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May 1921

A SHORT ACCOUNT OF THE DEATHS OCCURRING IN THE GYNECOLOGIC SERVICE OF THE JOHNS HOPKINS HOSPITAL DURING THE YEAR 1919

Author Affiliations

Former Resident Gynecologist, the Johns Hopkins Hospital BALTIMORE

Arch Surg. 1921;2(3):535-541. doi:10.1001/archsurg.1921.01110060132007

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Abstract

In the course of a discussion of the results of the year's work, at a recent meeting of the gynecologic staff, it was suggested that we might, with profit, briefly analyze the histories of our fatal cases, inasmuch as one can often learn more from failures than from successes. At Dr. Cullen's request, I have prepared this short paper.

During the year 1919, 1,024 patients were admitted to the gynecologic service. Of this number, 793 were anesthetized. From the accompanying table, one can gather a clear idea of the number and character of the operations performed.

From this table, it will be seen that in only two cases was the kidney suspended, whereas, in former years, from fifteen to twenty such operations were performed. A loose kidney is very common. especially in thin individuals, but rarely gives rise to symptoms requiring operative interference. Formerly, it was deemed necessary to stitch

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