Posterior colpotomy (colpotomia posterior) with inflammation of the uterine appendages and neoplasms in them

In 1892, in The Doctor, I published my first article — the removal of the uterine appendages and their neoplasms through the vagina. In this article, on the basis of my clinical observations, I recommended for some cases a new surgical method for removing large appendages of the uterus and their neoplasms through the posterior fornix. This article of mine caused only one critical note by Dr. Tipyakov in the same "Doctor" in which he spoke out against this operation. I replied to this article with a second article, also in Physician for the same 1892, in which I proved with new clinical observations the relevance and superiority of this operation before gluttony in certain cases. Then, until 1895, no attention was paid to my proposal, and only from that time, when the question of vaginae fixatio uteri began to be developed in German literature, and then when prof. Dührssen's proposal to remove uterine appendages and some neoplasms of the uterus using colpotomiae anterior, since that time the question of the significance of colpotomiae anterior et posterior for removing diseased uterine appendages and their neoplasms has become fashionable on the pages of the special medical press. At the present time, the literature on this issue is quite large and I will not expound it here, since this issue will be examined in detail in a special work of my friend Dr. P. Ya. Teplov, which will soon appear in print. I currently wish only to summarize my clinical data on posterior colpotomia.