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Article
February 18, 1911

PLICATION OF THE ROUND AND ANTERIOR FOLD OF THE BROAD LIGAMENT ON THE ANTERIOR SURFACE OF THE UTERUS FOR RETRODISPLACEMENT

Author Affiliations

PORTLAND, ORE.

JAMA. 1911;LVI(7):469-473. doi:10.1001/jama.1911.02560070001001
Abstract

ANATOMIC AND SURGICAL PRINCIPLES  This presentation is made more to illustrate the anatomic and surgical principles underlying the entire subject of the treatment of retroversion, than to set forth any specific mechanical detail. The uterus is very largely an intra-abdominal organ. All intra-abdominal organs are supported almost entirely by peritoneal folds. The peritoneum is supported in turn by a loose connective tissue which holds it loosely but persistently to the abdominal wall except at its upper attachment, where it is firmly fixed and blended with the diaphragm. Strictly speaking, the abdominal organs, which we refer to as intraperitoneal, are all extraperitoneal, inasmuch as every organ lies between two layers of peritoneum made as if the organ had been pushed into the peritoneal sac from the outside, and had become adherent to it.New ligaments are formed during fetal development and rotation, by the contact of two peritoneal surfaces which adhere,

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