. Gynecology : . l hernias and wound sepsis were common complications. In the studyof a series of Alexander operations performed in the old way the author found15 per cent, of recurrences in cases personally examined. OPERATIONS FOR UTERINE MALPOSITION 689 Though the operation is little used at the present day in this country, it hasbeen revived abroad under the name of the Alexander-Adams operation, butwith an improved technic which does away with many of the former objec-tionable features. By the newer method the peritoneal cavity is opened at theinguinal ring, so that if the ligament has no

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. Gynecology : . l hernias and wound sepsis were common complications. In the studyof a series of Alexander operations performed in the old way the author found15 per cent, of recurrences in cases personally examined. OPERATIONS FOR UTERINE MALPOSITION 689 Though the operation is little used at the present day in this country, it hasbeen revived abroad under the name of the Alexander-Adams operation, butwith an improved technic which does away with many of the former objec-tionable features. By the newer method the peritoneal cavity is opened at theinguinal ring, so that if the ligament has not been found in the inguinal canal itcan be traced from within the abdomen outward. By securing the ligamentswithin the abdomen they may be drawn out without danger of rupturing , the opening of the abdomen enables the surgeon to palpate the uterus,determine its position after traction of the ligaments, ascertain the presence orabsence of adhesions, and perform minor operations on the appendages. i ). \^.;

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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen