OXFORD: HORACE HART PRINTER TO THE UNIVERSITY OXFORD MEDICAL PUBLICATIONS A SYSTEM OF OPERATIVE SURGERY BY VARIOUS AUTHORS EDITED BY F. F. BURGHARD, M.S. (Lond.), F.R.C.S. (Eng.) TEACHER OF OPERATIVE SURGERY IN KING’S COLLEGE, LONDON SURGEON TO KING’S COLLEGE HOSPITAL SENIOR SURGEON TO THE CHILDREN’S HOSPITAL, PADDINGTON GREEN IN FOUR VOLUMES VOL. IV OPERATIONS UPON THE FEMALE GENITAL ORGANS OPHTHALMIC OPERATIONS OPERATIONS UPON THE EAR OPERATIONS UPON THE LARYNX AND TRACHEA OPERATIONS UPON THE NOSE AND ITS ACCESSORY CAVITIES LONDON HENRY FROWDE HODDER & STOUGHTON Oxford University Press Warwick Square, E.C. 1909 EDITOR’S PREFACE Great as have been the advances made in Surgery during the last fifteen years, there is no direction in which they have been more noticeable than in the elaboration of those comparatively small but important details of operative technique which do so much to ensure a low mortality and a successful result. These improvements have been developed simultaneously throughout the whole of the vast field covered by modern Surgery, and it has become increasingly difficult for any single writer to deal with such an important subject as Operative Surgery in an authoritative and efficient manner. The scope of the subject is so wide that it is difficult to ensure that the work when published shall be thoroughly up to date, while a second and even greater difficulty is for any one, however great his ability and experience, to deal equally exhaustively and authoritatively with all of the many branches of which he would have to treat. To avoid both of these difficulties and thus to make sure that the work shall reflect faithfully the present position of British Operative Surgery, the plan has been adopted of securing the co-operation of a number of prominent British Surgeons. Each writer deals with a branch of the subject in which he has had special experience, and upon which, therefore, he is entitled to speak with authority. Besides the two important points just referred to, a third equally important one has been kept in view throughout. Particular care has been taken to make the work of as much practical utility to the reader as possible. Not only are the various operations described in the fullest detail and with special reference to the difficulties and dangers and the best methods of overcoming and avoiding them, but the indications for the individual operations are described at length, and the after-treatment and results receive adequate notice.