I intend to present in this paper a new technic that will prevent cystocele following vaginal hysterectomy.
The etiology, symptomatology and diagnosis of the various pelvic lesions calling for some radical gynecic procedure will not be considered at this time.
The gynecologist of to-day recognizes and, with few exceptions, makes use of three methods of removal of the diseased pelvic organ.(a) Abdominal hysterectomy.(b) Vaginal hysterectomy.(c) Vagino-abdominal hysterectomy.Each of these methods has its specific indications, though, unfortunately, the method of choice is more frequently determined by the prejudices and experience of the operator than by the anatomic and pathologic indications of the patient. The vaginal route alone will be considered in this paper.Vaginal hysterectomy is a difficult operation and should only be performed by
ELMERGREEN R. VAGINAL HYSTERECTOMY: A NEW OPERATIVE TECHNIC TO ESTABLISH A SOUND PELVIC FLOOR AND TO PREVENT CYSTOCELE. JAMA. 1909;LIII(17):1355–1358. doi:10.1001/jama.1909.92550170001001c
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