Page:Contraception; 1st ed. (IA in.ernet.dli.2015.94163).pdf/223

in America, namely, the excision of the ovaries, is now no longer advocated except where local disease necessitates their removal. Even then an effort is always made to leave a small portion of the ovary owing to the extreme importance to the entire system of the internal secretions from these organs. The double tying and cutting of the Fallopian tubes does not involve any detrimental loss of the internal secretions and is, therefore, the method best suited for general use. This is generally safe and can be relied on, but the older method of a single ligature is not entirely safe. Recently Dr. McArthur advised in place even of the double ligature, the complete removal of the tubes, his words being: ^[1]"The reparative power of a mutilated tube is extraordinary, and now, when sterilization is demanded, I adopt only one method—namely, complete removal of the tubes and the greater portion of the uterine ostium. By doing so one is, in the first place, certain of sterilization, and, secondly, that there are at least no receptacles for infection."

Dr. McArthur's case, ^[1]"Some years ago operated on a woman for prolapsus uteri,