AN IMPROVED ABDOMINAL SUBTOTAL HYSTERECTOMY, ESPECIALLY APPLICABLE IN CHRONIC PELVIC INFLAMMATION;A METHOD GIVING PARTICULAR ATTENTION TO THE RESTORATION OF LIGAMENTARY SUPPORTS.

It is not my intention to bring up for discussion the relative merits of the so-called conservative and radical methods of treating chronic inflammatory conditions of the uterus and its adnexa. I frequently remove one tube and ovary or one ovary and both tubes or leave only a portion of one ovary, in order that menstrual life may be prolonged. In some of these cases I get good results. In others, continued invalidism, denoting error of judgment on my part, compels the patient eventually to submit to the more radical operation. In cases of chronic gonorrheal pyosalpinx, Schauta, Doederlein, Hegar, Fritsch, Martin, Winter, Landau and others, as well as many American surgeons, among whom are Bovée, Kelly, Shoemaker, Mann and Van der Veer, have all expressed themselves in favor of the radical procedure. According to Noble's statistics, the removal of only the tubes and ovaries in such cases is more