The sacro-uterine ligaments, from an operative standpoint, attract very little attention. While they have been the object of occasional study, neither their limitations nor their extensions have been fixed so as to give them a definite place in surgery. The general impression seems to be that they are difficult of access and both structurally and mechanically of doubtful surgical utility.
From 1902 to 1906, Bovée1 published a series of articles calling attention to the sacro-uterine ligaments. His bibliography shows that as far back as 1850 efforts were made to utilize the ligament in the treatment of retroversion of the uterus. In 1902 he gave an interesting historical account and described the various methods proposed for shortening the ligaments. The technic of these operations, whether the mode of approach was through the vagina or through the abdomen, consisted of folding or doubling the ligaments without actually isolating them. Bovée,
SOMERS GB, BLAISDELL FE. THE ANATOMY AND SURGICAL UTILITY OF SACRO-UTERINE LIGAMENTS. JAMA. 1913;61(14):1247–1253. doi:10.1001/jama.1913.04350150003003