REPORT OF FORTY-EIGHT CASES OF ALEXANDER'S OPERATION.

Since October 29, 1886, I have made the operation of shortening the round ligaments forty-seven (sixty-nine times, Nov. 28, 1888) times. The purpose of this paper is to give a brief summary of the immediate, and so far as determined, the remote results of the operation, some observations respecting the nature and purpose of the round ligaments, a description of a new and simpler mode of operation which overcomes the difficulty of finding the ligaments in certain cases, indications for the operation, and suggestions respecting the after-treatment of cases in which this operation has been performed. Of this series of cases, the first twelve were reported in a paper presented at the last meeting of this Association. Another report of the first twenty cases of the series was made in a paper read before the Gynecological Section of the International Medical Congress. The following is a classified statement of the