Abstract

I would feel some hesitancy in bringing before you a subject so generally discussed were it not for the great difference of opinion that exists regarding the treatment of this condition. A review of the literature shows almost innumerable methods, ranging from the fumigations and hot applications of the ancients, to the more elaborate plastic operations of the present. The object in presenting this paper to you is to emphasize the importance of the pelvic fascia as a supporting structure of the pelvic viscera, and in the reconstruction of the vaginal outlet. Although textbooks of anatomy give us elaborate descriptions of the pelvic fascia, we have been very slow in recognizing its true function. In all forms of uterine displacements, our attention has been directed to the various uterine ligaments to which we have attributed the function of suspension, and have overlooked the endopelvic fascia which is the true supporting

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