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Article
November 17, 1906

THE UTILIZATION OF THE BROAD LIGAMENTS IN COMPLETE DESCENT OF THE UTERUS, HYSTEROMYOMECTOMY AND REMOVAL OF UTERINE APPENDAGES.

JAMA. 1906;XLVII(20):1605-1614. doi:10.1001/jama.1906.25210200001001
Abstract

END-TO-END APPROXIMATION OF THE BROAD LIGAMENTS IN A NEW OPERATION FOR COMPLETE DESCENT WITHOUT REMOVAL OF THE UTERUS.  In place of vaginal hysterectomy and other operations so often performed for complete descent of the uterus, I propose a new operation, the essential factor of which is the utilization of the broad ligaments as supports of the pelvic floor without removal of the uterus, but before entering on a description of this operation it may be well to outline briefly the mechanism of complete descent and to set forth some of the reasons why the older operations frequently have proved inadequate. In so doing I shall draw freely on my own writings without giving further credit.I desire at the outset to disclaim any proposition that the uterus is supported and held in place by ligaments alone; it is supported by the whole pelvic floor, of which it is a part.

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