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May 2, 1914

EXTRAPERITONEAL CESAREAN SECTIONWITH REPORT OF A CASE

JAMA. 1914;LXII(18):1383-1384. doi:10.1001/jama.1914.02560430013006

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Abstract

The management of contracted pelvis and cesarean section has not yet reached so high a degree of perfection as to leave no room for further improvement. I therefore recommend for the treatment of dystocia in contracted pelves an operation which is rarely performed in America, but rather frequently abroad, and which I deem an improvement on the classical cesarean section.

REPORT OF CASE  Mrs. J. G., age 21, primipara, was admitted to the Sydenham Hospital Jan. 11, 1914, at 6:30 a. m. The patient, a short slender woman, stated that she had been having labor pains every ten minutes for the preceding six and one-half hours and that the membranes had ruptured just prior to her admission. No history was given of rickets or other diseases bearing on the case.

Examination.  —Pelvis generally contracted. Measurements: interspinous, 19.5 cm.; intercristal, 26; intertrochanteric, 31; conjugate diagonal, 10 minus; conjugata vera, 81/4. Double

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