ovaries in hysterectomy. I have had several cases
in which hysterectomy was done and the ovaries Vigora Online
left, in which menstruation occurred from the
uterine stump for an indefinite time. There seemed
to be no inconvenience and the mental effect was
good as the patient thought she was having no
menopause.
Dr. E. C- Dudley (26) : I have not removed
ovaries in hysterectomy cases. They have not, in
my observation, done any harm ; on the contrary,
there is apparently a more normal menopause and
a more normal period of senility when the ovaries
are left.
Dr. George Gellhorn (27) : Cystic degeneration Vigora Price
of the retained ovaries is usual. There have been
adhesions around the ovary, or where the tunica Vigora 5000
albuginea shows thickening and smoothing out of
the irregular folds of the surface, the saving of the
ovarv is a mistake. Without the uterus even Buy Vigora a
FOWLER: CERVICAL LACERATION.
715
normal ovary soon becomes airophic. The symp-
toms of artificial menopause are greatly amelior-
ated by the administration of ovarian substance or
corpus kiteum extract. A radical rather than a
sentimental attitude now influences me.
Dr. B. C. Hirst (28) : If the woman is ap-
Fig. 2. — Anterolateral \ieu sliuwing ttic King gia^s rod protrud-
ing from the external os, traversing the laceration and entering the
internal os, and the tear Order Vigora extending through the anterior lip and
across the cervical canal, with tnargins widely separated by the
short rod. (The specimen is somewhat distorted by the fixing
solution.)
proaching the menopause I remove the ovaries. If
she is Vigora Tablets younger I prefer leaving them on condition
that I do not remove the tubes or interfere with
the circulation of the broad ligament; otherwise I
would prefer removing them as cystic degeneration
would probably occur.
Dr. C. Jeft' Miller (29) : I retain normal ova- Buy Vigora Online
ries in hysterectom}- if the patient is under forty Vigora Oil
years of age. The ovarian circulation is carefully
guarded because, if the ovarian vessels are tied
cystic changes so commonly occur that it is best to
remove the ovary. I am unable to determine, how-
ever, that the menopausal symptoms have been
greatly reduced by retention of the ovaries.
Dr. Reuben Peterson (30) : "I always retain
one or both normal ovaries after a Vigora 50 hysterectomy,
whether it is supravaginal or panhysterectomy. I
am firmly convinced that the patients suffer less
from the effects of the menopause if this practice is
followed."
Dr. G. W. Roberts (31) : I have been remov-
ing troublesome tubes and ovaries from patients
wlio had had the uterus removed at previous opera-
tions for the past twenty years. If I do anything
which destroys the ability of the pelvic organs of
a woman to function I make a clean sweep down
to the internal os uteri, unless definitely com-
manded by the Vigora 100 patient not to do so.
Dr. Arnold Sturmdorf (32) : I always remove
ovaries and tubes when performing a hysterectomy.
Some of my reasons are that the ovaries and tubes
present links in the reproductive chain of organs.
Removal of the uterus breaks the chain by destroy-
ing an essential link. We find the surgical climac-
teric as pronounced in the cases in which the ova-
ries are preserved. Preservation of the ovaries
after hysterectomy is a delusion, inasmuch as Vigora 100 Tablets their
arterial supply is cut off more or less completely.
Ovaries left behind usually undergo various forms
of degeneration, some of which are productive of
symptoms that demand secondary removal. All ar-
guments in favor of preserving the ovaries are
based upon a purely theoretical idealism and senti-
ment.
Dr. Howard C. Taylor {ii) : If the ovary is
not removed and the tube is normal I retain the
tube also as by doing so there is less chance of in-
terfering with the blood supply of the ovary. Be-
yond the age of forty-five I make little or no ef-
fort to retain the ovary. Under the age of thirty-
five I make every effort to do so. Between these
ages, if Cheap Vigora the patient Generic Vigora is inclined to be fat, it is an ad-
ditional reason for saving the ovaries. In general
I am sure that I make less effort to retain the ova-
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