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Some turn the uterus over, others draw it down and remove it. Some leave the opening in the floor of the pelvis, others close it. It may be drained either with iodoform gauze or a tube. If easily done the tubes are also removed. It is not the custom here in Germany as in France and England to use the clamping forceps to restrain the haemorrhage from the ligamenta lata. The prognosis in the total extirpation of the uterus is quite as good as in the supra-vaginal operation, and is rapidlydoi:10.1056/nejm188711101171913 fatcat:eixu73q3f5h5plxjh6yzuoxrrm