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October 31, 1891

CÆSAREAN SECTION TWICE PERFORMED IN THE SAME WOMEN. FOUR RECOVERIES.

JAMA. 1891;XVII(18):690-691. doi:10.1001/jama.1891.02410960028006

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Abstract

One woman in France and another in Pennsylvania have, early in the current year, undergone Cæsarean section a second time. In other words, there have been four operations equally divided between two individuals; also four recoveries. To treat of the case of the foreign lady first: She was a resident of Pontoise, aged 24, the patient of a surgeon named Crimail. She was not rachitic, but had a pelvis that was uniformly contracted. Her first Cæsarean section was done in October, 1888, and the second in February last. In order to provide against the possibility of another pregnancy, the surgeon " unsexed " his patient by placing—during the second operation—a double ligature upon each Fallopian tube, a short distance from the uterus, and then divided the tubes between the ligatures. The uterus was then sutured, dressings treated with iodoform were used, and a good recovery resulted. The American case occurred in the

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