Abstract
Local anesthesia has become more and more popular in all fields of surgery. Likewise in obstetrics there has been an extended use of this form of anesthesia. For many years classic cesarean sections have been done under local anesthesia, and in 1925 De Lee1pointed out the feasibility and advantages of performing the cervical cesarean section under local (infiltration) anesthesia. However, as far as I am aware, no one has described the performance of Porro cesarean sections (supravaginal hysterectomy after cesarean section) under direct infiltration anesthesia. The four cases here reported illustrate that Porro operations can be done under infiltration anesthesia without any difficulties. For the local anesthetic, 0.5 per cent procaine hydrochloride is used, to which, after sterilization, 2 drops of 1: 1,000 epinephrine are added for each ounce. About 12 ounces (355 cc.) of this solution is prepared but I have never used that much for one
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