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operation ; and certainly, from this statement, we have no reason to suppose that this operation was a Caesarian section. In the buy flovent online same work there is another case reported which can- not be looked upon as any thing else than rupture of the uterus. The patient, Margarethe nasal spray fluticasone Volezer, was near her con- finement in 1545, when suddenly a loud noise was heard within her, and from that time foetal movements were no longer felt. For four years she suffered intensely ; several ab- buy flovent scesses had formed and discharged fetid matter. On the 10th of November, 1549, Paul Dirlervang, city surgeon of Vienna, made a laborotomy, and extracted by piecemeal a putrid foetus. 'A very similar case is mentioned by Achilles Gassams, as having occuiTcd in the flovent cost middle of the tenth century. The pa- st 370 THE OEIGDT OF CJ3SAEEAN SECTION". tient approached the time of her confinement, but the expected confinement did not take place. After suffering from various ills, she gradually recovered sufficiently to attend to her house- hold duties. After some time it was found fluticasone spray that an abscess order flovent online had formed in the left lower region of the abdomen, which was opened by Clsesi, an Austrian army-surgeon ; a large quantity of fetid pus was discharged, and fluticasone salmeterol several bones of a foetal skeleton were subsequently extracted. In the accounts of these operations, to which that of Prim- rose and perhaps one purchase flovent online or two others might be added, we do not find any mention made of an actual incision of the uterine walls. But there is a case reported by Marcellus Donatus, which flovent online occurred in 1510, nearly fifty years before the date of his order flovent book, in which it is distinctly mentioned that, after divid- ing the abdominal buy cheap flovent walls and the peritonaeum, an incision was made into the uterus and a dead boy extracted ; after which the uterine cavity was cleansed with aromatic wine, and the womb healed, partly by the use of actual cautery and partly closed by sutures. This account might be flovent price received as true, if it were not for the personal character of the operator. This man, whose name was Christofer Bain, is described in the text as an illiterate and audacious pretender, who travelled from village to village performing miraculous cures, and who, in this instance, made the previous stipulation that he should receive ten golden ducats if he succeeded. His word seems to be the only authority for the authenticity of the operation. If he actually opened the abdomen, it is probable that what he incised, after dividing the peritonaeum, was the wall of the cyst in which the product of an extra-uterine pregnancy is generally contained. This woman is also said to have con- ceived and borne in a normal way afterward. In the year 1581 appeared the celebrated work of Frangois Rousset. It bore the title " Traite Nouveau de FHyterotomo- tokie, ou Enfantement Csesarienne." It related the histories t)f fourteen successful Cassarean sections, six of which were performed upon tlie same individual. Most of his cases were repeated from mere hearsay, and the others are taken from letters written to him by friends. He had never made a Ceesarean section himself; but he had travelled some distance THE ORIGIIT OV C^SAEEAN SECTIOIT. 37 1 to see a woman who had been fluticasone nose spray operated on, and she showed him a scar on her belly ! Om* faith in his accuracy or honesty will be shaken if we judge of the credibility of his histories by the account of the woman at Mesnil, who had been de- livered by Csesarean section in six successive pregnancies, and died in the seventh, because the barber Nicolaus Guillet, who had confined her before, had died, and no one else could be found to purchase flovent perform the operation. Eegret as we may his cre- dulity or suspect his impartiality, we cannot but admire the enthusiasm with which he defended his cause, and acknowl- edge the merit of his work in bringing before the profession the possibility of saving a generic flovent woman who cannot otherwise be delivered of a living child. It is true, Eousset exaggerated the facility and harmless- ness of the operation which he baptized Csesarean. He recom- mended it in cases where modern midwifery can see no in- dication for its performance. On the first page of his work he compares it to the Gordian knot, and invites the confra- ternity of the knife boldly to sever it. But, though his cheap flovent en- thusiasm carried him too far, he is entitled to the honor of fluticasone propionate nasal having first proposed it as a legitimate operation in surgery, notwithstanding that he had never performed it himself; for it is almost certain that no one had ever made it upon a living woman when he published his book. The appearance of this work created considerable atten- tion. It was soon translated into Latin by the learned profess- or of Basle, Kaspar Bauhin, and thus made accessible to the medical profession throughout the world ; while Melchior Libizius made a German translation which he dedicated to the Countess Palatine Elizabeth. Rousset met with enthusi- astic admirers and violent oj^ponents. Some of his most cele- brated contemporaries maintained the impossibility of per- forming the operation successfully. Ambrose Pare, Eollfinck, and Dyonesius, questioned the authenticity of his reported cases. The first CEesarean sections mentioned after the pub- lication of his work are said to have proved fatal. Guille- meau reports five such instances, and bases upon fluticasone nasal them flovent mg an attack on Rousset, which called forth from the latter a reply of such forcible reasoning, says Spengler, as to secure the

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