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January 23, 1909


JAMA. 1909;LII(4):263-266. doi:10.1001/jama.1909.25420300003001a

The marked operative tendency which existed among gynecologists toward the end of the last century was naturally followed by a more conservative era. Signs were not wanting that the pendulum had reached the limit of its swing toward the operative side and that its return movement had begun. At one of the New York medical societies Emmet ridiculed the common occurrence of presenting large jars with uterine adnexa at gynecologic meetings. Ramy,1 in a warning against operating without indication, ironically called attention to the fact that at some gynecologic meetings the surgeons who reported the most radical operations on the female genital organs received the greatest recognition. After these and similar warnings the question naturally arose whether it was not possible to attain normal conditions or nearly such in the female pelvis with non-operative methods. It is not to be denied that the non-operative treatment often requires weeks to