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July 16, 1892

OVARIOTOMY IN THE PRESENCE OF PREGNANCY.Read before the Section of Gynecology and Obstetrics, at the Forty-third Annual Meeting of the American Medical Association, at Detroit, Mich., June, 1892.

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JAMA. 1892;XIX(3):69-71. doi:10.1001/jama.1892.02420030011001e

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Seventy-six (76) years have elapsed since Recamier presented to the medical world the uterine speculum, and the dark age of uterine pathology was passed and a new era begun.

As in history, we progress by alternation, by conflict and by revolution, so were these the steps in medicine and surgery by which we have attained the advanced thought of to-day.

From 1816 to the present, a wide range of material has been submitted; brilliant at the time, but existing now as the residue, as merely a trace of a previous pathology.

Recamier taught that the primary element of uterine disease was inflammation and ulceration; Bennet, ulceration of the cervix; Tyler Smith, hyper-secretion of the mucus glands of the cervix; Meigs, retro-version; Velpeau, flexion; Lisfranc, congestion and engorgement of the cervix; Madame Bovine, uterine catarrh; Grailly Hewitt believes that all the ills of woman are due to uterine displacement; Tilt, ovarian

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