It is to be regretted that the entire profession has not yet realized the importance of timely operation in destructive disease of the abdomen and pelvis. By timely is meant as soon as operation is clearly indicated. To delay, until the surrounding parts have become involved, or until perforation of some of the viscera has occurred may be mainly attributed the fatal and sometimes imperfect results after operation. The question of palliation and delay in cases of ovarian cyst has long since been settled, not only in the minds of specialists, but also in the minds of the general surgeon and practitioner. Why should any better results be expected from palliation in cases of ovarian abscess, destructive inflammation of the tubes and ectopie pregnancy?
Dr. Chas. P. Noble in his interesting report on "Abdominal Surgery at the Kensington Hospital for Women," very truly says that, "without operation it is only