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The following comments should have followed those of Dr. Dandridge as a part of the discussion of of Dr. Taylor's paper on Gastro-Elytrotomy, in the the number of the Journal for August 18, 1883, but were accidentally overlooked. Ed.
Dr. W. H. Wathen, of Louisville, regarded Dr. Taylor's gastro-elytrotomy as another illustration of the perniciousness of delay in abdominal section for removal of a child. The operation, as is too often the case, was performed only as a dernier resort, when the woman was so prostrated from protracted labor and by the effort to perform craniotomy, that success could not have been expected. Valuable time was probably lost in the ineffective attempt to perform craniotomy, though the child was dead, and the pelvis nearly three inches in its several diameters. Parry has shown that in craniotomy in pelves of two and a half inches or less, in the conjugate diameter,
GASTRO-ELYTROTOMY.. JAMA. 1883;I(13):383. doi:10.1001/jama.1883.02390130003001b