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January 1922


Author Affiliations

Resident Surgeon and Assistant Resident Surgeon, Respectively, Peter Bent Brigham Hospital BOSTON
From the Surgical Clinic, Peter Bent Brigham Hospital.

Arch Surg. 1922;4(1):175-199. doi:10.1001/archsurg.1922.01110100184006

INTRODUCTION  The purpose in undertaking this study was to determine what operative procedures, in cases of relaxed pelvic floor, have given the best results in this clinic. Between the years 1913 and 1920, 130 patients were operated on for some form of relaxed pelvic floor. The nomenclature used was varied: cystocele, rectocele, prolapse, procidentia and relaxed pelvic floor. Of these, sixty patients reported in person for subsequent examination, twenty-nine reported by letter and forty-one could not be located. The cases of the sixty patients that were examined are reported in full, and certain deductions are drawn from the results in these patients. The results in the twenty-nine cases as given by letter or by talking with patients who refused examination are reported separately; but no deductions are made, as such observations appear unreliable. It is our opinion that only careful physical examination, after a suitable period of time has elapsed,

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