Practical gynecology; a comprehensive text-book for students and physicians

Front matter

Class JRJ>_LC I.

Copyright N"

COPVRIOIIT DEPOSIT.

Preface To The Third Edition

This book has been carefully revised for the third edition, and some seventy pages of new material have been added. Microscopic diagnosis, gynecic bacteriology, and the pathology of carcinoma uteri have been rewritten.

The subjects of Etiology and Blood Examination have been added.

I desire to express my indebtedness to Dr. P. B. Bland for having written the blood examination and microscopic diagnosis, and for valuable suggestions in the pathology of cancer; and to Miss E. A. Cantner for preparation of the index.

Philadelphia, March 2j, iQOj.

Preface To The Second Edition

In presenting a second edition of this work, I desire to express my sincere gratification over the generous and flattering reception the first edition has obtained from the medical press and the profession.

]^Iany changes have been made in the arrangement of the different divisions which experience has led me to believe will prove of benefit to the student. ^Malformations are confined to congenital conditions, while the lesions of parturition are treated under the designation of Traumatisms. Disorders of the Fallopian tube and the ovary are more specifically treated in Inflammation. The specific treatment of the various deviations is discussed in close relation with each subject. The division comprising genital tumors has been extensively changed in the consideration of myomata and malignant growths.

It has been my purpose in the entire revision to increase the usefulness of the work to the student by treating, in closer detail, the later operative procedures, and in order to accomplish this the greater part of the work has been rewritten, which has added some seventy pages. The illustrations have been increased in number and many of them redrawn. Xew illustrations made from material secured from my own practice have been largely substituted for the microscopic drawings of the former edition.

I here take occasion to express my thanks to Mr. H.J. Shannon for the care and painstaking skill with which he has corrected many of the old drawings and constructed several new ones, notably those illustrating the Doyen operation for uterine myomata; to ]\Iiss S. L. Clark for drawings of microscopic sections from which the following illustrations were prepared, figures 48 and 49 a and b, 126, 130, 132, 133, 296, 299, 300, 302, 306, 307, 5io» 513* 53I' 534, 535, 549; to Miss Karin M. Hall for drawings for figures 301, 310, 311; to Professor W. M. L. Coplin, M.D.,

X PREFACE TO THE SECOND EDITION.

for his kind supervision of the preparation of the microscopic drawings and for many valuable suggestions; to Drs. J. M. Fisher, John C. DaCosta, Wilmer Krusen, and C. P. Noble for the loan of specimens from which illustrations were prepared.

I am indebted to Dr. P. Brooke Bland for the preparation of the slides from which the microscopic illustrations were made, for correction of the manuscript, and for assistance with the index ; to Miss E. A. Cantner for the rearrangement and preparation of the index and table of contents. The publishers deserve m}^ unstinted praise for their generous expenditure for redrawing the old and in the preparation of new illustrations, and for their purpose to present the work in an attractive form.

It is my sincere hope that this edition shall render the physician more efficient in lessening the ills of women and adding comfort and pleasure to their lives.

Philadelphia, September 15, 1903.

Preface To First Edition

I will offer no apology for presenting an additional text -book upon gynecology.

This work has been under consideration for the last fifteen years, and much of it has been several times rewritten. An effort has been made to make it a comprehensive work upon the subject, giving the experience and methods of the most careful men, while my own experience has been utilized to indicate that which I have found most useful and worthy of acceptance.

Each general subject is considered with reference to its influence upon the entire genital tract, and the work is divided into sections rather than chapters. This course, although a departure from the ordinary text-book arrangement, is that which experience has demonstrated to be most effective in impressing the subject upon the student, and would seem to me preferable to him who uses the book to refresh his knowledge upon any particular subject. The illustrations are arranged solely with the purpose of rendering clear the text and to promote the work of diagnosis and treatment. For their excellence and character I am greatly indebted to the generosity of the publishers and to the skill and patience of their artists, Messrs. Shannon and Von du Lancken. To the kindly oversight of Dr. Robert L. Dickinson is due much of the exactness of the drawings. Acknowledgment is due Miss Eleanor A. Cantner for her ability in the preparation of preliminary sketches and of the index.

Should it be the means of lightening the work of the student, of making more clear the pathway of the busy practitioner, and, most of all, of benefiting suffering women through improved methods of diagnosis and treatment, I shall feel well repaid for the many days and nights of labor which it has cost

The Author.

Philadelphia, August, igoo.