 
•< 
Chronic salpingitis and ovaritis. 
Feb. 13. 
•• 
Dr. Davidson 
Miss E. 
44 
Ovariot- 
omy. 
Cystic tumors of both ovaries. Cataleptic 
convulsions which ceased after operation. 
March 
24 
<< 
Dr. Pillow. 
Mrs. R. 
39 
Salpingo- 
oophorec- 
tomy. 
Right ovary and tube removed in 1886; 
health continued bad, local symptoms still 
exist. Left ovary and tube removed. 
April 10 
•• 
Dr. Sutton. 
Mrs. B. 
26 
Right ovary and tube found diseased, and 
removed; left ovary and tube apparently 
healthy. Made anterior fixation of the 
uterus. 
26 
<4 
Dr. Sutton. 
Mrs. G. 
1 29 
Chronic salpingitis and ovaritis. Also 
made anterior fixation of uterus. 
May 3. 
i A.G. H. 
44 
Dr. Sutton. 
Miss M. 
| 26 
« 
Chronic salpingitis and ovaritis. 
8 
P. H. 
44 
Dr. Sutton. 
Mrs. H. 
23 
Ovariot- 
omy. 
. •< 
Dermoid cyst on left side; pus tube on 
right side. 
9 
' A. G. H 
Dr. De Wolfe 
A. G. H. 
Mrs. B. 
Miss H. 
27 
24 
Salpingo< 
oophorec- 
tomy. 
c< 
44 
Chronic salpingitis and ovaritis; prolapsed 
and adherent ovaries. 
i Recurrent pelvic peritonitis ; hydro-sal- 
pinx, and chronic ovaritis. Made ventral 
fixation of the uterus. 
1'1 
June 2. 
P. H. 
A. G. H. 
Dr. Sykes. 
Miss M. 
| 26 
c< 
« 
Chronic salpingitis and ovaritis. 
6 
P. H. 7 
Ovarian Tumors and Diseased Uterine Appendages-Continued. 
Medical At- 
tendant. 
Patient. 
Age. 
Operation. 
ab 
a 
s 
Double 
Descriptive Remarks. 
Date. 
Place of 
Operation. 
Result. 
A. G. H. 
Mrs. P. 
34 
Salpingo- 
oophorec- 
toiny. 
Infantile uterus ; ovaries enlarged and 
cystic; chronic salpingitis. 
June 16 
A. G. H. 
Recov- 
ered. 
Dr. Davis. 
Miss B. 
26 
Chronic salpingitis and ovaritis,rgonor- 
rhoeal. 
23 
Dr. Johnston 
Mrs. C. 
60 
Ovariot- 
omy, 
« 
Multilocular ovarian cyst, 16 lbs. Oper- 
ation done from start to finish in 18 minutes. 
Sept. 19 
n 
Dr. Bell. 
Mrs R. 
55 
Multilocular ovarian cyst, 17 lbs. Oper- 
ation done from start to finish in 11 minutes. 
22 
P. H. 
Dr. Sutton. 
Mrs. C. 
42 
► 
It 
Parovarian cyst: 20 lbs. fluid. Patient fat; 
operation done from start to finish in 23 
minutes. 
29 
Dr. Knox. 
Mrs. M. 
65 
Multilocular cyst of left ovary. Operation 
done from start to finish in 16% minutes. 
Oct. 8.