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May 31, 1902


JAMA. 1902;XXXVIII(22):1440-1441. doi:10.1001/jama.1902.62480220026001j

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Pathologic lesions of one or both ovaries and Fallopian tubes may be so serious as to call for the most radical surgical measures, even extirpation. There are cases in which extirpation is practiced unnecessarily by operators of limited experience and the conservation of these organs has not received the attention it deserves. It is of this incompetent work, which brings poor results and a high mortality, that I wish to speak. There can be no reasonable excuse offered, nor apology made, for the poor results obtained from the lack of true and intelligent conservatism. Many competent men have explicitly expressed themselves in this regard, but not through channels where their statements would do the most good. Just criticisms have emanated from many of the best men in general practice.

Hydrosalpinx was once recognized as a condition which demanded that the Fallopian tube be removed, together with the ovaries, whether diseased

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