ROUND-LIGAMENT VENTROSUSPENSION OF THE UTERUS

As everyone is probably aware, this is the original ventrosuspension of the uterus in which the ligaments are left intact and in which the peritoneal investment is not disturbed. In devising this operation I wanted to get something that was as nearly physiologic as possible—something that would meet the requirements, without the drawbacks incident to the methods then in vogue. Especially was I anxious to get away from all fixations, as they are inherently pernicious and often fraught with disastrous consequence. The uterus is a mobile organ and cannot be fixed in any position or agglutinated to any other organ without detriment to itself and to other organs and parts which are contiguous or correlated. It must conform to various conditions of the bladder; it must alter its position according to the fulness or emptiness of the rectum; it must yield to the impulses of respiration and adjust itself to