XII, B, 1 Gtuizon: Case of Advanced Pregnancy 37 



vention, if we consider that this kind of gestation is an abnor- 

 mality and consequently may endanger the life of the patient at 

 any time. We know also from statistics that a great number 

 of foetuses or babies delivered from extra-uterine pregnancies 

 are found either dead or deformed or live only for a short time. (5) 

 In our case, like Dr. Davis's, the foetus appeared deformed and 

 was delivered without signs of life. One of Doctors Calderon 

 and Roxas's cases was also deformed and survived only for 

 about ten minutes. 



As to the management of the placenta, there is again a differ- 

 ence of opinion, as there are operators that favor its removal in 

 one or more sittings. If the placenta can be removed without 

 causing a fatal hemorrhage or other serious complications, it 

 should be always done, in order to shorten the convalescence of 

 the patient. The technic of operation will depend much on the 

 anatomical findings on exploration, so that the procedure will 

 vary according to individual cases. In our particular case the 

 sac and placenta were taken out completely, and the abdominal 

 incision was closed without drain. 



REFERENCES 



(1) GUAZON, P. Rev. Filipina Med. y Farm. (1913), 4, 187. 



(2) (3) (4) Hirst's Text-Book of Diseases of Women. W. B. Saunders 



Co., Philadelphia (1905). 



(5) HORSLEY, J. Surg., Gyn. & Obst. (1913), 1, 58. 



(6) RoxAS, B. Rev. Filipina Med. y Farm. (1915), 6, 687. 



