+-----------+-------+---------+--------------+--------------+ |_Recorder._|_Year._|_Fate of |_Intra-uterine|_Extra-uterine| | | | Mother._| Child._ | Child._ | +-----------+-------+---------+--------------+--------------+ |Cooke | 1863 | Died | Died | Died | |Sale | 1871 | Died | Lived | Lived | |Wilson | 1880 | Died | Died | Lived | |Galabin | 1881 | Died | Died | Died | |Franklin | 1893 | Died | Lived | Died | |Matthewson | 1894 | Lived | Lived | Killed[1] | |Ludwig | 1896 | Lived | Lived | Lived | |Allardice | 1905 | Lived | ? | Dead[2] | |Menge | 1907 | Lived | Lived | Lived | +-----------+-------+---------+--------------+--------------+ [1] This fœtus was killed by means of a stilette passed through the abdominal wall of the mother into its thorax. The patient had two subsequent confinements without difficulty. In 1898 the ‘lump’ had shrunk, but was movable and caused no difficulty. _Pacific Medical Journal_, September, 1898. [2] Intra-uterine child born naturally at the seventh month. Extra-uterine fœtus died, set up septic changes, and was removed by cœliotomy some weeks later. REFERENCES LEOPOLD. Ovarialschwangerschaft mit Lithopädionbildung von 35-jähriger Dauer. _Arch. f. Gyn., 1882_, Bd. xix. 210. MENGE. Eine reine Ovarialschwangerschaft mit bebendem Kinde. _Vide_ Fränkische Gesellschaft für Geburtshülfe and Frauenheilkunde. _Münch. med. Wochensch., 1907_, liv. 2452. SMITH, J. W. _Jour. of Obstet. and Gyn. of the British Empire, 1908_, xiii. 180. STONHAM, C. Lithopædion, _Trans. Path. Soc., 1887_, xxxviii. 445. WORRALL. Ectopic Gestation complicating Normal Pregnancy. Abdominal section. Recovery. _Med. Press and Circular, 1891_, i. 296. CHAPTER V HYSTERECTOMY AND MYOMECTOMY _Hysterectomy is the name applied to the surgical operation for the removal of the uterus._ =Indications.= Hysterectomy is mainly required in the radical treatment of fibroids and malignant disease (carcinoma, sarcoma, and chorion-epithelioma). It is occasionally required for injury, and certain morbid states due to acute and chronic sepsis; and for a condition but little understood, termed generically fibrosis. Hysterectomy is also carried out for such conditions as diffuse adenomyoma of the uterus, hæmato-metra, tuberculous endometritis, and on rare occasions for chronic inversion of the uterus and inveterate dysmenorrhœa. The presence of fibroids in the uterus is a common cause for which hysterectomy is required, and the history of this operation is full of interest.