Adjunct Professor of Gynecology, New York Polyclinic; Fellow of the New York
Academy of Medicine, the New York Obstetrical Society, etc.

VOLUME XXXIX.

JANUARY-JUNE, 1899.

NEW YORK:

WILLIAM WOOD & COMPANY.

1899.

LIST OF CONTRIBUTORS.

ADAMS, SAMUEL S., Washington, D. C.

ALLEN, L. M., Baltimore, Md.

AMEISS, F. C., St. Louis, Mo.

BALDY, J. M., Philadelphia, Pa.

BLUMER, GEORGE, Albany, N. Y.

BOLDT, H. J., New York.

BOVÉE, J. WESLEY, Washington, D. C.

BROTHERS, ABRAM, New York.

CARSTENS, J. H., Detroit, Mich.

COOK, GEORGE WYTHE, Washington, D. C.

CROSSEN, H. S., St. Louis, Mo.

CURRIER, ANDREW F., New York.

DAVIS, EDWARD P., Philadelphia, Pa.

DEAVER, JOHN B., Philadelphia, Pa.
DICKINSON, ROBERT L., Brooklyn, N. Y.
DOUGLAS, RICHARD, Nashville, Tenn.
DRENNAN, JENNIE G., Kingston, Can.
FREDERICK, C. C., Buffalo, N. Y.
GOLDAN, S. ORMOND, New York.
HIRST, B. C., Philadelphia, Pa.
Hurd, HENRY M., Baltimore, Md.
LEAKE, HENRY K., Dallas, Tex.
LEWIS, DENSLOW, Chicago, Ill.

LOMER, RICHARD, Hamburg, Germany.

MCDONALD, WILLIAM O., New York.

MANTON, W. P., Detroit, Mich.

MILLER, G. BROWN, Baltimore, Md.
MORAN, JOHN F., Washington, D. C.
MORSE, E. E., Washington, D. C.
MUNDÉ, PAUL F., New York.

NOBLE, CHARLES P., Philadelphia, Pa.
PALMER, CHAUNCEY D., Cincinnati, O.
PRYOR, WILLIAM R., New York.
ROBERTS, W. H., Pasadena, Cal.
ROHÉ, GEORGE H., Sykesville, Md.
ROSENBERG, JULIUS. New York.
Ross, JAMES F. W., Toronto, Can.
SAUNDERS, E. W., St. Louis, Mo.
SHOBER, JOHN B., Philadelphia, Pa.
STAHL, FRANK A., Chicago, Ill.
STEWART, R. W., Cincinnati, O.
TAYLOR, BASIL M., Greensburg, Ky.
WARREN, STANLEY P., Portland, Me.
WIGGINS, J. L., East St. Louis, Ill.
WILSON, W. REYNOLDS, Philadelphia, Pa.

WRIGHT, E. S., Salt Lake City, Utah.

THE CINCINNATI OBSTETRICAL SOCIETY.

THE COLLEGE OF PHYSICIANS OF PHILADELPHIA.

THE GYNECOLOGICAL AND OBSTETRICAL SOCIETY OF BAL

TIMORE.

THE NEW YORK ACADEMY OF MEDICINE.

THE OBSTETRICAL SOCIETY OF LONDON.

THE ST. LOUIS OBSTETRICAL AND GYNECOLOGICAL SOCIETY. THE SOUTHERN SURGICAL AND GYNECOLOGICAL ASSOCIA

TION.

THE WASHINGTON OBSTETRICAL AND GYNECOLOGICAL So

CIETY.

WHAT IS THE PROPER FIELD OF SALPINGO-OÖPHORECTOMY?

BY

CHAUNCEY D. PALMER, M.D.,
Cincinnati, O.

No operation within the domain of gynecological surgery has been the topic of more doubt and discussion than that of the extirpation of the uterine appendages. Its use implies it may be abused; its abuse means it has a proper use. I know it is much easier to be critical than to be correct.

It is my intention in this paper to attempt to answer the inquiry: When and to what extent are we to sacrifice the ovaries and the tubes? In so doing I find that by necessity I must dwell, not incidentally only, on some of the diseases of the uterine appendages.

Battey's operation (August 27, 1872) consists in the removal of the ovaries, healthy or diseased, for the production of an artificial menopause. Hegar's operation (July 27, 1872) consists in the removal of the ovaries because of their diseased structure. Tait's operation (February 11, 1872) consists in the removal of the ovaries and tubes because of their diseases.

These three operators, Battey, Hegar, and Tait, each inde