References

Gifford, G. T. British Medical Journal, 1907, ii. 1042.

Kouwer, Prof. Zentralbl. für Gynäk., 1907, xxxi. 1447.

MacLaren, A. Annals of Surgery, 1896, xxiv. 365.

Neugebauer, F. v. Monatsschriften für Geburtsh. u. Gyn., 1900, Bd. xi, 821, 933. Zentralbl. für Gynäk., 1904, xxviii. 65.

Stewart, J. E. F. Australian Medical Gazette, 1906, xxv. 446.

Waldo, R. W. American Journal of Obstetrics, 1906, liv. 553.

Wilson, H. P. C. Trans. American Gynecological Society, 1884, ix. 94.

Tetanus. This dread complication of wounds occasionally occurs after ovariotomy, and during the ‘reign of the clamp’ it was especially frequent in Germany (Olshausen). Cases have been reported in England, and tetanus has been noticed to affect patients who have been ovariotomized in rooms recently plastered.

Since Kitasato demonstrated the bacillary origin of tetanus poison, and showed that the bacillus can be transported by dust, knowing its liability to attack suppurating wounds, we can understand that when the pedicle of an ovarian cyst was secured by a clamp and allowed to slowly slough away, more or less exposed to air and dust, it offered a nidus for the tetanus bacillus.