Of the various operations for prolapse of the uterus, those most used probably are the Watkins-Wertheim, the Mayo vaginal hysterectomy, the Kocher fixation, the modified Gilliam, and various other types of intra-peritoneal shortening of the round ligaments combined with vaginal plastic operations. The technic of each has undergone various modifications and is described in detail in the literature. The value of any one of these procedures as a corrective operation is determined largely by the results obtained from its use, by the ability of the surgeon to execute the technic correctly and by its application to the properly selected case.
Masson1 has stated that the choice of operation depends on several factors. Chiefly these are: the age of the patient, her marital state, the risk of an abdominal or vaginal operation, and the degree of prolapse with its accompanying symptoms. The practice of using an operation as a routine
COUNSELLER VS, STACY LJ. RESULTS OF VARIOUS OPERATIONS FOR PROLAPSE OF THE UTERUS. JAMA. 1930;95(14):983-988. doi:10.1001/jama.1930.02720140005002