FIRST INTERNATIONAL GYNECOLOGICAL CONGRESS IN BRUSSELS, SEPTEMBER 14-17 N.ST. 1892 YEAR

In my opinion, the indication for the excision of the uterus is the same as for the removal of the appendages by means of celiac disease. It is not the fact of suppuration that compels us to resort to a certain intervention, but the mutuality and the therapeutic incurability of circumambular suffering, and thus the objection falls by itself. I do not at all insist that indications for the excision of the uterus, set in this sense, cannot leave room for error, and I readily admit that preference should be given to gastrointestinal surgery every time the diagnosis seems doubtful. But I do not reject my conclusion and repeat it: if the excision of the uterus is left at least for those cases in which the bilateral suffering seems, on the basis of clinical data, as reliable as its therapeutic incurability, then I assert, that intervention through natural means retains all the advantages of a rational and fully justified operation.