618 PLAIN FACTS TOR OLD AND YOUNG 



by a well-trained nurse, experienced in the care of this 

 class of cases. Under such favorable conditions, the 

 mortality of this operation, which was formerly from 

 twenty to forty per cent, may be reduced to two or 

 three per cent, or even less. An eminent London sur- 

 geon has had a series of one hundred and twenty ovari- 

 otomies without a single death, and an American sur- 

 geon has even exceeded this record, having performed 

 the operation of ovariotomy for removal of ovarian 

 tumors and diseased ovaries one hundred and seventy- 

 two times in succession, without losing a single case. 

 Women suffering from a condition requiring this 

 operation should not postpone the operation through 

 dread of it, since delay often complicates the case very 

 greatly, and renders the performance of the operation 

 much more difficult, and also greatly increases the at- 

 tendant risk. 



Stricture of the Neck of the Womb.— Constric- 

 tion of some portion of the neck of the womb is a not 

 infrequent condition. The constriction is usually lo- 

 cated at the inner end of the canal, though it may occur 

 at any point. The usual symptom is pain at the men- 

 strual period, and catarrh is sometimes present in the 

 latter condition, when produced by other causes. This 

 malady may be remedied by a proper surgical opera- 

 tion. 



Floating Tumor.— A movable tumor, usually a lit- 

 tle larger than the egg of a goose, sometimes exists in 

 women who have borne children in rapid succession, 

 especially women of small size who have borne very 

 large children. It is usually found upon the right side, 

 and by lying upon the back it may disappear, or be 

 pressed up under the ribs, but falls down again as 

 soon as the vertical position is assumed. The movable 



