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February 1, 1947

The Technical Minutiæ of Extended Myomectomy and Ovarian Cystectomy

JAMA. 1947;133(5):356. doi:10.1001/jama.1947.02880050076039

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This book is by one of the leading British gynecologists and is his justification for the operation of myomectomy. He reports some 632 myomectomies with a 1.1 per cent maternal mortality. He speaks of removing as many as 225 myomas from one uterus and of removing as much as 21 pounds of tumor from 1 patient and still leaving the uterus in each instance. Slightly more than half of the patients were followed up; in 2.3 per cent fibroids recurred; in approximately 2 per cent the menorrhagia recurred. Of about half of the patients followed up pregnancy occurred in 38 per cent, or a total of 52 patients became pregnant. In America multiple myomectomy in general was given up several decades ago because of the initial high mortality and especially the late mortality due to intestinal obstruction. Bonney describes 301 cases in which he was able to peel off enough

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