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October 16, 1909

ENUCLEATION OF UTERINE MYOMAS; WHY AND WHEN PERFORMED

Author Affiliations

Professor of Gynecology in Jefferson Medical College; Gynecologist to Jefferson and St. Joseph's Hospitals PHILADELPHIA

JAMA. 1909;LIII(16):1245-1247. doi:10.1001/jama.1909.92550160001001
Abstract

The treatment of fibroids has ever been a mooted question. I can well remember the period when the extrusion of such growths through the long-continued administration of ergot was considered the proper plan of treatment, and the operative measures were principally confined to the reduction of the resistance to the action of the ergot. Not infrequently were seen cases in which the extrusion under this plan was so rapid that the circulation in the growth became affected and necrosis followed. Such a condition was fraught with danger whether a submucous or a subperitoneal growth.

It was not surprising that the futility of medical measures—indeed, their often disastrous effects—should have led to surgery as the means of escape from the discomforts incident to myomatous growths.

The earlier plans of treatment were necessarily confined to growths which were causing symptoms; and it is a well-known

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