Burnham,' recovery.
Laudi.° Large soft myoma, considered an ovarian tumor. Death after 45 hours from peritonitis.
Boye.' In one case the pedicle of a sub-serous myoma was ligated and fixed in the lower angle of the wound. Death in 30 hours. In the other case the pedicle was secured with a clamp. Death on the 16th day.
Vogt.' Pediculated myoma, considered an ovarian tumor. Adhesions with arteries. Death on the 7th day.
Routh.° Very large tumor (17,1 pounds) with ascites. Pedicle attached by clamp. Recovery.
Spencer Wells." Fibroid mistaken for ovarian tumor. Pedicle held in clamp and ligated. Death on 3d day.
Spencer Wells." Tumor with broad base, attached to fundus. The pedicle, when divided by the ecraseur, gave rise to hemorrhage, which could not be controlled until 2 needles were passed through the uterine wound, and having been surrounded by ligatures applied in a figure of 8 form, were held in the lower angle of the wound. Recovery.
E. Martin.' Pedicle secured with clamp. Death from internal hem orrhage.
Hegar' extirpated the tumor only. Death.
Pean.' One case. Recovery.
The total number amounts to 17 laparotomies, with removal of the fibroma only. Among these 12 deaths or 70.5 per cent.' (Koeberle collected 20 such cases, including cysto-fibromata, with 8 recoveries, i.e., a mortality of 60 per cent.) 1I. Oases of of the uterus for fibromata.
Koeberle ° 3 successful cases. In one there was ascites and strong ad hesions to the pelvic wall.
Cutter.' A sub-peritoneal fibroid. Adhesions to omentum. Death in 10 hours.
Cutter.' Death in 75 hours.
Peck.' The tumor was considered ovarian. Death on the 2d day. Holston." Very large tumor, also thought to be ovarian. Death on 2d day.
Atlee '° saw death occur on the 5th day, as result of hemorrhage from the adhesions of the tumor.
Hofmokl " had a fatal case.
Kimball." 9 extirpations of the uterus; 3 cures.
Lawson Tait " successfully removed the uterus with a tumor weighing 11 pounds.
Chadwick." The cervix was secured in a clamp, after removal of the uterus. Death on 8th day from tetanus.
Baker-Brown." Death in 12 hours from hemorrhage.
Billroth" lost one patient by septiciemia and another by shock, after extirpation of the uterus. A 3d recovered. He cites a 4th fatal case in the practice of a physician of Zurich. The case described by Broth,' in which an ovarian tumor was inseparably connected with a uterine fibroid, and in which death resulted from peritonitis, ought not, strictly speaking, to belong in this class.' liegar' reports 2 recoveries. In one, abortion was artificially induced before the operation.
K. Thornton' saw recovery after extirpation of the uterus, silk sutures having been passed through the cervix.
Pearl performed 16 extirpations for fibromata, (not counting cysto fibromata). 10 cures and 6 deaths.
E. Boeckel.' One fatal extirpation. The tumor was considered ova rian. I finally cite, according to Pozzi (The. cit.) 9 other hysterotomies (done by Richet, Labb(, Oilier, Ilowtig, Stadfelt, Gayet and Pope). All of these ended fatally. One of Labbe's patients died of tetanus. One of llowtig's operations resulted favorably.
The total number of extirpations of the uterus for simple (i.e., not fibro-cystic) myomata, thus amounts to 55. Among these there were 23 cures and 32 deaths, i. e., a mortality of 58 per cent.
We must compare with these results the statistics in which the fibro cystic tumors are included. They are as follows: Koeberle found among 42 cases of extirpation of the uterus, collected by himself, in 1866, 8 cures. The mortality was thus 81 per cent. Boinet (1873) collected 42 cases, with 10 recoveries, i.e., a mortality of 73 per cent.
Plan collected (loc. cit., 1876, p. 690) 25 hysterotomies with 17 cures, i.e., a mortality of 32 per cent.
Among all these statistics the fact of the greatest value is that Pan (Pozzi, Mc. cit.) saw, among 24 extirpations of the uterus, 8 deaths and 16 recoveries. Koeberle notes, among 8 operations of this kind, (Pozzi, loc. cit.) 3 cures and 5 deaths.