Historical Aspects




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Service de Gynécologie et Obstétrique, Centre d’Études Périnatales de l’Océan Indien (CEPOI) – EA7388, CHU Réunion, Hôpital Félix Guyon, Saint Denis de la Réunion, France

 



Downing KT. Uterine Prolapse: From Antiquity to Today. Obstet Gynecol Int. 2012;2012:649459. doi:10.​1155/​2012/​649459.


Pelvic organ prolapse (POP) has been described as a major female health issue for all of time. Around 1550 B.C.E., the Ebers papyrus recommended to rub the body of the patient with petroleum or with manure and honey to put the womb back in place. Hippocrates (460–377 B.C.E.) thought that the uterus acted as an animal unto itself. He recommended fumigations to stimulate the uterus to retreat.

Correct anatomical knowledge occurred much later, thanks to illegal cadaver dissections starting in the sixteenth century. Andreus Vesalius, professor of anatomy at Padua, with his book “De Corporis Humani Fabrica” stated an accurate description of the entire female genital tract including the ligaments of the uterus and helped to better understand female pelvic floor anatomy. Alwin Mackenrodt published his description of the female pelvic floor connective tissue in 1895 and Bonney published “The Principles that Should Underlie All Operations for Prolapse” in 1934. Their work would later inspire DeLancey in 1992 to describe the levels of fascial support and Petros for his integral theory in 2001 [1].

Evolution of surgery was mainly related to anatomical knowledge and the beginning of anesthesiology. The first vaginal hysterectomy for uterine prolapse was reported by Choppin, of New Orleans, in 1861. In 1892, Zweifel of Germany, in his book, commented on his attempts to correct uterovaginal prolapse by using silkworm sutures to fix the upper vagina to the sacrotuberous ligament. In 1937 vaginal hysterectomy had become the predominant operation, but quickly, vault prolapse became a recognized complication. In 1927, Miller described the bilateral, transperitoneal iliococcygeus suspension for vault prolapse. In 1957, McCall, published his technique of obliterating the cul-de-sac of Douglas to cure an enterocele and prevent vault prolapse.

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Oct 2, 2017 | Posted by in UROLOGY | Comments Off on Historical Aspects

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