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Article
March 8, 1902

SYMPHYSIOTOMY.PRACTICAL DEDUCTIONS FROM AN EXPERIENCE IN THIRTEEN CASES WITHOUT A DEATH FROM THE OPERATION.

JAMA. 1902;XXXVIII(10):645-648. doi:10.1001/jama.1902.62480100021002d
Abstract

In complying with the request of the officers of this Section for a short paper on symphysiotomy it is my belief that the most acceptable handling of the subject would be such as best exploits the lessons learned through my own experiences.

I have performed symphysiotomy thirteen times upon eleven individuals, repeating the operation in subsequent pregnancies upon two women, the operation being done three times on one she having had it done in the first instance by another physician.

Were I to have my obstetrical work to do over again I would refrain from symphysiotomy in one of the cases, selecting Cesarean section instead; I would perform symphysiotomy with less previous use of the forceps in three of these cases, and would perform symphysiotomy in at least ten cases in which it was not done.

Cesarean section was done in one case successfully, in which symphysiotomy would have done

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