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Though this volume might be called a fourth edition of a book published in 1865, it is necessarily in very many respects a new work. In scarcely any department of medicine have two decades made more marked changes than in the treatment of abdominal tumors. Twenty-five years ago when a physician undertook the treatment of an abdominal tumor he began a journey in the dark. Ovariotomy sometimes succeeded, in which case the surgeon was considered lucky; but it as often failed, and was very generally discredited.
The first edition of this book might have been called a plea for ovariotomy; to-day it is no longer necessary to enter any plea at all for the operation. After the publication of the second, in 1872, Mr. Spencer Wells thought that with a record of 500 cases he might with propriety go into the diagnosis of ovarian disease and the details of ovariotomy.
Diagnosis and Surgical Treatment of Abdominal Tumors. JAMA. 1886;VI(25):700. doi:10.1001/jama.1886.04250060084010
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