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June 15, 1901


JAMA. 1901;XXXVI(24):1692-1694. doi:10.1001/jama.1901.52470240020002f

ARGUMENT.  1. All suspensions of the uterus, of whatever kind, are makeshifts. 2. Anchorage of the uterus by means of the round ligaments is the nearest approach to the ideal. 3. As a choice between evils the round ligament suspension is superior to all others, both from a physiological and utilitarian standpoint. 4. The author's method and its advantages.There is not, and never will be, an ideal suspension of the uterus in the sense that it meets all the requirements of a mobile organ, untrammelled in its functions and held within physiological limits. The nearest approximation to this condition as applied to the retroposed organ is found in the shortening of the round ligaments as devised by Alexander, and the nearest approach to an ideal operation for effecting this shortening is the modification of the Alexander operation as devised and practiced by Kellogg. But this is not a suspension

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