Adenoids.—­Should be removed early when they obstruct the breathing.  In another part of the book the reasons are given.  The same advice is given for tumors and malformations in the nose passages.  Such conditions should not be allowed to go on until the parts are permanently deformed or diseased.  These operations are done very frequently and successfully now, and many people are saved years of worry and suffering.  For more extended account see department of nose and throat.

Appendicitis.—­There has been a great deal of discussion about this disease.  It is no doubt true that many healthy appendices have been removed, but it is also true that many lives have been saved by operation.  There is more discrimination now than formerly in this disease.  Blood tests, etc., aid in telling when an operation is necessary in acute cases.  There is very little danger in a chronic case if the operation is done during the interval of the attacks.

Cataract.—­The operation for this trouble is gloriously successful and the blind are daily recovering their sight through this operation.

Mastoid.—­Operations on the Mastoid cells are frequently performed now and save many lives.  When there is swelling behind the ear or there is much pain there a careful examination should be made.  Chronic cases of Mastoid disease usually demand this operation.

[664 Mothers’ remedies]

Ovaries, tumors of the.—­The operation for tumors is very successful.  If the ovary is simply enlarged by congestion, medicine will frequently reduce it; but when the enlargement is due to a tumor, it should be removed if it continues to enlarge.  Sometimes there is cancer of the ovary.  If so, it should be operated upon early.  Tumors of the womb, such as fibroids, are often observed.  They sometimes require removal if they grow large.  The symptoms will indicate when an operation is needed.  These tumors often grow so large as to necessitate the removal of the womb.

Perineum and cervix.—­The perineum and cervix are sometimes torn during labor and should be immediately repaired.  The perineum is the support for the organs of generation and if it is not solid the ovaries, tubes, womb and vagina will sag and fall.  Neglect of this simple operation at the proper time results in backaches, headaches, etc.  Many women have suffered for years and doctored for other complaints when proper attention to the real trouble would have saved all that expense and pain.  Your physician should be requested, in advance, to attend before he leaves to any laceration that may occur during labor.  At this time it causes little or no pain.  If postponed until next day or later it would be painful and require an anesthetic.  Many cases of cancer are caused by neglected lacerations.

Piles.—­It is often necessary to operate both for external and internal piles.  The result is usually complete relief and cure.