The mortality in pelvic operations is definitely lower than it is in other types of abdominal operations when the usual surgical principles and standardized technics are employed; thus, the surgeon may not feel the same degree of hesitancy in undertaking pelvic operations as he does, for instance, in undertaking operations on the upper portion of the abdomen. For these reasons pelvic operations are often performed when there is only the slightest indication for them and at times when there is no real indication at all. It should be remembered that the mortality attending any operation reaches its maximum in the hands of inexpert or insufficiently trained men.
Although benign lesions of the uterus rarely are difficult to eradicate, there are conflicting ideas regarding the best procedure to follow. I refer principally to the treatment of myomas, which occupy unusual positions with respect to the uterus.
Myomas are most frequently encountered
COUNSELLER VS. THE SURGICAL TREATMENT OF UTERINE MYOMAS. JAMA. 1937;109(21):1687-1692. doi:10.1001/jama.1937.02780470009004