There are also several Spizzerri, a couple of Spizzari, a few Spizerri and Spizzeri, and at least one Spizzere over the years in the PA/NJ area, so those could be other possibilities. Sadly, if this woman really had a lobotomy in the 1950s, this could be another Rosemary Kennedy situation where she was institutionalized and not acknowledged by family for years, possibly being forgotten by younger or more distant members of the family. Deinstitutionalism was starting to gain momentum in the years leading up to this woman's death, which could have left her alone and vulnerable.
As far as the abdominal scarring, NamUs references "Laparotomy and Partial Right Oophorectomy" and "Appendectomy." It sounds like her uterus, left ovary, and part of her right ovary were still intact, so she was not sterilized. I looked into why one might have part of an ovary removed, and cysts (73%) predominated, with endometriosis and tumors being other indicators. Laparascopic (minimally invasive) appendectomies were first done in 1980, so the incision could be associated with either the oopherectomy or the appendectomy or both.
I find it interesting that her prefrontal lobotomies were done bilaterally and not in the "ice pick"
transorbital style that was popular in the 1940s, wherein a sharp object is literally shoved into the brain through the eye socket. Hers were neatly hidden on her scalp, indicating that they were done by a neurosurgeon in an OR, not a psychiatrist at a mental institution. Lobotomies were also apparently popular in
Italy, which may come into play with her presumed surname. They fell out of favor with the advent of modern antipsychotics, specifically the introduction of chlorpromazine in 1954, although they continued to be performed after that--Walter Freeman, who popularized the procedure in the US, did his last one in 1967. He died, interestingly, in his hometown of Philadelphia, in the same month and year as this Jane Doe.
I found reference to
Byberry, aka Philadelphia State Hospital, Byberry State Hospital, Byberry City Farms, or the Philadelphia Hospital for Mental Diseases, which would have been open both when this woman was lobotomized and at the time of her death. A paper in 1962,
Lobotomy in Western Pennsylvania: Looking Backward Over Ten Years, includes data from 104 people who were treated at
Western State School and Hospital. It would have still been Pennsylvania Industrial Training School at the time she was believed to have been lobotomized, though. There are seriously a shocking number of well-populated mental institutions in Pennsylvania that were doing or prescribing lobotomies in the 1940s and 1950s, and, with the type of lobotomy she had, she could well have received the surgery in a regular hospital and been living outside of an institution depending on her degree of disability.
Anyone who can help (as I don't think it's really too difficult, it's just me 
