This study was undertaken to determine the present status of cesarean hysterectomy. An operation originally devised to combat postcesarean infection and hemorrhage, its indications have gradually been widened to include many conditions for which removal of the uterus is necessary or desirable. In 1876, Porro1 extirpated the gravid uterus for the avowed purpose of reducing the frightful mortality then associated with cesarean section. Due credit must be given Porro's carefully planned effort because in 1874, experimenting with pregnant rabbits, he demonstrated the feasibility of this procedure.
However, Porro was not the first to consider or the first to perform cesarean hysterectomy. In 1768 Cavallini2 made the statement that "all things having been duly weighed, I do not doubt that the uterus is not at all necessary to life, but whether it may be plucked out with impunity from the human body we cannot be certain without a further
REIS RA, DeCOSTA EJ. CESAREAN HYSTERECTOMY. JAMA. 1947;134(9):775–779. doi:10.1001/jama.1947.02880260033007
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