Since the inauguration of the aseptic era the mortalityrate in abdominal operations has been falling steadily and to-day there are practically no deaths from simple abdominal operations for conditions unaccompanied by organic disease or infections.
This reduced mortality-rate is due in part to an improvement in technic, but very largely to the exercise of an increasingly critical judgment on the part of the surgeon in his selection of cases.
The technic has become standardized for such routine operations as the removal of benign tumors of the pelvic organs and for operations for chronic pyosalpinx, procidentia, prolapsus uteri, etc. The rare fatalities which occur in these apparently favorable cases result from some unforeseen and as yet uncontrollable factors such as embolism.
The results secured by the individual surgeon have cometherefore to depend on two factors: his mastery of general operative technic and his policy in the selection of cases for operation.
CRILE GW. SOME NEWER METHODS OF REDUCING THE MORTALITY OF OPERATIONS ON THE PELVIC ORGANS. JAMA. 1913;61(17):1501–1504. doi:10.1001/jama.1913.04350180001001
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