SOME EXPERIENCES IN THE GYNÆCOLOGICAL SURGERY OF THE ABDOMEN *

I 1 ENTUBE t o record to-night a fern experiences in gynacological ;abdominal operations, taken very much at random from my records, which I hope may be of interest to the fellows of the Society, and which may serve at least as a text €or the ventilation of the experiences and views of some of the other Pellows. I n attempting to classify such 'experiences in a way likely to be useful or interesting, I would divide them into a seriw--(l) according to the class of operation which furnished such experience during the actual operative procedure, and (2) in respect. to after-treatment and subsequent progress in so far as these latter yielded anything worthy of special record. The ordinary details of a straight-going case of abdominal section are so well known and understood that, although no two cases are ever exactly the same in detail or in subsequent progress, yet the general principles which govern such procedures remain much the same all through, and render the description of one case equally, or almost equally, applicable to most others. I have therefore, in selecting the material for this paper, chosen those cases which have differed markedly in certain details from the ordinary run of what might be termed " normal cases," thus affording in some particulars exceptions to the general rule of comparative uniformity. I m m t apologise for the somewhat disjointed way in which the following notes have been put together, as the paper had originally to be writtcn on comparatively short notice and amid much pressure of other work, and I have had little time since for any alteration or amplication : I. Ounriotomies, Oophorectomics, E q l o r a t o r y Incisions, etc. (a) The necessity for opening the abdomen in a woman suffering from acute infectious disease must be a rare one. The following instance admitted of no alternative : --Xrs. W., at. 35, was suffering from persistent sickness, which was at first thought to be due to a