ic used, the painful and
persistent vomiting that often follows abdominal operations is
prevented. This does away with the greatest of all the dangers attendant
upon the operation of Ovariotomy, and favors speedy recovery. Food, as
administered in the form of artificially digested and concentrated
nourishment, is readily retained. The strength is thus rapidly restored,
and the healing process hastened.

It is generally supposed that the size of the opening made through the
abdominal walls is large, proportionate to the size of these tumors.
This is an error. Even in the largest cystic tumors where the
development is immense, a small incision only, is made--simply
sufficient to bring the walls of the tumor in view and admit, perhaps,
two or three fingers. The tumor is then rapidly emptied of its contents
by means of a powerful suction apparatus. Adhesions, if any exist, are
then carefully removed, and hemorrhage therefrom prevented; after which
the large sac of the tumor, which when collapsed is like a thin bag, is
readily drawn out through the small opening in the abdomen and removed.
The small pedicle or cord-like mass of vessels that supplies the tumor,
are then carefully treated after a plan invented by, and peculiar to,
ourselves, which effectually prevents any bleeding, and, at the same
time, does not leave any irritating substance, such as burned and
charred flesh, rubber, silk, or any other unabsorbable material, within
the abdomen. The parts are left unbruised and without any poisonous
germs in contact.

Our surgeons have met with phenomenal success in removing Ovarian
Tumors, by the operation of Ovariotomy. Thus far, in a career extending
over a long period of time and embracing the removal of a long list of
these morbid growths, they have not had a single fatal case.

The following cases illustrate our method of treatment in a few of the
many cases that have been under our care. Each case is typical of a
class:

[Illustration: Fig. 17.
The shape and position of the Tumor are shown by the dotted line.]

CASE I A married woman, aged 38. Had never given birth to a child. About
four years before coming under our observation, she discovered a small
bunch, as she expressed it, in the left ovarian region, which gradually
increased in size until, when she consulted us, it caused considerable
pain in the region of the liver from pressure, and interfered with
respiration. Her general health was becoming much impai