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In the treatment of retrodeviation of the uterus, as in fact, in any abnormal condition, either medical or surgical, a thorough understanding of the etiology, pathology and complications is demanded in order that the desired results may be obtained. Without this knowledge failure will, as in the past, attend our efforts in a lamentably large proportion of cases. I believe that the statement will stand unchallenged that, until recently, the treatment of retrodeviations was most unsatisfactory and unsuccessful and that the cause of such frequent failure was the attempt to treat all cases by a similar method, either without due regard to, or in ignorance of, their causes and possible complications.
For years, the vaginal tampon and pessaries, aside from certain plastic operations on the vagina and perineum, constituted our sole means for the correction of uterine displacements. It can not, therefore, be considered a cause for surprise that innumerable
SMITH CN. THE TREATMENT OF RETRODEVIATIONS OF THE UTERUS.. JAMA. 1896;XXVI(13):605–608. doi:10.1001/jama.1896.02430650007002