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September 10, 1898


JAMA. 1898;XXXI(11):572-575. doi:10.1001/jama.1898.92450110014001d

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The topic assigned to me is a narrow one, namely, the nervous and mental diseases or changes which follow pelvic operations in women. The purpose of the inquiry is to show if there is any difference in the nervous and mental effects which follow operations upon the pelvic organs from operations done on other parts of the body or surgical operations in general. It would be easy to discuss this subject from one's individual experience, but it would be exceedingly narrow. The observations that come to any one man are certainly few as compared with those that come to a large number of operators, so that I shall not relate individual cases, but will draw conclusions so far as I can, from the literature which is accessible to me and the material which I have collected. The literature is disappointingly deficient in many respects. Reported cases of the nervous and

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