The newest addition to our operative treatment of the backward displacements of the uterus is vaginal fixation. It is the result of a gradual evolution of Schücking's method, and its modifications by Zweifel and Sänger, and has been developed to its present form by Dührssen and Mackenrodt, each of whom claim priority, and is known by their respective names, their methods varying very little from each other.
The technique of Dührssen's operation, which is the simpler of the two is as follows: the cervix, having been seized by a volsellum forceps, is drawn down toward the vulva; a transverse incision is made through the anterior vaginal wall close to its attachment to the cervix, care being taken to avoid the bladder. The latter is then dissected away from the uterus just the same as in vaginal hysterectomy. It is important to push the vesico-uterine fold as far up toward the
WERDER XO. VAGINAL FIXATION IN RETRODEVIATIONS OF THE UTERUS, WITH SOME REMARKS ON VAGINAL CELIOTOMY. JAMA. 1895;XXV(8):321–322. doi:10.1001/jama.1895.02430340021001i
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