THE SECRETARY TO THE RUSSIAN PROTECTOR IN THINGS AND IN MORAVA, PRAGUE, inv. 2481, sig. 109-12/128

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English Translation

8-6a Zentralblatt für Gynekologie 1941 Nr. 42 Verbindung mit der Radiertherapie zu erreichen. About our successes in the treatment of Carcinoma colli uteri to women from 1935 I have already submitted an account together with my assistant W. Wolfram. From this it can be seen that 181 women who entered the clinic in 1935 due to an untreated Carcinoma colli uteri were able to achieve an absolute rate of 38% and an absolute healing figure of 35.9%. The relative healing of 75.4% to 57 women in group 1, 46 of whom had been operated on and 11 had been irradiated, is of particular importance. These remarkable successes, which can be counted among the very best, justify the maintenance of the surgical therapy of Carcinoma colli uteri and promise that, in association with radiation therapy, they will achieve the highest level of performance in the treatment of cervical cancer. It is a particular satisfaction for me to have shown with the figures given here that v. Franqué looked too black when he predicted: "an extension or improvement of the surgical methods and, above all, a reduction in the risk of the most promising, the abdominal radical surgery according to Wertheim is hardly conceivable", or "that the limits of the operating results are reached is probably the opinion of all experts". Kubinyi too pessimistic with his assertion: "It is not to be hoped that we will be able to equate the results of carcinoma operations with the brilliant results achieved in ordinary laparatomies." Mayer was not very hopeful when he said: "If primary mortality were to be reduced from 20% to 5%, then the absolute number of cures would rise from 20 to 25% under otherwise equal conditions."The importance of Weibel's downsizing of surgical mortality is clearly evident from the following remark: "And the primary mortality is all about today."With the primary mortality of 1.5%, which was identified after 330 radical operations, I believe that I have defied the pessimism represented at that time in relation to the developmental capacity of these major interventions and that I had more than fulfilled the hopes for a further downswing of primary mortality after Wertheim's and Schauta- ian operations. When I spoke with this work on the surgical therapy of Carcinoma colli uteri and justified with enough large numbers that the radical surgery after Wertheim and Schauta should be maintained, in order to further increase our success in the fight against cervical cancer, the fulfilment of this demand has a great difficulty, which Bokelmann emphasized with all clarity, namely the formation of a young person to really successful carcinomoperateurs. The most promising candidates for this peak performance in surgical gynaecology are the clinical assistants, provided that they are an I surgeon and take care of the measurements. Is this not the Falkarzinome no longer at all or these institutes also for the Heranzuchu operators. And this danger of interruption of valuable tradition to his students already has a bedre clinic in the future the »Hod then would have to be taken care of by the best of all against the Carcinoma colli uteri with d.