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Vaginal hysterectomy is an operation so frequently done with such a high degree of success by so many different surgeons that I would not attempt to remark upon it, had I not had an unusual experience in two recent cases.
Having had my attention called to Pratt's modification of the operation, I procured copies of the Medical Century containing several articles by the author of the method, and others who had observed his work. The essential characteristics of his operation, so far as they differ from other methods, are as follows:
The uterine cavity is tightly packed with antiseptic candle-wicking to distend the uterus and make distinct its outlines. The Simons' position is employed and the uterus brought into view in the usual manner and stout threads passed through the anterior and posterior lips of the cervix. The initial cut around the cervix is made nearer the os than usual.
DUNNING LH. REMARKS ON VAGINAL HYSTERECTOMY.. JAMA. 1894;XXII(13):452-453. doi:10.1001/jama.1894.02420920008001b