feet 10
inches tall, in which both the mother and child recovered. Munde speaks
of twins being delivered by Cesarean section. Franklin gives the
instance of a woman delivered at full term of a living child by this
means, in whom was also found a dead fetus. It lay behind the stump of
the amputated cervix, in the culdesac of Douglas. The patient died of
hemorrhage.

Croston reports a case of Cesarean section on a primipara of
twenty-four at full term, with the delivery of a double female monster
weighing 12 1/2 pounds. This monster consisted of two females of about
the same size, united from the sternal notch to the navel, having one
cord and one placenta. It was stillborn. The diagnosis was made before
operation by vaginal examination. In a communication to Croston,
Harris remarked that this was the first successful Cesarean section for
double monstrous conception in America, and added that in 1881 Collins
and Leidy performed the same operation without success.

Instances of repeated Cesarean section were quite numerous, and the
pride of the operators noteworthy, before the uterus was removed at the
first operation, as is now generally done. Bacque reports two sections
in the same woman, and Bertrandi speaks of a case in which the
operation was successfully executed many times in the same woman.
Rosenberg reports three cases repeated successfully by Leopold of
Dresden. Skutsch reports a case in which it was twice performed on a
woman with a rachitic pelvis, and who the second time was pregnant with
twins; the children and mother recovered. Zweifel cites an instance in
which two Cesarean sections were performed on a patient, both of the
children delivered being in vigorous health. Stolz relates a similar
case. Beck gives an account of a Cesarean operation twice on the same
woman; in the first the child perished, but in the second it survived.
Merinar cites an instance of a woman thrice opened. Parravini gives a
similar instance. Charlton gives an account of the performance carried
out successfully four times in the same woman; Chisholm mentions a case
in which it was twice performed. Michaelis of Kiel gives an instance
in which he performed the same operation on a woman four times, with
successful issues to both mother and children, despite the presence of
peritonitis the last time. He had operated in 1826, 1830, 1832, and
1836. Coe and Gueniot both mention cases in which Cesarean section had
been twice performed