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July 22, 1899


JAMA. 1899;XXXIII(4):184-186. doi:10.1001/jama.1899.92450560004001a

Had the older plans always been satisfactory, I should not present this one, hence no apology is required for obtruding yet another method upon you. It may probably be more properly called a new application of an old principle, and has for its object the replacing of the round ligaments or their temporary substitution by efficient means until they are again able to hold the uterus forward enough to entirely prevent retrodisplacement.

It is equally applicable to retroflection and version. It can be used almost equally well in the lean and obese. It requires little time, usually not more than five or ten minutes of intra-abdominal work. An incision is made at or near the median line above the pubes, the length of which depends upon the thickness of the abdominal walls, skill of the operator and the intra-abdominal and pelvic pathology and will usually not need to be more

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