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I can vividly recall to mind the able discussion which took place at Washington in 1887, during the meeting of the Ninth International Medical Congress, on the subject of extirpation of the uterus for relief of carcinoma. Since that time my attention has been more particularly directed to the subject.
At the time that the treatment of cancer by extirpation of the uterus was brought before the congress, I felt that the advocates of the measure had taken an advanced step. We all now recognize that the various procedures necessary in abdominal surgery have been more carefully considered and that the individual experiences have tended to do much toward placing that kind of work on a firmer basis. So far as statistics are concerned, as to the results of the different cases treated, they can not afford any very definite help, for in dealing with any case in which hysterectomy
CLARKE AP. INDICATIONS FOR TOTAL HYSTERECTOMY. JAMA. 1895;XXV(7):262–264. doi:10.1001/jama.1895.02430330004001b
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