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June 24, 1911


JAMA. 1911;LVI(25):1874-1875. doi:10.1001/jama.1911.02560250010005

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Dilatation of the uterus by means of tents and treatment by intra-uterine applications made up a very large part of the gynecologic therapeutics of a former generation. Both of these measures have fallen into almost universal disuse; the tent, although of great diagnostic and therapeutic value, having been discarded because of the frequent disabling, not to say, fatal metritis, salpingitis, and peritonitis, which, even under the most careful and judicial handling, occasionally followed its use. The old routine intra-uterine applications as used in the office or in the patient's house were condemned, not only because they were generally useless, but also and more especially because they were dangerous and sometimes destructive. Since these measures have been relegated to the dark ages of gynecology, we have for the most part put in place of them forcible dilatation by means of steel instruments, and curettage under anesthesia. Forcible dilatation popularized by our

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