Standing to-day as we do on the summit of perfected work in pelvic surgery, it is difficult for us to appreciate the helplessness of those who have preceded us in this field. Meiggs, the accomplished writer, the brilliant teacher and the leading practitioner of his day, describes in graphic terms the tubal tumor filled with water, pus or blood, and says, "the Fallopian tubes may be the seat of inflammation which will render fecundation impossible, but they are equally impossible of diagnosis during life." No one could present a more brilliant word picture of death from ectopic gestation than could he, but he was forced to end with the wail, "Alas, what can we do? Where is the surgeon who would be brave enough to open the abdomen on an uncertain diagnosis?" Much as he realized that surgery would afford the only hope of saving the life of the afflicted,
MONTGOMERY EE. THE EVOLUTION OF THE TREATMENT OF PELVIC INFLAMMATION.. JAMA. 1902;XXXIX(15):911–912. doi:10.1001/jama.1902.52480410035001j
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