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August 15, 1885


JAMA. 1885;V(7):184-185. doi:10.1001/jama.1885.02391060016005

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At the meeting of the British Gynæcological Society, on April 22, 1885, Dr. Thomas More Madden, of Dublin, read an interesting paper, entitled "Some Points in the Treatment of Uterine Fibromyomata." After making the general assertion that "every growth of this kind is primarily an interstitial myoma, which in the course of time becomes more or less fibrous in structure by the development of its connective tissue, and which may eventually be either subperitoneal or submucous," Dr. Madden considers the advisability of abdominal operations, the less heroic measures, such as enucleation and " removal by traction," and concludes with a discussion of the medical treatment of these cases.

In a gynecological experience of upwards of fifteen years, in the Mater Misericordiæ Hospital and the Dublin Provident Infirmary, Dr. Madden has seen few cases of fibromata which indicated either hysterectomy or oöphorectomy. He is inclined to think that " the enormous proportion of

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