Those of you who have seen much of the work in total extirpation of the uterus, have watched the progress of the cases through convalescence, and have studied the after results will, I believe, no longer express a doubt of the greater value of the total over the partial methods of hysterectomy, but will agree that the now important question for consideration is in regard to the method to be pursued and to the detail of operative finish.
Owing to the variety of conditions for which the operation is indicated, and the great diversity of circumstances under which the operation is performed, no one method will entirely do away with all others, but improvements in the technique of any one will give it a wider range of usefulness, which must necessarily be at the loss of some other.
In determining the value of an operation for total extirpation of the
TUTTLE AH. TOTAL HYSTERECTOMY BY A NEW VAGINO-ABDOMINAL METHOD. JAMA. 1895;XXV(7):264–268. doi:10.1001/jama.1895.02430330006001c
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