Gynecology . Fig. 299.—Position of Uterus in Anteflexion. The uterus is sharply bent on itself and the whole organ sags back toward the sacrum in the position of retrocession. The cervix is disproportionately long. from above. We have employed this principle for several years, and havesecured much better results, especially for dysmenorrhea, than by any othermethod. The mechanical principle involved is illustrated in Figs. 299 and 300, inwhich it is seen that the anteflexed retrocessed uterus may be brought into apractically normal position by suspension from the abdominal wall. Several operat
Gynecology . Fig. 299.—Position of Uterus in Anteflexion. The uterus is sharply bent on itself and the whole organ sags back toward the sacrum in the position of retrocession. The cervix is disproportionately long. from above. We have employed this principle for several years, and havesecured much better results, especially for dysmenorrhea, than by any othermethod. The mechanical principle involved is illustrated in Figs. 299 and 300, inwhich it is seen that the anteflexed retrocessed uterus may be brought into apractically normal position by suspension from the abdominal wall. Several operations may be used for the reduction of anteflexion—e. g., the 596 GYNECOLOGY Alexander-Adams, Gilliams, Mayos, Simpsons, and Olshausens. TheBaldy-Webster and Coffey operations are inapplicable to this condition. NiSfitCflKS.^^. Fig. 300.—Anteflexion of the Uterus Reduced by Olshausens Operation (Authors Method).By drawing the uterus up to the abdominal wall by means of the round ligaments, the anteflexionis completely and permanently straightened out and the whole organ is lifted out of the position ofretrocession. By employing the Olshausen method of suspension the necessary position of the uteruscan be accurately gaged. We are accustomed to use the Olshausen operation, as it is possible by thismethod to secure exactly the required correction of the anteflexion and themost favorable position for the uterus. Operations for Prolapse and Procidentia PROCIDENTIA The technic usually employed by the author for advanced cases of procidentiais as follows: (1) High amputation of the cervix is performed by the Hegar method de-scribed on page 522. (2) An extensive anterior colpoplasty is then done by the authors methoddescribed on page 530. OPERATIONS FOR UTERINE MALPOSITION 597 (3) Perineoplasty is performed accord
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