. Pelvic inflammation in women. t operation or at au-topsy. A knowledege of the persist-ence of this infection of theuterine muscle formerly temptedthe French operators to do vagi-nal hysterectomy with double sal-pingo-oophorectomy for chronicsuppurative tubal infection ;while, in this country, many ofour more conservative surgeons,who acknowledge that a mixedinfection of the tube can neverbe wholly cured without ablationof both tubes, and that the in-tractable leukorrhea which, undercertain stimuli, regains its infec-tive properties, and the increasedamount of menstrual flow, which,together w
. Pelvic inflammation in women. t operation or at au-topsy. A knowledege of the persist-ence of this infection of theuterine muscle formerly temptedthe French operators to do vagi-nal hysterectomy with double sal-pingo-oophorectomy for chronicsuppurative tubal infection ;while, in this country, many ofour more conservative surgeons,who acknowledge that a mixedinfection of the tube can neverbe wholly cured without ablationof both tubes, and that the in-tractable leukorrhea which, undercertain stimuli, regains its infec-tive properties, and the increasedamount of menstrual flow, which,together with the pelvic pain, make up the clinical syndrome, are all dueto the enlargement and increased blood supply of the metritic uterus, andbecause of the persistence of these symptoms have advocated hysterosal-pingectomy, with the retention of one or both ovaries. While we areagreed that the retention of an infected uterus is a menace to the -V. Fic, 58.—Section from Area i Shows In-flammatory Reaction Remote fromTubal Fig. 59.—Freeing the Tube from its Mesosalpinx by Ligating the IndividualVessels and Not Interfering with the Ovarian Circulation.
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