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January 13, 1912

THE PREVENTION OF POSTOPERATIVE GYNECOLOGIC PSYCHOSES

Author Affiliations

Lecturer in Gynecology, Medical Department of the University of Alabama MOBILE, ALA.

JAMA. 1912;LVIII(2):102. doi:10.1001/jama.1912.04260010104010

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Abstract

Postoperative nervous phenomena are not infrequent complications in gynecologic cases. The severity of the psychoses has called forth an occasional commentary case-report, though the subject in general has received little or no attention from the abler writers on gynecologic problems. The well-known tendency to derangement of the nervous mechanism in gynecologic cases naturally predisposes to postoperative psychic sequelæ. Insomnia, hysteria, acute and chronic melancholia, neurasthenia and suicidal mania are a few of the unfortunate complications that may arise following operation on the female pelvis. Permanency of cure in gynecologic cases is frequently determined by the absence of postoperative psychic sequelæ.

Frequently, of course, the nature of the pelvic pathologic conditions will obviate any possibility of operative relief of associated, nervous lesions, and the nature of the gynecologic disease may portend continued or exacerbated manifestation of the psychic disturbances. I believe, however, that in a great majority of cases, the mild

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