Though simplicity and fewness of instruments in operative work is the pride of many surgeons, there can be no question concerning the help that most operators find in special devices to meet special indications. The two instruments which I present have been tested in actual work and have been found helpful.
The first which I show is a director intended to be passed behind the broad ligament in vaginal hysterectomy, thereby bringing at once into the operative field, and in full view of the operator, the lateral tissues to be incised.
Having opened freely into the pouch of Douglas and having freed the bladder from the uterus, the left index finger of the operator is passed behind the broad ligament and made to appear above that structure at the side of the uterus, the peritoneum having been incised previously at the corresponding vesical fold, or the opening being made on
FERGUSON ED. Grooved Director for Vaginal Hysterectomy. Uterine Elevating Forceps.. JAMA. 1900;XXXV(20):1291–1292. doi:10.1001/jama.1900.24620460031020