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September 12, 1896


Author Affiliations

Professor of Obstetrics, Chicago Policlinic. CHICAGO. ILL.

JAMA. 1896;XXVII(11):590-593. doi:10.1001/jama.1896.02430890028002h

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Within the last ten to fifteen years the management of this interesting and important, if somewhat uncommon, complication of pregnancy has become much more uniform, with a corresponding improvement in the prognosis. While formerly the let alone policy, the induction of premature labor and the puncture of the tumor were methods quite commonly employed, now the much better results obtained from ovariotomy are generally known and recognized, and this mode of treatment has been substituted for the others. Two questions of much interest are still undecided. One is, Which is the better route to reach the tumor, the abdomen or the vagina? The other is, What is the best time to operate? The following case is presented because it may have some bearing on these mooted questions and because the casuistic contributions are not yet too great:

Mrs. C., aged 32 years, III-para. Family history good. Nothing abnormal in menstrual

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