The object of this paper is not to enlarge upon a great variety of procedures which have become or seem destined to become obsolete, but rather to present briefly the more useful operations for the treatment of fibro-myomata of the uterus. The subject will be divided as follows: 1, palliative operations. 2, radical vaginal operations. 3, radical abdominal operations.
I. PALLIATIVE OPERATIONS.
The palliative operations are, a, curettage, b, electrolysis, c, ligature of the uterine arteries and broad ligaments, d, removal of the uterine appendages.
—The irritating presence of the tumor often gives rise to hemorrhagic endometritis. Curettage is therefore indicated precisely as it would be in hemorrhagic endometritis from any other cause. The operation is generally followed by a degree of relief from the menorrhagia, is seldom permanent in its results and must usually therefore be repeated again and again. It is especially useful in connection with
DUDLEY EC. THE SURGICAL TREATMENT OF UTERINE FIBRO-MYOMATA.. JAMA. 1896;XXVII(7):370–374. doi:10.1001/jama.1896.02430850030001h