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The first supravaginal amputation of the gravid uterus for myoma, on a basis of definite indications, was done by Kaltenbach on March 2, 1880. The case was that of a woman, 32 years old, who had aborted once. An abdominal tumor was found which reached almost to the navel. Later, when the tumor had reached the region of the stomach, the patient was examined under an anæsthetic, and was found to be in the 4th or 5th month of pregnancy. Many small fibromata were found, and on the left side a fibrous tumor with a broad base, which was larger than the uterus. Supravaginal amputation was performed with satisfactory results, the tumor weighing 3,350 grams, and showing on its interior several spots of softening. According to Kaltenbach the operation has since been performed 9 times since then, with 3 fatal results. His second case was that of a woman 33
SUPRAVAGINAL AMPUTATION OF THE GRAVID UTERUS FOR MYOMATA.. JAMA. 1887;IX(15):470. doi:10.1001/jama.1887.02400140022006