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September 1941


Author Affiliations

From the Department of Obstetrics and Gynecology, the Maternity Hospital, and the Western Reserve University.

Arch Surg. 1941;43(3):409-417. doi:10.1001/archsurg.1941.01210150085006

This paper presents a review of the deaths in the gynecologic service from July 1, 1930 to July 1, 1940. A critical study was made of each surgical death in an effort to tabulate factors and faults in the preoperative preparation of the patient, in the operation and in the postoperative course that might have contributed to the fatal result, in order to avoid such mistakes in the future if possible.

Statistics on hysterectomies done in this service have for some years been carefully compiled and reported.1 Table 1 is a composite table showing the incidence and death rate of this operation for approximately the same period covered by the mortality figures. Hysterectomy of one type or another was done on about 30 per cent of the patients operated on.

The organization of the gynecologic department for these ten years was simple from the surgical standpoint. The personnel of the

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