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Article
July 3, 1909

THE VAGINAL OPERATION FOR PROLAPSE OF THE UTERUSGENERAL CONSIDERATIONS

JAMA. 1909;LIII(1):16-22. doi:10.1001/jama.1909.92550010014002d

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Abstract

In order to provide grounds for a common understanding of the subject under discussion, I shall make some rather elementary statements.

1. The normal position of the uterus is anteverted.

2. The external os is to be found on a line drawn from the upper border of the symphysis pubis to the lower point of the sacrum (Suppey).

3. The fundus of the uterus, in the woman standing erect, touches a horizontal line drawn across the top of the symphysis.

4. The external os rests on a line drawn across the spines of the ischium.

5. At birth the external os is on a level with the innominate line, and not until puberty is its normal level reached.

6. The entire uterus is freely movable, the only partially fixed part being the cervix.

7. The

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