On the question of removing the uterine appendages through the vagina

Péan's operation was named by the author as uterine castration. Although this name very often does not sufficiently define the mode of action of the surgeon, since usually the excision of the uterus is supplemented by the removal of the appendages, nevertheless it should be preferred to the names "complete castration or utero-ovarian" as Doyen's expression. It shows that during the operation, the removal of the uterus is of primary importance, and the removal of the appendages plays a secondary role and depends on the severity of their defeat; “The uterus is removed first of all, and the appendages are not completely removed, and even often everything is limited to one opening of the cavities,” says Segond. And the uterus itself, always more or less fixed by adhesions, cannot be removed otherwise than by lumping and applying pinching tweezers , as Pozzi put it and for this he proposes to call a hysterectomy, when it is performed with the aim of curing peri-uterine suppuration that empties - hysierectomia evacuatrix.