Recent Literature A Manual of Organic Materia Medica and Pharmacognosy . An Introduction to the Study of the Vegetable Kingdom and the Vegetable and Animal Drugs, Comprising the Botanical and Physical Characteristics, Source, Constituents, and Pharmacopœial Preparations. With Chapters on Synthetic Organic Remedies, Insects Injurious to Drugs, and Pharmacal Botany. By Lucius E. Sayre, Dean of the School of Pharmacy, Professor of Materia Medica and Pharmacy in the University of Kansas, etc. With 543 Illustrat
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1895
Boston Medical and Surgical Journal
referred to the mobility of the symphysis in the lower animals resulting in easy parturition. Dr. II. F. Vickery said be hud twice induced labor prematurely at the eighth month in women who had previously lost children in difficult labor. In both the pelvis was of a masculine type with narrow arch. In both the infants lived. Dr. Edward Reynolds said that the operation of Cacarean section was, with the modem methods, a very easy one, and not to be compared with many abdominal operations which
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... done every day. Some three years ago he looked up some forty cases of Ciesarean section that had been operated on early, under good conditions, and with no complications present, in whicli sero-serous sutures were used. Among these there was only one death and that from sepsis, und under these conditions he does not believe tbe operation is more dangerous than any abdominal operation. As regards premature delivery, he thinks the mortality for the mother, if healthy, ought to be nil ; but with the children the results are poor, as so many die. The differences obtained in the measurements in Dr. Haven's case he believes were due to the fact that tbe vagina was dilated when the first measurements were taken, and was contracted by cicatricial adhesions in the second instance. Dr. F B. Harrington said he should think it would be best to perform the Coesarean section under favorable circumstances rather than wait for the onset of labor. The operation does not impress bira as being a very difficult one. Dr. W. L. Burrage said he saw at the New York Infant Asylum a symphyseotomy done by the open method where there was a separation of two and a half inches. It impressed him as an operation of considerable magnitude, with many unfortunate possibilities, and not to be undertaken lightly. Dr. J. B. Swift believed that Csesarean section should be an operation of election as to time, this of course points to the importance of measuring tbe pelvis before labor. Dr. Edw. Reynolds said that the field for syinphyseotomy was a narrow one. The operation bad been done where the pelvis was normal and there was no need for it, also where tbe pelvis was too small and where Ciesarean section was alone to be considered. In cases where there is moderate narrowing of the pelvis, and where the labor has been tedious aud forceps have been tried in vain and whore the child is still living, here Caîsarean section is very fatal, but symphyseotomy has its proper field. When one man can report thirteen cases in one year with only one death, the operatiou is certainly worth consideration.
doi:10.1056/nejm189502211320809
fatcat:yy5jzbbydreqdl2zodjdfz42ku
