Total removal of the uterus is a definitely indicated surgical procedure for several gynecologic conditions. Vaginal hysterectomy is a development which has followed the necessity of total removal of the uterus. This procedure has become very popular in the average operating room, as the technic is easier than that of the abdominal operation and the mortality rate is much lower. By the abdominal route the problem of supporting the bladder and vault of the vagina is much more readily handled than by the vaginal route.
In the early nineties, Pryor popularized vaginal hysterectomy through the use of his clamps. Since that period a much better operation for the removal of the uterus by the vaginal route was offered by Dr. Charles Mayo and has been adopted more or less universally. In the Pryor operation there was no provision made against the possibility of prolapse of the vagina and bladder other
PAYNE RL. GENITAL PROLAPSE FOLLOWING TOTAL HYSTERECTOMY: A SUCCESSFUL OPERATIVE PROCEDURE. Arch Surg. 1930;20(4):637–642. doi:10.1001/archsurg.1930.01150100097006
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