I take it that the following propositions are generally conceded, and are accordingly excluded from this discussion.
Many displacements cause no symptoms and require no treatment.
Many displacements cause discomforts which may be easily and completely relieved by well-fitting pessaries.
In many instances discomforts due to displacements could be best relieved by operation were there not complicating affections, pulmonary, cardiac, renal, thyroid, etc., which would render operation unduly hazardous. In such cases pessaries serve a useful purpose.
There remain, however, many displacements, some simple and others complicated, which require operative correction. It is to this class alone that my remarks will refer.
The last decade has done much to crystallize our views regarding the normal position of the uterus, the mechanism of posterior displacements, the rôle played by coincident affections and the relative degrees of discomfort
SIMPSON FF. RETROPERITONEAL SHORTENING OF THE ROUND LIGAMENTS. JAMA. 1911;LVI(8):553-559. doi:10.1001/jama.1911.02560080001001