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American Practitioner and News (Volume 29-30)

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    Available in PDF - DJVU Format | American Practitioner and News (Volume 29-30).pdf | Language: ENGLISH
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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. 1900. Excerpt: ... The operation of morcellation would be safe in the hands of but few men, and in other hands it could not be carried out with the same degree of safety to the patient. There is great danger of wounding the intestine, the bladder, and of doing irreparable damage in other ways, from hemorrhage, etc. It is true that by the vaginal method we have perfect drainage, and the dangers, so those men who operate this way claim, are decidedly less than by the abdominal operation. For my own part I prefer to operate by the abdominal method, and outside of a few operators I think this should be the method of choice. Dr. W. O. Roberts: I think the indications for operation in fibroid tumors of the uterus may be summed up in a few words--they should only be removed when they are giving rise to symptoms. I do not believe in removing fibroid tumors of the uterus where there are no symptoms. As to the presence of fibroids in young subjects, the same rule should be applied as if the subject were older. It has been stated, I believe correctly so, that fibroids seem to disappear in young subjects after several pregnancies. I have had one case of that kind under observation. The woman never became pregnant until she was the subject of the fibroid: it was situated in the posterior portion of the uterus: she became pregnant, gave birth to a child, and the fibroid decreased very much in size afterward. This fibroid is not giving rise to any trouble, consequently I have her to let it alone. I believe the best operation, as a rule, is amputation above the cervix. I never use the serra neoud if I can possibly get along without it: but, as has already been stated, time plays an important part sometimes in operations of this kind, and then'the neoud is needed. I do not believe there is ...
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  • PDF | 422 pages
  • Books Group (Author)
  • General Books LLC (3 Feb. 2012)
  • English
  • 9
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