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December 8, 1888

REPORT OF FORTY-EIGHT CASES OF ALEXANDER'S OPERATION.Read before the Section on Gynecology, at the Thirty-ninth Annual Meeting of the American Medical Association, May, 1888.

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JAMA. 1888;XI(23):793-803. doi:10.1001/jama.1888.02400740001001

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Since October 29, 1886, I have made the operation of shortening the round ligaments forty-seven (sixty-nine times, Nov. 28, 1888) times. The purpose of this paper is to give a brief summary of the immediate, and so far as determined, the remote results of the operation, some observations respecting the nature and purpose of the round ligaments, a description of a new and simpler mode of operation which overcomes the difficulty of finding the ligaments in certain cases, indications for the operation, and suggestions respecting the after-treatment of cases in which this operation has been performed.

Of this series of cases, the first twelve were reported in a paper presented at the last meeting of this Association. Another report of the first twenty cases of the series was made in a paper read before the Gynecological Section of the International Medical Congress.

The following is a classified statement of the

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