It must be admitted by all observers that too many women die of puerperal fever, even in these antiseptic and aseptic times. Curetting and irrigation with all their modifications are not always effective. Infection gets beyond the reach of the curette. The interior of the uterus becomes clean and relatively well, but the sepsis goes on. In the treatment of infected wounds, one of the first indications is the removal of the infected tissues. Hysterectomy alone in certain cases of puerperal sepsis meets this indication. It is the purpose of this paper to show when hysterectomy should be undertaken for this disease. Incidentally the frequency of the disease and some points in its pathology are treated.
I.—FOUR CASES OF PUERPERAL SEPSIS TREATED BY THE AUTHOR BY FOUR DIFFERENT METHODS.
Case 1.—Curetting and Irrigation only—Death.
—The patient was a multipara 26 years old. She came from an Irish family and had
HOLMES B. WHEN SHALL HYSTERECTOMY BE PERFORMED IN PUERPERAL SEPSIS? JAMA. 1895;XXV(21):901–908. doi:10.1001/jama.1895.02430470021002g
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