The Advisability and Efficacy of Chirurgico-Gynócological Treatment in Hysteria and Insanity.—G. Angelucci and A. Pierraccini (Rivista Sperimentale di Freniatria, 1897, p. 290) have reported “the results of an international enquiry” into this question. The observation of some cases, in which removal of the uterus and appendages for hysteria had been followed by violent insanity, and the want of agreement which they found among the authorities who had written about the subject, led the authors to undertake their task. They appealed to alienists, surgeons and gynæcologists throughout Europe and America for exact accounts of their experiences, and received in reply a large number of valuable contributions, for which they desire publicly to express their thanks. They enquired of each person, to whom their circular was sent, if during the last ten years he had had any cases in which ablation of the uterus and its appendages had been practised, with a view to curing hysterical neuroses; whether in the event of this having been so, the uterus and appendages had been found healthy or diseased; if they had performed this operation in any case of insanity without manifestations of hysteria; and, lastly, they asked for a personal opinion as to the advisability and efficacy of such surgical interference in hysteria.
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