REMOVAL OF THE APPENDAGES AND LIGATION OF THE UTERINE ARTERY TO THE UTERO-CERVICAL JUNCTION.

The above operation I introduced about two years ago. The technique consists in ligating the appendages and then snipping them off. An aneurysm needle armed with a double ligature is then passed through the broad ligament at the cervico-uterine junction on the inner side of the uterine artery. The one ligature is tied along the side of the uterus including the perpendicular arteries of the uterus, the Fallopian tube, round and ovarian ligaments. The other ligature is tied on the broad ligament including the ligamentum infundibulo-pelvicum. Another method consists in ligating and removing the appendages and then simply ligating the uterine artery once or twice as it courses through the broad ligament by the side of the uterus as low down as the neck. The first method is the best, as it atrophies not only blood vessels but nerves and ganglia. We have ligated the uterine artery down to the