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Article
July 20, 1912

THE LIGATION OR EXCISION OF THE OVARIAN OR DEEP PELVIC VEINS IN THE TREATMENT OF PUERPERAL THROMBOPHLEBITIS

Author Affiliations

PITTSBURGH

JAMA. 1912;LIX(3):160-165. doi:10.1001/jama.1912.04270070161002
Abstract

Ten years have passed since Trendelenburg reported the first successful ease of ligation of the ovarian veins in the treatment of puerperal thrombophlebitis. The operation was first suggested by Sipple in 1894. Between this time and the year 1902 Freund reported two cases, Bumm three cases and Trendelenburg four cases, in all of which the patients died after operation. During the last ten years operators have continued to report cases and now literature reveals a series of 110 cases. The high mortality which has accompanied this procedure is discouraging, but when a careful analysis is made of the cases in which operation has been done, and when reviewing one's experience of cases treated conservatively, no doubt remains that the question of treatment still deserves most careful consideration.

In discussing this subject we find good men who are enthusiastic supporters of operative treatment and men equally wise and with experience second

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