This operation has given some brilliant results, but it has also
hurried a great many to an untimely grave. Fool-hardy surgeons or
operators are the rule; doctors of only mediocre talent worm themselves
into positions that give them prestige in the community. Where nature
refuses a capacity for the acquirement of solid wisdom, she seems to
compensate her creatures by endowing them with faculties for cunning
and intrigue, that galvanize the spurious into the apparently genuine.
They have charge of hospitals and are professors in colleges, and are
ambitious to imitate the operations of the European masters. On the
other hand are the statistics of able surgeons, who seem to have an
inborn genius for a special line of operations; such a one is Lawson
Tait, of Birmingham, and Martin, of Berlin. Tait has had phenomenal
success in cutting open the abdomen and removing diseased tubes and
ovaries. He possesses the faculty and skill to select only those cases
that are especially suited for an operation, and those that are not
adapted for the knife are excluded. In the exercise of this judgment
the danger of the operation is reduced to a, minimum. The tubes and
ovaries are often so matted and tied down with inflammatory adhesions,
that their removal means sure death, and does the average surgeon know
this? To have the genius of a Tait is to be one in ten thousand, and
for this reason his statistics should be neither a guide nor an excuse
for the other nine thousand nine hundred and ninety-nine, to attempt to
do as he does. To assume that they can, is as absurd as to admit that
our indigenous colonels of the State militia can plan or execute the
campaigns of Napoleon.
Galvanism or electricity has come to the rescue of this class of cases,
as a safe and reliable method of treatment; of course it takes more
time and patience. Should not this outweigh the selfish ambition of the
unscrupulous surgeon who desires to boast of the number of times he
has opened the abdomen, with little compunction of the confiding lives
that he has sacrificed?
I have myself had abundant experience to be convinced of the usefulness
of electricity as a curative agent in this class of diseases, but I
prefer to illustrate the treatment by quoting from a paper on “The
Value of Electricity as a Substitute for Laparotomy,” by Augustin H.
Goelet, M. D., in the New York _Medical Journal_. He says:—