The experience with cesarean-hysterectomy of the last 20 years at the Charity Hospital of New Orleans and the Ochsner Clinic is reviewed. In this period, 1,000 and 150 cesarean-hysterectomies have been performed in the former and later institutions out of 6,600 and 1,000 cesarean operations respectively. The morbidity was 33 % at Charity and 10% at Ochsner Clinic. The commonest complication was urinary tract infection. There was no maternal mortality at the Ochsner Clinic. Mortality was 1.3 % at the Charity Hospital, but half of this could have been prevented.

Delay of the asymptomatic patient in seeking therapy is one of the major problems in ovarian cancer. Survival rates are directly proportional to the stage of the disease when correct surgical therapy is instituted. Postoperative intraperitoneal instillation of radioactive gold or chromic phosphate should improve results in the early stages. For this reason women must hove pelvic examinations at regular intervals to discover ovarian enlargement. This applies particularly to those older than 40 years, in whom the incidence of carcinoma of the ovary is highest.

Delay of the asymptomatic patient in seeking therapy is one of the major problems in ovarian cancer. Survival rates are directly proportional to the stage of the disease when correct surgical therapy is instituted. Postoperative intraperitoneal instillation of radioactive gold or chromic phosphate should improve results in the early stages. For this reason women must hove pelvic examinations at regular intervals to discover ovarian enlargement. This applies particularly to those older than 40 years, in whom the incidence of carcinoma of the ovary is highest.

The experience with cesarean-hysterectomy of the last 20 years at the Charity Hospital of New Orleans and the Ochsner Clinic is reviewed. In this period, 1,000 and 150 cesarean-hysterectomies have been performed in the former and later institutions out of 6,600 and 1,000 cesarean operations respectively. The morbidity was 33 % at Charity and 10% at Ochsner Clinic. The commonest complication was urinary tract infection. There was no maternal mortality at the Ochsner Clinic. Mortality was 1.3 % at the Charity Hospital, but half of this could have been prevented.