They are "unnatural, unsurgical and unscientific." The aggregate normal effect of the healthy and properly developed supports, attachments and guy-ropes of the uterus is to hold it in a state of stable equilibrium, in a sufficient degree of anteversion to secure the supporting aggregate impact of intra-abdominal pressure upon its posterior surface. This, the greatest of all forces in the abdomen and pelvis, then maintains that forward obliquity of the body and fundus of the uterus which experience has abundantly demonstrated to be not merely essential, as a rule, to maintain a normal balance in its circulation and in that of the adnexæ, but also to be the most benign safeguard against descensus of the uterus or ovaries, or both. While the entire organ has a considerable but very variable degree of mobility in all direction, its principal portion—the body—has a very large range of normal mobility, like an inverted
GOLDSPOHN A. THE UTERUSWHY VAGINOFIXATION, VENTROFIXATION AND VENTROSUSPENSION THEREOF SHOULD BE AVOIDED IN CASES THAT RETAIN ANY CAPACITY FOR CONCEPTION.. JAMA. 1899;XXXIII(4):181–183. doi:10.1001/jama.1899.92450560001001
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: