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The justifiability of the above operation is even yet at times the subject of debate, but if the concensus of opinion is to the effect that complete, early removal of cancer in other localities gives the patient the best, if not the only chance for recovery, application of the same conclusion to the uterine variety seems to furnish a sound foundation for hysterectomy. The remarkable experience of Dr. Rubeska in the gynecological clinic of the Bohemian University at Prag, now for the first time published, adds much strength to this position. Brief notes of all his cases, extending over four years, were placed in the writer's hands. Twenty-seven cases of vaginal hysterectomy for cancer without a death from the operation speaks in no uncertain terms and needs no comment.
No peculiar mode of operation was employed excepting that the stumps of the broad ligaments were drawn well into the vagina
VACLAV RTJBESKA. VAGINAL HYSTERECTOMY FOR CANCER.A CONTRIBUTION TO THE STATISTICS OF THE OPERATION.. JAMA. 1889;XII(23):805–806. doi:10.1001/jama.1889.02401000013001e