On the guiding principles in the choice of methods for restoring the broken integrity of the pelvic floor and abdominal wall

Mm. Yy! In embarking on the flattering and at the same time responsible duty of delivering a speech at the annual meeting, which is imputed by society to its elected representatives, I believe that the most appropriate topic for such speeches should be considered questions of principle, widely affecting one or another department of our specialty. Having outlined it comprehensively, the speaker's task is mainly reduced to comparing what is already firmly in the sense of scientific and practical with the side of the matter that, while still being controversial and open, awaits resolution and needs development or reform. Naturally, the broader the theme is, the more difficult it is to give it perfect lighting. Being fully aware of this position, I nevertheless outlined in my today's speech the question of "the guiding principles in the choice of methods for restoring the broken integrity of the pelvic floor and abdominal wall." Choosing such a question as a topic for my speech, I was guided by the following considerations: firstly, in essence, being, so to speak, general, it should be of interest to all those taking part in the meeting, especially since this issue is important not only for its purely scientific interest , but it also affects the practical aspects of life, with which the gynecologist has to meet at every step; in 2, those purely scientific foundations, not only clinical, but anatomical and physiological, which must inevitably be taken as the basis of practical conclusions and conclusions, are too ignored and the whole issue from the principled side is not covered to the extent that it is absolutely necessary for the success of practical conclusions: positions and conclusions based on hasty empirical conclusions are accepted too easily and are not sufficiently supported not only by scientific data, but represent large gaps in the sense of further clinical observations. In 3, I was guided by the desire to present in the system the rich material that is at my disposal in the Imperial Clinical Institutes, Midwife and V. Kn. Elena Pavlovna, mainly in the sense of the results achieved, especially since at different times I myself, as well as my assistants in clinical activities, have had occasion in recent years to speak to you with reports on individual particulars of the issue I have raised today.