My colleague just preceding has spoken of the surgical treatment of lacerations of the pelvic floor which in itself is oftentimes sufficient to correct the resulting uterine displacement. The subject allotted to me, undoubtedly, is that especial surgical treatment demanded in those cases in which plastic operations are not deemed sufficient, and it therefore becomes necessary to adopt more radical procedures.
The uterine displacements which may demand operation are retrodisplacement and prolapse. Prolapse being simply a condition following or secondary to retrodisplacement, as the uterus in all cases before it can become prolapsed must be in a state of retroversion, we shall confine our remarks to the radical means of treating retrodisplacement of the uterus. Various operations have been devised to meet the indications for treatment of this condition, the principal of which are ventrosuspension of the uterus, which is also called ventrofixation, hysterorraphy or hysteropexy; and Alexander's operation. To
FLEMING CK. SURGICAL TREATMENT OF UTERINE DISPLACEMENTS, RESULTING FROM LACERATION OF THE PELVIC FLOOR. JAMA. 1899;XXXIII(22):1344–1345. doi:10.1001/jama.1899.92450740032001k
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