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My work in pelvic and abdominal surgery has not been entirely satisfactory. In a very large proportion of operations for the removal of abscessed tubes and ovaries, and in a smaller percentage of other pelvic operations requiring celiotomy, I have deemed it necessary to resort to drainage, and in many instances to quite extensive packing with iodoform or sterilized gauze. So far as concerns sepsis and hemorrhage the results have been exceptionally good, the mortality being reduced to about 4 per cent. In certain cases, however, I have had considerable difficulty with fistulous openings that were a source of annoyance and anxiety, both to myself and my patients. Some of these fistulæ closed within a few months after the operation, others in several years, and a few are not yet filled up completely. Ventral hernia has occurred in my practice in about 12 per cent. of cases where the gauze
HAWKINS TH. THE ADVANTAGES OF VAGINO-ABDOMINAL SECTION. JAMA. 1898;XXX(1):22–24. doi:10.1001/jama.1898.72440530022002g
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