Suspension of the uterus / by Howard A. Kelly.

  • Howard Atwood Kelly
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Suspension of the uterus / by Howard A. Kelly. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    There has never been a hernia in any case. In women who have borne children the retroflexion is often associated with descensus and. relaxation of the vaginal outlet. It is useless to expect relief in these cases by simply suspending the uterus which, instead of being gently detained in easy anteflexion, simply drags on its attachments until they give way. In such cases the vaginal outlet must invariably be re- paired too. Sixteen out of 133 cases needed the vag- inal repair. In going over my statistics I am sur- prised to find so few needing the double operation, for I am sure that the percentage is much larger in the recent cases. In 7 cases both tubes and ovaries were removed for disease; in 9 cases one tube and ovary removed; in 3 instances I ligated either uterine or ovarian vessels; in 2 a myomectomy was performed; in 1 a nephropexy.
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