It is my purpose in this communication to contrast the field of application of drainage with that of radical operation in the treatment of suppuration in the female pelvis. Recently I reported1 my entire experience with the various operations which have been practiced for the treatment of suppuration in the female pelvis. This paper covered so wide a field that it was impossible to discuss in detail all the advantages and disadvantages of the drainage operation. In this communication I propose to discuss more fully not only the merits of the drainage operation, but also its limitations.
The chief field for the drainage operation is in cases of large pelvic abscesses in patients acutely ill and in those prostrated from long-continued suppuration. The drainage operation in this class of cases gives a mortality of 2 per cent, as contrasted with one of 25 per cent, or more by abdominal section.
NOBLE CP. DRAINAGE VERSUS RADICAL OPERATION FOR SUPPURATION IN THE FEMALE PELVIS. JAMA. 1902;XXXIX(15):912–915. doi:10.1001/jama.1902.52480410036001k
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