This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901 Excerpt: ...M. C. Wyeth, U. S. A.; Walter Wyman. Washington. D. C; Henry B. Young. Burlington, la. To be Continued.) COLLEGE OF PHYSICIANS OF PHILADELPHIA. Section on Gynecology. Meeting January 17. John C. DaCosta. M. D., Chairman. Cancer of the Cervix and Pelvis Following Supravaginal Hysterectomy. Db. Ciias. P. Noble read a paper, on this topic. He said thai one of the arguments used in favor of total as against supra vaginal hysterectomy for fibroid tumors of the uterus or for extensive inflammatory disease of that organ and its append ages, was that in a definite percentage of cases the cervix, it left in the pelvis, subsequently becomes the seat of carcinoma. A few cases of this kind have been reported, and these are always referred to in papers written from this standpoint, so that it is made to appeal-that there is considerable risk of carcinoma if the supravaginal hysterectomy is employed instead of total hysterectomy. His own experience, which embraced more than 175 supravaginal hysterectomies for fibroid tumor, and a larger number for inflammatory diseases of the append ages, had not. borne out this contention, but on the contrary in dicates that carcinoma following supravaginal hysterectomy is an exceedingly rare occurrence. On March 7, 1895, the follow-ing case was operated on in his own service at the Kensington Hospital for Women. Mrs. D aged 35, who had had three children and one miscarriage, had suffered from menorrhagin and had had numerous attacks of pelvic peritonitis. Abdom inal section disclosed a fibroid tumor of the uterus the size of a cocoa-nut. a left ovarian cyst and a right hydrosalpinx. These structures were adherent in the pelvis and the tumors were edematous and infiltrated with inflammatory products. Supra vaginal hysterectomy wa...
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