Excluding  the  forms  of  myoma  winch  have  been  de

scribed,  the  treatment  for  the  other  forms  should  consist

in  the  removal  <>f  the  uterus,  with  the  tumor,  through

an   abdominal   incision.    Tins  category  will  include  the

ater  number  ol  cases  of  myomata,  fibromyomata,  and

fibrocystic    tumors   of   the   uterus.      It  will   include   those

mural  growths  which  are  not  readily  enucleable  through

the  dilated  OS  uteri;  a  certain  number  of  the  submucous
polypi  which  are  imperfectly  pediculated,  and  especially
those  in  which  a  v.a  n;- 1  euous  pioeess  exists  J  myomatous
Uteri  exceeding  lour  or  live  inches  in  length,  in  which
iwth  is  obsei  ved  to  he  progressive  and  pain  and  luemor-
rhage  very  troublesome;  and  the  subperitoneal  growths,

large  and    .mall,  not    operable  by  extirpation  of  the  tumor

alone,  as   I  have  attempted  to  describe  in  the  foregoing.
I  he  removal  ol  the  myomatous  uterus  has  furnished  one

,1  the  up.  ,1  important  and  difficull  problems  in  the  entire
range  <>l  abd inal  Burgery.  It  was  not  the  demonstra-
tion that  the  uterus  was  an  organ  entirely  unessential  to
good    health    and    longevity  which    required    elucidation,


CURRIER:  Myoma  Uteri  and  its  Treatment.         437

and  which  might  have  been  inferred  from  the  changes
which  take  place  in  the  organ  after  the  menopause,  but
the  way  to  get  it  out  of  the  body  without  such  an  exhibi-
tion of  violence  as  would  result  in  death  from  shock,  from
uncontrollable  haemorrhage,  or  from  subsequent  septic
absorption.
