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Great advances have been made in abdominal surgery during the past two decades and the mortality rate has been very materially reduced. As a fair illustration of this progress hysterectomy might be mentioned and may be said to have changed from an unjustifiable operation with a mortality rate varying from 80 to 90 per cent., to one of the most common of abdominal operations having a fatality of about 5 per cent. It is not necessary to state that this wonderful change is the result of the peculiar special attention devoted to this line of work. But contentment should not exist with a death rate following operation in this region, slightly less than that of unoperated cases. So far as it is directly due to surgical operations we should endeavor to reduce it to zero, and not until then will we be able to rest contented. The complete abolition of
BOVÉE JW. THE CAUSES OF DEATH IN ABDOMINAL SURGERY AND THEIR TREATMENT. JAMA. 1897;XXVIII(25):1166–1169. doi:10.1001/jama.1897.02440250008001c
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