Abstract
August 3, 1893 I was called to see Mrs. P., aged 30 years, in her fourth pregnancy. She had had previously one abortion, and I had performed craniotomy in two preceding labors on account of a contraction of the pelvis. Its conjugate diameter was but two and a half inches. I decided not to destroy this, the fourth child, and the mother consented to an operation. I operated on the morning of August 4, assisted by Drs. Sweet and Bryant. Every antiseptic detail was carried out. I made an incision to the peritoneum, through the abdominal wall in the median line, from 4 inches above the umbilicus to within 2 inches of the pubes. The peritoneum was opened on a grooved director with scissors and the uterus lifted bodily outside the abdominal cavity and wrapped in hot antiseptic towels. The upper part of the wound was temporarily closed with silver
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