. Missouri clinical record : a monthly journal of medicine and surgery . ibing the limits of the neoplastic is one of the consequences to bedreaded in the use of che actual cautery, but thesame objection pertains to any one of the majorgynaecological operations; and I have known aserious, almost fatal cellulitis to follow the introduc-tion of the uterine probe, and death to ensue fromthe use ot one single sponge tent ! We should be very guarded in the use of the actualcautery,when cellulitis, peritonitis, salpingitis, para-pelvo-metritis, or erysipelas exists ; in fact they
. Missouri clinical record : a monthly journal of medicine and surgery . ibing the limits of the neoplastic is one of the consequences to bedreaded in the use of che actual cautery, but thesame objection pertains to any one of the majorgynaecological operations; and I have known aserious, almost fatal cellulitis to follow the introduc-tion of the uterine probe, and death to ensue fromthe use ot one single sponge tent ! We should be very guarded in the use of the actualcautery,when cellulitis, peritonitis, salpingitis, para-pelvo-metritis, or erysipelas exists ; in fact they maybe classed as contra-indicants. F or these reasons thegynaecologist should carefully explore the entirepelvic cavity, lest any lurking inflammation of thecontained organs be kindled into a flame thatmight burn out the life of the patient. Thesefacts are always to be remembered in any proced-ure upon the female pelvis, where life is not actual-ly h:izarded by any delay. Like all other operative procedures, the use ofthe actual cautery should be hmited to such cases. Missouri Clinical Record. 51 as the experienced operator may select, as an in-judicious selection by the inexperienced and un-skillful, might bring disrepute upon a very valuableand useful therapentic adjuvant. I fully agreewith Prof. T. Gaillard Thomas, of New York, whoespecially objects to ovariotomy or gastrotomy be-ing performed by those not well versed in the de-tails and history of such operations. Experienceteaches us much in the way of discrimination, andI hold similar objections with regard to the use ofthe actual cautery. Its history and detail must becarefully studied to be appreciated. The indications and contra-indications havingbeen carefully weighed, the gynaecologist havingdecided to use the heated-iron, the gas-jet or thegalvano-caustic, the question to be determined isthe method of procedure. When the cautery is to be applied, and to bedrawn superficially over the cervix, the patientneed not be
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