A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . here is a tendencyto apply the vaginal operation to the early , re-serving for the abdominal operation those in which thereare complications, or in which extension of the canceroutside of the cervix has taken place. If cancer werefree from the tendency to recur, such a selection mightbe proper, but by adopting such tactics the operatoris neither just to the operation nor to his patient abdominal operation is the preferable procedure foraccomplishing all


A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . here is a tendencyto apply the vaginal operation to the early , re-serving for the abdominal operation those in which thereare complications, or in which extension of the canceroutside of the cervix has taken place. If cancer werefree from the tendency to recur, such a selection mightbe proper, but by adopting such tactics the operatoris neither just to the operation nor to his patient abdominal operation is the preferable procedure foraccomplishing all that surgery can accomplish for thisdLsease when complications already exist, it is, I believe,still more strongly indicated in the early cases. No onehas the right to rob a patient sutlering from cancer ofeven a fraction of a per cent, of immunity from recur-rence. In all cases it is the surgeons duty to do themost radical operation possible, jirovided this complieswith the surgical and anatomical requirements of thecase and does not carry a prohibitive mortality. Awoman with early ( ancer has a greater right to a radical. Fic. 491, cutting the uterus loose upon the riglit side, it ismade 1 swing enUrelv out of the liodv, so that its posterior surface . presents itself, and the forceps is shown gia,sping the toii of the leftbroad ligament, the last pair of forceps to be applied. (Pryor.) operation than one with the disease in a later stage, forher chances of recovery and of acquiring immunityagainst recurrence are greater. Tiie operation has been before the profession for toosliort a lime justlv to estimate the ultimate results. Ithas been performed by me thirty-four times with threedeaths, per cent, mortality. In no case in which the 91 I REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. parametrium was not already involved has there beenrecurrence as early as at the end of cue year. The firstoperation was done five years ago, and the patient is stillaliv


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