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The Causes of Failure in the Treatment of Uterine Fibromata by Apostoli's Method.
—Dr. Apostoli in a recent communication to the Gazette de Gynécologie, takes occasion to explain some of the causes of failure in his method of treating uterine fibroids. He emphasized the statement which he has often made, that his method never aims at a radical cure of all cases, which he says is rather the exception than the rule, but it does aim at the symptomatic cure of the patients, with concomitant, though often limited reduction in the size of the tumors. The causes of failures, he says, may be summarized under three heads: causes depending upon the operator, upon the patient, and upon the treatment. As regards the operator, he finds that failure depends largely upon inexperience in gynecology, lack of operative dexterity, and complete ignorance of physical laws. The capital error consists in mistaking
MEDICAL PROGRESS.. JAMA. 1890;XIV(22):793–794. doi:10.1001/jama.1890.02410220021002