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December 11, 1897


JAMA. 1897;XXIX(24):1192-1195. doi:10.1001/jama.1897.02440500006002a

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The abdomen is to be opened in the usual way and by as free an incision as necessary. Free the uterine mass from adhesions as thoroughly as possible, and draw it up into the incision; draw up the most accessible broad ligament and clamp it just outside of the ovary with a long clamp, the point of which is directed obliquely downward toward the cervix; with a short forceps grasp the upper border of the broad ligament near the uterus, so as to prevent recurrent hemorrhage through the ovarian artery; then sever the broad ligament with scissors, along the clamp first applied. The other broad ligament is then, if possible, to be treated in the same way. A peritoneal flap is now made in front, between the tips of the two clamps; this is best done with scissors; as this flap is dissected up, the bladder is carried with it

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