THE CAUSE AND CURE OF HIGH RECTOCELE

Abstract

Blaisdell,¹in his studies of the parametrium, has demonstrated that, in man and the higher primates, considerable muscle tissue exists under the peritoneal folds of the pouch of Douglas, which gives a strong support to the pelvic organs. These muscle bundles, with the meshwork of elastic and fibrous tissue around the blood vessels of the parametrium and the pelvic fascia, give the true support to the pelvic organs. The pelvic floor below, the weaker accessory ligaments above, and the intra-abdominal pressure act only in an accessory way to relieve the strain on the parametrium and the pelvic fascia. The cardinal part of the pelvic fascia is a strong band of fibrous tissue called the arcus tendineus, which runs from the posterior surface of the symphysis upward and backward along the lines of the anterior fornices of the vagina, to a point in the neighborhood of the spine of the