In the somewhat heated discussions that have been held from time to time on the abdominal versus the vaginal incision, there have not been wanting most ardent advocates of the abdominal route. I think I am safe in saying, however, that among the latter there cannot be found one who denies that if equally thorough, complete, and satisfactory work can be done per vaginam, it is the preferable route of attack. The reasons for this are obvious: Throwing out of account entirely the old apprehension and fear of sepsis, which formerly attended a laparotomy, it is a serious thing for a woman to submit to an incision through her abdominal walls. To enumerate in detail the objections: The incision necessitates the placing of stitches which sooner or later must be removed and the fear of this ordeal fills the patient with dread. 2. The wound must be supported by adhesive
GOFFE JR. SUPERIORITY OF VAGINAL ROUTE OVER ABDOMINAL INCISION IN SURGICAL TREATMENT OF PELVIC DISEASE IN WOMEN.. JAMA. 1899;XXXIII(16):933–935. doi:10.1001/jama.1899.92450680001001
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