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I have been prompted to present this subject on account of the misapprehension which, I believe, has prevailed respecting the character of an abnormal position of the uterus, and the method of treatment that should be adopted for the correction in certain cases.
It has been a frequent occurrence to meet with cases having a marked backward displacement where a pessary had been inserted and worn for a considerable period without an attempt being made to overcome the adhesions and to restore the organ to a position as nearly normal as possible.
For convenience in treatment, uterine displacement may properly be divided into two classes, namely: anterior and posterior rotation.
I have often found the former division to yield quite readily to dilatation and to the maintaining of the patency of the cervical canal; this can be effected by the employment of a glass drainage-tube while the patient is kept
CLARKE AP. FURTHER EXPERIENCES IN THE MANAGEMENT OF UTERINE DISPLACEMENTS. JAMA. 1898;XXXI(10):518–521. doi:10.1001/jama.1898.92450100016002c
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