CONTRIBUTORS TO THIS VOLUME JOHN BLAND-SUTTON, F.R.C.S. (Eng.) _Surgeon to the Middlesex Hospital, and Senior Surgeon to the Chelsea Hospital for Women, London_ Abdominal Gynæcological Operations JOHN PHILLIPS, M.A., M.D. (Cantab.), F.R.C.P. _Professor of Obstetric Medicine, King’s College, London; Obstetric Physician and Gynæcologist to King’s College Hospital_ Vaginal Gynæcological Operations M. S. MAYOU, F.R.C.S. (Eng.) _Assistant Surgeon to the Central London Ophthalmic Hospital; Ophthalmic Surgeon to the Children’s Hospital, Paddington Green_ Ophthalmic Operations HUNTER F. TOD, M.A., M.D. (Cantab.), F.R.C.S. (Eng.) _Aural Surgeon to the London Hospital_ Operations upon the Ear W. DOUGLAS HARMER, M.C. (Cantab.), F.R.C.S. (Eng.) _Surgeon to the Throat and Nose Department, St. Bartholomew’s Hospital_ Operations upon the Larynx and Trachea StCLAIR THOMSON, M.D., F.R.C.P. (Lond.), F.R.C.S. (Eng.) _Professor of Laryngology and Physician for Diseases of the Throat, King’s College Hospital, London_ Operations upon the Nose and its Accessory Cavities CONTENTS SECTION I OPERATIONS UPON THE FEMALE GENITAL ORGANS PART I ABDOMINAL GYNÆCOLOGICAL OPERATIONS By JOHN BLAND-SUTTON, F.R.C.S. (Eng.) Surgeon to the Middlesex Hospital and Senior Surgeon to the Chelsea Hospital for Women, London. PAGES CHAPTER I CŒLIOTOMY Preparation of Patient, 3. Basins, Dishes, and Instruments, 4. Suture and Ligature Material, 5. Dabs, 5. Gloves, Operating Table, Anæsthesia, 6. The Incision, 7. Misplaced Viscera, 8. Closure of Wound, 8 3-9 CHAPTER II OVARIOTOMY The Operation, 10. Cysts of the Broad Ligaments, 14. Spurious Capsules, 15. For Carcinoma of Ovary, 15. Incomplete Ovariotomy, 16. Anomalous Ovariotomy, 16. Ovariotomy followed by Hysterectomy, 17. Repeated Ovariotomy, 17. Pregnancy after Bilateral Ovariotomy, 17. Ovariotomy at Extremes of Life, 18. Ovariotomy in Old Age, 19. Mortality, 19 10-20 CHAPTER III OÖPHORECTOMY Operation, 22. Abdominal Hysterectomy after Bilateral Oöphorectomy and Ovariotomy, 25. Mortality, 25. Operation for Primary Cancer of the Fallopian Tube, 26 21-28 CHAPTER IV OPERATIONS FOR EXTRA-UTERINE GESTATION Indications, 29. Operation, 29. Concurrent Intra- and Extra-uterine Pregnancy, 33. Results of Operative Treatment, 34 29-35 CHAPTER V HYSTERECTOMY AND MYOMECTOMY Indications, 36. Subtotal Hysterectomy, 36. Total Hysterectomy, 40. Mortality, 44. Risks of Abdominal Hysterectomy, 45. Abdominal Myomectomy, 46 36-49 CHAPTER VI ON THE RELATIVE VALUE OF TOTAL AND SUBTOTAL HYSTERECTOMY