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September 2, 1893

PROLAPSE OF THE FEMALE PELVIC ORGANS.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):334-336. doi:10.1001/jama.1893.02420620010001g

It is my desire to call attention, briefly, to prolapse of the female genital organs, with particular reference to their hernial nature; regarding them as having a similar etiology, and the same pathological significance as herniæ in other situations, and amenable to analogous lines of treatment.

The classic division of herniæ into cephalic, thoracic and abdominal is incomplete without the important group comprised in the title of this paper; and, in view of their frequency and importance, they should enjoy an individual classification in herniology.

For accuracy and convenience, we would designate four major classes; cephalic, thoracic, abdominal and pelvic herniæ.

The etiology of these affections, in general, comprises such predisposing and exciting causes as defective development, including congenital malformations and inherited tendencies; depraved muscular tone through debilitating disease, and trauma.

While the majority of cases are generally attributed to traumatism, this may often in itself be the result of