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November 22, 1890

CLINICAL OBSERATIONS ON VAGINAL TOTAL EXTIRPATION OF THE UTERUS FOR CANCER.Abstract of a paper read at the Forty-first Annual Meeting of the American Medical Association, Nashville, Tenn., May, 1890.

Author Affiliations


JAMA. 1890;XV(21):745-747. doi:10.1001/jama.1890.02410470009001c

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In presenting this paper I desire to avoid all controversial questions as to the justifiability of vaginal extirpation of the uterus for cancer, but I shall proceed upon the presumption that, by a consensus of advanced professional opinion, it is looked upon as a fixed operation in surgical practice. It shall be my future purpose to discuss some clinical features of the cases requiring this operation, and to call attention to some features of technique.

My observations are based upon an experience in eleven cases—nine recoveries and two deaths—but one of which can justly be called primary. The first case was operated upon Nov. 27, 1887, the last, April 28, 1890. There has been recurrence but in two cases; one that of a woman 48, who was operated upon Jan. 11, 1888, after six teen months' previous duration of the disease, had recurrence after twenty months; the other, that of

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