Excerpt from Handbook of Gynaecological Operations
In this handbook I have endeavoured to draw a line between surgical operations on the female organs and proceedings of a more or less purely obstetrical or therapeutical character fully described in current works on midwifery and diseases of women. This manual is devoted to true surgery, according to the usual signification of the term, although for given reasons certain operations mainly obstetrical in nature have been introduced. Much importance is attached to the anatomy and methods of examination of the pelvic organs and to a proper selection of instruments. A sound knowledge of these subjects will greatly lighten the task of the operator.
Ovariotomy has been chosen as the type of abdominal section, and several chapters are devoted to the steps of that operation and to after-treatment. In preparing those chapters, I have availed myself of a long series of notes of nearly nine hundred abdominal operations at which I have assisted, including cases under my own care. The success of surgery of this class depends largely upon matters of detail readily recorded by the experienced, and thus transmissible through literary channels to those who seek for instruction. On the other hand, the steps of plastic procedures cannot be easily taught by printed directions; they may, however, be fairly explained by diagrams, and the success of operations of this kind depends upon other factors besides manual dexterity. I have said little about the results of major operations, since long tables of statistics prepared by experienced operators are unreliable guides to those who have few opportunities of performing abdominal section.
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