Abstract
In pelvic inflammatory disease the belief is common that operative intervention is the court of last resort, and that the removal of all diseased tissues is demanded to insure restoration of the health of the patient. In many acute or subacute lesions, the involvement of the pelvic viscera is so complete that nothing short of bilateral oophorosalpingectomy, with or without hysterectomy, is advisable. In chronic or less extensive lesions, more latitude in judgment and greater possibility for conservative measures are offered. Nevertheless, it is customary to feel that the preservation of menstruation by the retention of the uterus and an ovary is the best the patient can expect and sterility the invariable price the sufferer must pay. Because the disease itself destroys the fallopian tube, the path of the ovum from the ovary to the uterus, opportunity for pregnancy seems past, and the surgeon's sole duty is to restore the

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