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Classic pages in Obstetrics and Gynecology
Classic pages in
Obstetrics and Gynecology JOHN STUBBS PARRY
Extra-uterine pregnancy: its causes, species, pathologica, anatomy, clinical history, diagnosis, prognosis, and treatment. Philadelphia, H. C. lea, 1876.
nW.o~llillal ey~t i•ll rnueb lehem'li&t. This t!ISOl ;vas reportedLy Rouesoau,' and tbe child WM removed ~y enuterlZt~ticn of tlre a?domen, a me tho~ of delivery which will be sepurately oonsJdered. Every effort hu been made to hl follo.wing talmlated a~tem~nt of the resultfi of ~trotomy, P<11'1Y applied. It i• ~'"~'Y difli. cult to avoid crroN of this kind. ThoUJrh we bdievc thiu to be tlte lat~t collection which has ever l>ee11 made, it is tlnubt! incomplete. \V'e luwe exdudet!!OO which have hoon beli.:.ved by others to l>e genuine gs.sti'OtomiM. Am~ong these is that of Buhl, inclmled bv Keller' in his list. The original aooount could oot oo pmet;red, hut the cxnmiuation of vario.us ah&trnei!J of t h e - led to the couclu3iolt that it lut
trotomy. T.taLE atww.n~lft.t'8 of $2 thstooromcs..,. TUB RBMovAL oP Jlnu.u'RI!atJIWI. a. Primo.rg ()perolit»tll, in wlllch ""' inclwkd all Operatifms r-· /wmed d~;rirtg or at IM, end~( GeiiiGtion.
Parry's study of 500 cases of tubal and abdominal pregnancy with 336 deaths was the ftrst authoritative work on the subject. He described the hopelessness of the condition, "No doubt ... a few women have recovered, though the number is very small-so small that when one is called to a case of the kind, it is his duty to look upon his unhappy pa· tient as inevitably doomed to die, unless he can by some active measures wrest her from the grave already yawning before her. The history of human injury and disease presents no condition parallel to this one. However fatal the disorder, science and art hove found some means of prolonging life or 'smoothing the stormy passage to the grave' ... men hove doubtless watched the life ebb rapidly ... but have never raised o hand to help her. Surely this is an anomaly, and it has no parallel in the whole history of human in· juries. . . . The only remedy that can be proposed to rescue a woman under these unfortunate circumstances is gastrotomy-to open the abdomen, tie the bleeding vessels, or to remove the soc entire." Robert Lawson Tait was the first to follow Parry's suggestion successfully (Br. Med. J. 1: 1250, 1884). 136
Obstetrics and Gynecology JOHN STUBBS PARRY
Extra-uterine pregnancy: its causes, species, pathologica, anatomy, clinical history, diagnosis, prognosis, and treatment. Philadelphia, H. C. lea, 1876.
nW.o~llillal ey~t i•ll rnueb lehem'li&t. This t!ISOl ;vas reportedLy Rouesoau,' and tbe child WM removed ~y enuterlZt~ticn of tlre a?domen, a me tho~ of delivery which will be sepurately oonsJdered. Every effort hu been made to hl
trotomy. T.taLE atww.n~lft.t'8 of $2 thstooromcs..,. TUB RBMovAL oP Jlnu.u'RI!atJ
Parry's study of 500 cases of tubal and abdominal pregnancy with 336 deaths was the ftrst authoritative work on the subject. He described the hopelessness of the condition, "No doubt ... a few women have recovered, though the number is very small-so small that when one is called to a case of the kind, it is his duty to look upon his unhappy pa· tient as inevitably doomed to die, unless he can by some active measures wrest her from the grave already yawning before her. The history of human injury and disease presents no condition parallel to this one. However fatal the disorder, science and art hove found some means of prolonging life or 'smoothing the stormy passage to the grave' ... men hove doubtless watched the life ebb rapidly ... but have never raised o hand to help her. Surely this is an anomaly, and it has no parallel in the whole history of human in· juries. . . . The only remedy that can be proposed to rescue a woman under these unfortunate circumstances is gastrotomy-to open the abdomen, tie the bleeding vessels, or to remove the soc entire." Robert Lawson Tait was the first to follow Parry's suggestion successfully (Br. Med. J. 1: 1250, 1884). 136