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Captivated by the promise of cutting-edge technology and ever-more-complex techniques, we sometimes become so enamored with what is new that we fail to appreciate the old and abandon techniques or principles that could still serve our patients well. This may be the case with hysterectomy, one of the most common operations performed in the United States each year.
In its infancy more than 100 years ago, subtotal or supracervical hysterectomy was the norm, performed to relieve catastrophic uterine bleeding and/or massive tumors of the uterus, most of them leiomyomas. Morbidity and mortality were high in those early surgical wards, but advatices in anesthesia and ...