Richardson D A
Department of Obstetrics and Gynecology, Hutzel Hospital/Wayne State University School of Medicine, Detroit, MI.
Am J Obstet Gynecol. 1994 Jan;170(1 Pt 1):1-6. doi: 10.1016/s0002-9378(94)70373-6.
J. Marion Sims' efforts in surgically curing vesicovaginal fistula are retold. The controversy surrounding his surgical innovation on black slaves is discussed in the context of the ethical principles of autonomy, beneficence, and justice. The relevance of his story to modern surgical innovation in incontinence surgery is emphasized in a discussion of the Pereyra, Gittes, and paravaginal procedures. A call is made to establish a gynecologic ethic to ensure that patients' rights are respected in all future surgical innovation.
讲述了J. 马里恩·西姆斯在手术治愈膀胱阴道瘘方面所做的努力。围绕他对黑奴进行手术创新的争议，在自主、行善和公正等伦理原则的背景下进行了讨论。在对佩雷拉手术、吉茨手术和阴道旁修补手术的讨论中，强调了他的故事与现代尿失禁手术创新的相关性。呼吁建立一种妇科伦理，以确保在未来所有的手术创新中患者的权利都能得到尊重。
