Abstract
Since Professor Kossmann1of Berlin has designated this operation by my name in a paper before the Berlin Medical Society, I may be excused for naming it so also, although I have so far applied to it its anatomic name only, notwithstanding that the combination of an extended Alexander operation, with bi-inguinal celiotomy and the Bassini hernia technic in closing the wounds with anchorage of the round ligaments to Poupart's ligaments, was made by me completely and solely in 1893, and performed in at least 75 cases, of which 47 were published, before I learned that any one else also was doing it. This operation owes its origin and persistent growth, in the face of much opposition, to the mandates of several stern anatomic facts: (1) The round ligaments of the uterus are the only structures connected with it that, as a part of it, are composed sufficiently of
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