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August 4, 1900


Author Affiliations

Professor of Gynecology in the New York Polyclinic; Visiting Gynecologist to the New York City Hospital. NEW YORK CITY.

JAMA. 1900;XXXV(5):273-275. doi:10.1001/jama.1900.24620310007001b

There are probably no two subjects that so enlist the attention of gynecologists at the present time as those that are suggested in the title of my paper. The first is the value of myomectomy as contrasted with hysterectomy in the treatment of fibroid tumors of the uterus, and the second is the superiority of the vaginal method of approach over the abdominal route in the surgical treatment of pelvic disease in women. Regarding the first, there are staunch advocates of myomectomy as the operation of choice, as the dominant operation in the treatment of fibroid tumors of the uterus; and, on the other hand, there are strong advocates of the sweeping and uncompromising dictum, that in all cases of fibroid tumors of the uterus nothing short of hysterectomy should be entertained. For myself, I believe in conservatism in gynecologic surgery. If part of an ovary can be saved and

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