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Article
June 28, 1902

A NEW METHOD OF TREATING THE BROAD LIGAMENT STUMPS IN VAGINAL HYSTERECTOMY.

JAMA. 1902;XXXVIII(26):1686-1688. doi:10.1001/jama.1902.62480260006001b

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Abstract

In the operation of vaginal hysterectomy the broad ligament stumps are usually treated in one of two ways:

  1. They may be ligatured, cut short and returned to the abdominal cavity and the vaginal wound closed, according to the nature of the case, with or without drainage. The objections to this method are apparent; they are: first, the dangers which always arise from the intraperitoneal ligature of a mass which may slough or at least become infected; second, the stumps having been returned to the peritoneum, the broad ligaments can not perform their functions of holding up the pelvic floor, especially holding up the rectum, vagina and bladder. In consequence, these viscera are apt to descend with resultant cystocele, rectocele and enterocele vaginalis.

  2. In order to avoid such evil effects, it has been customary to draw the stumps down into the vagina and fasten them there with the same sutures which

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