July 13, 1912


Author Affiliations


JAMA. 1912;LIX(2):90-94. doi:10.1001/jama.1912.04270070091004

During the past eight years I have opened the uterus through the abdomen for various conditions in fourteen cases. The satisfaction with which I have been enabled in this way to deal with varying kinds of pathology together with the rapid and uneventful recovery in each instance, has led me to believe that in hysterotomy we have an operation deserving of wider application than obtains at this present time, being at once safer and less mutilating than hysterectomy, and possessing the marked advantage in the case of young women of preserving the power to conceive.

Of the use of this operation under its common name of cesarean section in cases of late pregnancy complicated by a markedly contracted pelvis, I shall say little. It is too well recognized at this present time as the operation of choice, and the mortality in competent hands has fallen so low as in suitable

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