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A Study of the After‐results of Abdominal Operations on the Pelvic Organs: Based on a Series of 1000 Consecutive Cases.
Author(s) -
Giles Arthur E.
Publication year - 1910
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1910.tb12214.x
Subject(s) - citation , medicine , general hospital , general surgery , library science , computer science
IN presenting the after-results of some of my abdominal operations, it is proper that I should state the lines upon which the investigations have been carried out. As the after-results of operations for diseases of the uterus, ovaries and tubes form the subject of the enquiry, I have collected all the operations of this class among my first 1200 abdominal operations, that is down to July 24, 1909. This gives 1001 cases of operations on the pelvic organs, the remainder consisting of operations for appendicitis, nephrectomies, resection of the bowel, radical cure of scar hernia, exploratory operations for irremovable malignant disease, and sundry operations that may be classed as miscellaneous. Inasmuch as I was concerned with after-results, the classification had to be considered from this point of view, and not solely from the point of view of the operation performed. For example, if a patient underwent an ovariotomy for a tumour of one side, and subsequently required a second ovariotomy for a tumour of the other side, the latter operation would be classed among ‘( bilateral salpingo -oophorectomies ” because as far as after-results are concerned the effect would be the same as a double ovariotomy. Similarly if a patient had had a double ovariotomy and subsequently required hysterectomy for carcinoma of the uterus, the second operation would not appear under simple hysterectomies, but would be classed under the head of “total extirpation” since after the second operation she would have neither uterus nor ovaries left. Classification.