Recent Progress in Ophthalmology

1876 Boston Medical and Surgical Journal  
upon the subject, one gentleman in the report of a case of normal ovariotomy writes as follows : -" I do not believe that the removal of the ovaries could in any instance be resorted to with an expectation that the menstrual function Would certainly be abolished, nor do I believe that normal ovariotomy would cure hysteria any more than ablation of the testicles would cure spermatorrhoea.Yet if I were dealing with an ulcer of the stomach or gastritis due to the menstrual moliinen fixed in the
more » ... nen fixed in the solar plexus that could not be dislodged by remedies, and life were seriously jeopardized, I would entertain thoughts of normal ovariotomy." It is to be hoped that this proposed method of treating gastric ulcers will not become popular. In one case a surgeon removed both ovaries for what ho was positive was " pure ovarian neuralgia." After the patient recovered from the operation she complained of the same pains, in fact declared them identical with those which she had had before. The gentleman now considered them " unquestionably hysterical," which might be termed a " diagnosis by excision." Anxiety on the part of the specialist to perform great or rare operations whenever a possible chance offers is unfortunate, as nothing tends more to produce a feeling of distrust of the specialty itself among the members of the profession. " It must be conceded that to obviate by judicious treatment the necessity for an operation is more meritorious than to perform it well when required," 1 and the fact that we are obliged in certain cases to resort to the removal of the ovaries to help our patients is, as pointedly remarked by one gentleman, rather a reproach to
doi:10.1056/nejm187611020951804 fatcat:bbguubctfvabjamqmi6wlgpalu