Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . issue.) Indications for Operative Treatment.—The guidingprinciple must be ;;// mcere. We must not employ a meansof treatment that is more dangerous than the disease whichwe are called upon to treat. Therefore we ought not tooperate upon every tumour we happen to discover. Wemust, however, remember that 5 per cent of myomas areassociated with malignant disease, and we have a right tobe influenced in our decision by the fact that the primarymortality after operation has been reduced t
Fibroids and allied tumours (myoma and adenomyoma) : their pathology, clinical features and surgical treatment . issue.) Indications for Operative Treatment.—The guidingprinciple must be ;;// mcere. We must not employ a meansof treatment that is more dangerous than the disease whichwe are called upon to treat. Therefore we ought not tooperate upon every tumour we happen to discover. Wemust, however, remember that 5 per cent of myomas areassociated with malignant disease, and we have a right tobe influenced in our decision by the fact that the primarymortality after operation has been reduced to 2 per cent. Definite Indications should in every Case he the Ke a son forOperation.—In anaemic cases the percentage of haemoglobinshould be raised to 50, the erythrocyte count should notbe less than 3,000,000. Patients should not be allowed bytheir medical advisers to get into the deplorably anaemicstate in which they are not infrequently sent to hospital. XI INDICATIONS FOR OPERATION ^SZ In view of the excellent results of hysterectomy, anaemiccases with a percentage of haemoglobin of 12, 15, 20, and. Fig. 165.—Showing the application of Goochs cannula, now obsolete. The ligature,which was applied to the upper limit of the separated portion of the growth, wasremoved on the fifth day. Symptoms of blood-poisoning appearing, the tumour wasthen enucleated, with a successful result (J. Hall Davis, Trans. Obst. Soc. London,vol. ii. pages 17-26, 1861). SO on, ought to be unknown. There is no doubt that somewomen pick up remarkably quickly from severe loss of 254 OPERATIVE TREATMENT OF MYOMA chap. blood, bat as soon as they are a little better another profuseperiod causes a set-back, so that the general state is one ofchronic invalidism. A certain number of these cases aresuitable for treatment by X-rays, but many are not. Sub-mucous myomas whether pedunculated or not shouldbe removed. Cervix - myomas also call for which cause pain, either from the fact that
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