70 The Philippine Journal of Science 
operation performed; a living male child weighing 9.5 pounds 
was delivered. The wound in the uterus and belly wall was 
repaired. The child lived seventeen hours, dying in convulsions 
as a result of head injury from forceps. The mother made an 
uneventful recovery, leaving the hospital on the twelfth day. 
A plea is here entered to those having in mind operations 
on the female genital organs for conservatism and proper con- 
sideration of the potential mother. 
The ventrofixation method has given the following statistics. 
DeLee? says: ; 
Ventrofixation and ventrosuspension and adhesion of the uterus to the 
abdominal wall following celiotomy not seldom cause serious dystocia. 
Lindfors, in 68 cases of labor found that the cervix was high in 27; 
transverse presentation occurred in 31; and trouble in the third stage in 
10. There were 30 versions, 13 Cesarean sections, 10 high forceps, 5 
embryotomies, 5 tamponades for post-partum hemorrhage, and many other 
operations necessary. There were 3 deaths. 
Andrew’s collection of 395 cases adds 36 cases of Caesarean 
section. 
That frequency of abortion, difficult labor, post-partum hzem- 
orrhage, and the necessity for capital operations to overcome 
obstruction should forbid the practice of ventral fixation in child- 
bearing women is the opinion of DeLee, Cragin, and Polak. 
The Alexander and allied operations on the ligaments—espe- 
cially the Andrew’s (with ligament sewn behind the uterus) — 
give little real trouble, and with a proper repair of the vaginal 
floor will answer every and all purposes. 
* Principles and practice of obstetrics. Philadelphia, W. B. Saunders 
Company (1914), 402. 
