Abstract
The last few years has witnessed an ever widening interest in the disturbances in the venous circulation of the female generative organs. Controversies relative to pathology, symptomatology, diagnosis and treatment are as lively today as they were in 1889, when Dudley1presented his views on the subject before the New York Obstetrical Society. Since 1890 the subject has appeared periodically in the literature without materially changing the basic facts set forth by Dudley. In regard to treatment, the general opinion still favors destructive surgery. In a preliminary report on clinical and private material, I2have pointed out that drastic methods can, in the vast majority, be replaced by constructive surgery. Further experience with this method both in private practice and in the service of the Woman's Clinic of the Stanford School of Medicine convinces me still more firmly of the feasibility of this method. Figures in this present
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