A brief item on page 604 of the current volume of The Journal referred to the first recorded symphysiotomy in this country. The date of this operation was not there stated, but it was September 30, 1892. A second operation followed sharply after on October 3, in the University Maternity at Philadelphia. The obstetric surgeon in this second case was Dr. Barton Cooke Hurst, who had the assistance and advice of Drs. Norris and Harris. The report of the case has appeared in the Maryland Medical Journal for October 29. The mother and child did well. The union of the symphysis took place promptly, and three weeks after the operation the mother was walking about the house as well and firmly as ever.
The patient was a primipara in this case as well as in the case of Dr. Jewett of Brooklyn (the first one), and the child of each