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This open access book looks at the dramatic history of ovariotomy, an operation to remove ovarian tumours first practiced in the early nineteenth century. Bold and daring, surgeons who performed it claimed to be initiating a new era of surgery by opening the abdomen. Ovariotomy soon occupied a complex position within medicine and society, as an operation which symbolised surgical progress, while also remaining at the boundaries of ethical acceptability. This book traces the operation’s innovation, from its roots in eighteenth-century pathology, through the denouncement of those who performed it as ‘belly-rippers’, to its rapid uptake in the 1880s, when ovariotomists were accused of over-operating. Throughout the century, the operation was never a hair’s breadth from controversy.
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Wells performed his first ovariotomy in 1858 and is perhaps the greatest of the pioneer ovariotomists. His second work, published in 1872, has frequently been miscataloged as volume two because it has the same title. It is not called volume two on its title page and is an entirely separate work.
Hysterectomy is the most commonly performed major gynaecological operation. This book describes in detail how to perform the procedure laparoscopically, including laparoscopic removal of the ovaries. Particular attention is paid to instrumentation and equipment and to the avoidance of complications. It should enable gynaecologists to keep pace with the trend towards less invasive surgery.