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The choice of routes for hysterectomy must be selected for each case. It is my desire to present a concise résumé of the reasons for each route, and the advantages which it offers in the cases to which it is applicable.
The views laid down are those of a general surgeon, and are based upon an experience in this work that justifies him, I think, in offering an opinion.
It has been claimed that vaginal hysterectomy is an operation that requires special training, and such an attention to detail and technique as can be acquired by the specialist alone. I can not, however, allow this statement to go unchallenged, for I believe that the general surgeon, with his larger field and constant application to detailed technique is, at least, equally as well equipped to perform every operation of gynecology as is the specialist himself.
What surgeon to-day, except in extraordinary
DEAVER JB. ABDOMINAL VS. VAGINAL HYSTERECTOMY FOR UTERINE CARCINOMA.. JAMA. 1900;XXXIV(26):1657–1658. doi:10.1001/jama.1900.24610260001001