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Cases of retroflexion of the uterus which can not be relieved by palliative treatment, and in which there is good reason to believe that the position and posture of the uterus have a causative relationship to persisting aches and pains, are suitable cases for the operative treatment of the retroflexion.
It should be accepted as a cardinal fact that no retroflexion should be treated by a direct operation when associated with a relaxed vaginal outlet unless the latter be repaired at the same time or as soon after as possible. In some cases it will be proper to lift up the vaginal outlet, neglecting entirely the retroflexion. In other cases the retroflexion and the relaxed outlet will be treated at the same sitting.
The best operation for retroflexio uteri is the one which is applicable to the greatest number of cases, producing the largest percentage of recoveries, and the best
KELLY HA. SUSPENSIO UTERI.Read in the Section of Obstetrics and Diseases of Women, at the Forty-fourth Annual Meeting of the American Medical Association. JAMA. 1893;XXI(10):332–333. doi:10.1001/jama.1893.02420620008001e
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