Excerpt from The American Journal of the Medical Sciences, 1894, Vol. 108
There is nothing which in an equal degree marks in gynecology the boundary line between the old order of things and the new as the recent discussions upon the surgical treatment of uterine myomata.
Not many years ago we preached to a patient with a myomatous growth the virtues of fortitude and resignation; we comforted her with figures showing the statistical frequency of the disease, and with the assurance that it was not "malignant;" and we held out the hope that the progress of the tumor would be arrested by the occurrence of the climacteric. Now when we compare these sterile beginnings with the present completeness of our resources we realize, as never before, the possibilities that lay hidden twenty years ago under the teachings of Lister.
Perhaps no achievement in surgery has ever borne witness so completely to the triumph of human ingenuity over anatomical difficulties as the safe extirpation of the enlarged uterus; and it is with special pride that I am able to point to the highly creditable part played by members of this Society in bringing the operation to its present perfection. But in the midst of the new hopes and enthusiasms awakened by recent records of successes in the field of hysterectomy there are a number of important questions which, in the heat of debate, have been treated in a step-mother fashion.
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