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September 1973

Abdominal and Vaginal Hysterectomy.

Arch Surg. 1973;107(3):495. doi:10.1001/archsurg.1973.01350210119041

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It is impossible to judge objectively, merely upon reading, the true worth of a description of a new surgical technique. One's own training and prejudices come into play, and the value of the recommendations ultimately can only be assessed when they have been tried over and over again. Nevertheless, one value of such a description is that it stimulates the surgeon to critically review his own techniques, to compare the rationale and results of each of his motions to those recommended here. Abdominal and Vaginal Hysterectomy provides gynecological surgeons with that stimulation. The author's main thrust is to describe a technique that will reduce morbidity and thus reduce hospital stay. These ends are achieved by techniques that minimize the amount of catgut utilized, the amount of tissue crushed, and minimize unnecessary separation of tissue planes.

In abdominal hysterectomy, the use of a high Trendelenberg position removes the necessity for extensive

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