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Article
October 4, 1913

PROLAPSE OF THE UTERUS

JAMA. 1913;61(14):1246-1247. doi:10.1001/jama.1913.04350150002002
Abstract

We were taught: "Keep the cervix of the uterus in the hollow of the sacrum and the rest of the organ will take care of itself."

This teaching is just as applicable now for prolapse of the uterus in the modern treatment of that condition as it was found for all kinds of displacements of the uterus, when these conditions were treated by pessaries and multitudes of "methods" of surgery.

The most modern and satisfactory operation for extreme descent of the uterus is undoubtedly the Dührssen-Watkins-Wertheim anterior transposition operation. This involves the placing of the fundus beneath the bladder and making a high restoration of the rectovaginal septum. This throws the uterus into extreme anteversion and places its fundus below the bladder—between it and the anterior vaginal wall. This, of necessity, turns the cervix backward and with a fulcrum of the highly restored levator ani muscles to act beneath it

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