Transactions of the American Association of Obstetricians and Gynecologists for the year ... . to enter the abdomen. How aboutthe removal of the big fibroid uterus or cystoma? There is noleukocytosis in these conditions; the surgery is extensive and yetthe mortality should not be over i per cent. The truth of thematter is, we have advanced our skill through aseptic surgeryto that degree of refinement that the only deaths we should have INTRAABDOMINAL INFECTIONS. 483 are where there has been some previous occasion for a leuko-cytosis. Certainly there is no death rate from the removal ofthe fibr
Transactions of the American Association of Obstetricians and Gynecologists for the year ... . to enter the abdomen. How aboutthe removal of the big fibroid uterus or cystoma? There is noleukocytosis in these conditions; the surgery is extensive and yetthe mortality should not be over i per cent. The truth of thematter is, we have advanced our skill through aseptic surgeryto that degree of refinement that the only deaths we should have INTRAABDOMINAL INFECTIONS. 483 are where there has been some previous occasion for a leuko-cytosis. Certainly there is no death rate from the removal ofthe fibroid or catarrhal appendix. There is little doubt but thatthe physiological era will give us later work, which means anextension of the pathological condition with its resultant com-plications, and untrained men to deal with complicated surgery. Contrast the sequelae of pathological and physiological pathological operator seeks the distal infecting source andremoves it or finds the ultimate perforation and closes it. Hissurgery is practically void of complications. His work was. Fig. 5.—Xeedle advanced by thumb, stepping from middle ringer to index,and carried on. completed primarily. In my report of 500 cases in the Jour-nal of Surgery, Gynecology and Obstetrics of diffuse and generalperitonitis, demonstrated as such, there was not a patient re-operated upon for postoperative intestinal obstruction or for distalabscess; and the reason is apparent. On the other hand, physio-logical surgery is followed by great morbidity, complications,surgical neurasthenias, etc., which must follow incomplete is not the age to begin preaching unfinished surgery northe time to elaborate on minor differences of surgical technic,but is an age of generous asepsis which permits radical take the stand in pathological surgery that pus is not apathological entity but is the trail of the offending lesion; there-fore, instead of our surgery ending with presence of pus in
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