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May 20, 1911

The Round-Ligament Operation

Author Affiliations

Sonora, Cal.

JAMA. 1911;LVI(20):1497. doi:10.1001/jama.1911.02560200064029

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To the Editor:  —A good way to settle the Baldy-Webster priority controversy, in my humble opinion, would be for the disputants to shake hands and agree that they have discovered something that wasn't worth finding.Their operation practically sacrifices the inner strong ends of the round ligament, and puts all the weight and strain on the outer attenuated and weakened ends of the ligament. Their operation has no advantage over Alexander's or one of its modifications in uncomplicated cases, and certainly is not so good as Montgomery's or the old ventral suspension in those cases requiring laparotomy—ventral suspension to be used in postclimacteric cases only of course.The Baldy-Webster proposition's greatest weakness is the fact that it does not raise the uterus up unless the broad ligament is perforated low enough down to invite postoperative flexion. It simply draws the organ forward and in that respect is not so effective

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