Retroversion of a fully developed uterus, in which there is no flexion, presupposes a displacement of the os and lower end of the cervix forward. Causes of retroversion act by either weakening the natural supports or bringing an abnormal or unusual strain to bear upon them. The mechanical treatment, or that which corrects the displacement while a cure is being accomplished, or attempted, should avoid weakening or interfering with the natural supports.
We may divide the more directly mechanical means usually adopted for correction of such deformity into four kinds.
1. Those which permanently fix the fundus in front of the pelvic axis.
2. Those which draw or fix the os or cervix back of the pelvic axis.
3. Those which place a barrier or obstacle to the forward displacement of the os and cervix.
4. A combination of two or more of these methods.
The fixation of the fundus
BYFORD HT. MECHANICAL TREATMENT OF RETROVERSION OF THE UTERUS. JAMA. 1886;VII(6):147–154. doi:10.1001/jama.1886.04250080007002
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