RT Journal T1 THe new cæsarean section. JF Journal of the American Medical Association JO Journal of the American Medical Association YR 1889 FD August 10 VO XIII IS 6 SP 199 OP 200 DO 10.1001/jama.1889.04440040019005 UL http://dx.doi.org/10.1001/jama.1889.04440040019005 AB Two notable papers that relate to the "New Cæsarean Section" have appeared at a recent date. Fritsch, 1 of Breslau, has modified the method of Sänger in two important particulars. In the first place, he has rejected the sero-serous suture. In a case of Cæsarean section, according to Sänger's method, he loosened the elastic tube after the insertion of the muscle suture, to restore the circulation, when he was surprised to see the arrest of hæmorrhage before the introduction of the sero-serous suture. Observation of the conduct of the uterine walls after the enucleation of myomata and the insertion of the étage suture confirmed the impression that the Sänger sero-serous stitch is superfluous. The way for this step, however, was prepared by Schroeder, who repeatedly asserted that the welting-in of the peritoneum was not only unnecessary, but also a source of danger, that best union could be effected by the