THE VALUE OF CONSERVATIVE TREATMENT OF THE UTERINE APPENDAGES.

This work was commenced by the lamented Carl Schroeder, who published, in 1884, five cases of resection of an ovary to preserve ovulation and menstruation, in cases of bilateral multiple cystic degeneration of Graafian follicles. He advocated this treatment only for patients who are neither near the menopause nor already mothers of a number of children, and limited it to cases where the parts retained are safely healthy and no papillomata or other suspicions of malignancy are anywhere found. Aug. Martin reported 10 cases in 1889, 11 in 1891 and 6 more in 1893. Of these cases, 24 were subsequently available for longer observation; 8 of them became pregnant and 2 had recurrent disease. Out of 40 cases of salpingostomy, 1 became pregnant. In 1891, W. H. Polk reported 10 cases of salpingostomy and 9 of section of ovaries. Of the total number, 15 were afterward examined and found to