Caesarean myomectomy and sterilization at twentieth week of gestation
digital file Black & White Silent 1934 11:28
Summary: Shows a case of first pregnancy in a 42-year-old female complicated by mitral incompetence. The pregnancy is terminated due to the condition of the patient, and the patient is sterilised. Five stages in the operation are shown: the median suprapubic abdominal incision the uterine incision myomectomy sterilization peritoneal toilet. 2 segments.
Title number: 18002
Description: Segment 1 The patient's history is given by the intertitles, explaining why the procedure is being performed. Three reasons are given for the pregnancy being terminated in a caesarean-style procedure: 1. the presence of a fibromyoma in the posterior uterine wall, 2. the existence of a small ovarian cyst, 3. to permit the sterilisation of the patient on the advice of the chief physician. The first stage of the operation is shown. The incision is made in the abdomen, the uterus is exposed and incised and the foetus is removed. The fibroid previously mentioned is exposed in the posterior wall of the uterus and removed. The uterus is sutured. Time start: 00:00:00:00 Time end: 00:06:21:03 Length: 00:06:21:03 Segment 2 The sterilisation step of the procedure begins. The fallopian tubes are divided, the ends excised, the stumps buried and the right tube is totally removed due to a cyst. Blood clots are removed and adhesions are prevented by injections of flavine and paraffin oil. The peritoneum is closed by catgut suture. The film ends with an intertitle note explaining why this procedure was chosen over a hysterectomy. The intertitles state that the doctors wanted to conserve the patient's ovarian and menstrual functions. Time start: 00:06:21:03 Time end: 00:11:28:04 Length: 00:05:07:01
Credits: Produced by Prof. H. Beckwith Whitehouse, Dept. of Midwifery and Diseases of Women at the University of Birmingham.
Keywords: Obstetric Surgical Procedures; Cesarean Section; Mitral Valve Insufficiency; Abortion, Therapeutic; Pregnancy
Locations: United Kingdom; England; Birmingham; University of Birmingham