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Article
December 22, 1900

SEPARATION OF THE RECTI ABDOMINIS MUSCLES AND STRETCHING OF THE LINEA ALBA.UNNOTICED FACTORS IN THE PRODUCTION OF ABDOMINAL AND PELVIC DISTURBANCES IN WOMEN.

Author Affiliations

Professor of Gynecology and Obstetrics in Rush Medical College, affiliated with the University of Chicago. CHICAGO.

JAMA. 1900;XXXV(25):1626-1630. doi:10.1001/jama.1900.24620510034001h

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Abstract

Since the publication of Glénard's work on enteroptosis in 1885, in which attention was directed to displacement of the abdominal viscera as a cause of suffering, especially in the female sex, numerous observations have been made corroborative of many of the statements of the French writer. At the present time there is a consensus of opinion among prominent clinicians as to the importance of the subject, but the profession at large have given it very scant consideration. Investigations made by me during the last two years have convinced me that alterations in intra-abdominal pressure, associated with visceral displacements, are the chief source of trouble in many cases in which abnormal symptoms are considered as neuroses or as reflex disturbances due to some pelvic lesion. Much just criticism has been heaped on the gynecologist because of the marked prominence given by him to various minor pelvic conditions, such as endometritis, laceration

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