NOTE (in fourth edition).--The operation of ventro-suspension as described above has been done by the writer and his assistants 310 times during the past seven years, 1893-1901. Two hundred and eleven of these women have recently made written reports of their condition, which are tabulated as follows: A Number of cases relieved of the symptoms for which treatment was sought. B Number of cases improved C Number of cases not improved D Number of cases who became pregnant and went to full term E Number of cases who miscarried. ---------------------------------------------------------+---+--+--+--+--- | A | B| C| D| E ---------------------------------------------------------+---------------- Ventro-suspension with unilateral salpingo-oöphorectomy.}| | | | | Ventro-suspension with perineorrhaphy and }| 20| 7| 7| 1| 0 trachelorrhaphy. }| 34|15| 5| 6| 3 Ventro-suspension with perineorrhaphy. | 22|12| 8| 4| 1 Ventro-suspension with trachelorrhaphy. | 20| 6| 5| 4| 4 Ventro-suspension alone. | 35| 9| 6| 5| 0 +---+--+--+--+--- |131|49|31|20| 8 ---------------------------------------------------------+---+--+--+--+--- Of the 20 women who became pregnant and went to full term, the course of pregnancy was normal, and the children were all born alive. One woman had a prolonged and difficult labor, though forceps were not used. In 1 case forceps were used to deliver a ten-pound child, who presented in occipito-posterior position; in the remaining 18 cases labor was normal. The operation of ventro-suspension seems to have had nothing whatever to do with producing the miscarriages. In fact, the number of miscarriages is small for any series of 211 women, most of whom were of the dispensary class. NOTE.--Since collecting the statistics in the preceding note, we have continued to perform this operation in all cases of retroversion suitable for operation, with equally satisfactory results. CHAPTER XII. LACERATION OF THE CERVIX UTERI.