CONSERVATIVE SURGERY OF THE TUBES AND OVARIES
BJOG: an International Journal of Obstetrics and Gynaecology
THE conservative surgery of the tubes and ovaries now covers such wide ground that it is well, at the outset, to define the limits of the present paper. The operations t o be discussed aim at preserving a portion of the diseased organs under circumstances where formerly total ablation was practised. Such are the freeing of adherent structures, the suspension of displaced appendages, resection or opening up of diseased or occluded tubes, and resection or ignipunctnrc of diseased ovaries. It is
... ed ovaries. It is not proposed to enter upon the question of vaginal incision and drainage of suppurating tubes and ovaries-a truly conservative procedure--as opposed to abdominal excision of pus sacs, whether bubal or ovarian. This would involve considerations which are outside the scope of the present enquiry. In considering the conservative surgery of the appendages we are met, at the outset, by the difficulty of the close association of two entirely different organs, the ovaries and the tubes, both concerned, yet in very different ways, with the functions of menstruation and reproduction. The same disease frequently involves both, yet may occur in either independently of the other; while other diseased conditions, such as new-growth, may attack one set of organs and leave the others healthy. It is consequently impossible to treat them quite separately, and most writers who have furnished statistics and accurate accounts of conservative operations have necessarily massed together those on the tubes and those on the ovaries. Yet it is quite clear that these operations are of varying degrees of severity.