JAMA. 1903;XLI(16):945-950. doi:10.1001/jama.1903.92490350001001.
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The invasion of the domain of internal medicine by the modern surgeon has been one meeting no little opposition, as the battle of words in medical societies and articles in journals will attest, yet this onward march of the application of proper surgical principles continues. With true surgical principles applied to internal organs, with actual demonstrations of the results claimed by such procedures by the surgeon, the practitioner is willing to accept these procedures and to recommend them. Only a few years ago pelvic hematocele found a place in every text-book and was treated from a medical standpoint, some cases recovering, but many dying; to-day ectopic gestation with ruptured tube has replaced the hematocele pathology, and proper surgery saves the majority of these cases. Postmortems on cases dead from internal bleeding from ruptured tubes, and surgical operations on the living revealed the true pathology in these cases. The propor management


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