Conization of the cervix

134

AMERICAN

JOURNAL

OF

OBSTETRICS

AND

GYNECOLOGY

In

6 of this group, treatment was given during the first half of pregnancy, in 15 during the fifth and sixth months. In 11 of this‘kroup the labor was normal, in 8 cesarean section was performed and in only 2 was cesarean ‘section followed by hysterectomy. Of 42 cases collected, 21 pat,ients or $0 per cent, had normal babies, 8, or 19.04 per cent, had abnormal babies, and in 13, or 30.96 per cent, miscarriage followed shortly after the treatment. Nine of these children were resorted to be normal at the followinrr ages: 2 years, 2 years, 3 years, 31/r, years,hlh years, 5 years, S years, 14 years, 2ij years. The last, 20 years old, reported by dir Comyn Berkeley, is a girl who at the age of 15 broke the Olympic high jump rerord.

and

Radium to the cervix in the early months of pregnancy may he attended with risk to the baby, but. in the second half of pregnancy, study of this series would lead one to t,he conclusion that the treatment is not as hazardous as heretofore believed. (I) Zimmerman, R.: Strahlentherapie 29: 108, 1928. (2) McGZinn, J. 8.: AM. J. OBST. & GYNEC. 18: 592, 1929. (3) Tropea-Mandalari: Ann. di ostet. 52: 261, 1930. (4) Rrouha, M., and Gosselin, 0.: Bull. Acad. roy. de m&l. de Belgique 13: 499, 1933. (5) Mzcndell, b. J.: AM. J. OBST. & GYNEC. 13: 86, 1927. (6) Aschenh&n, 6.: Arch. f. Kinderh. 68: 131, 19’0. (7) Stettner, E.: Jahrb. f. Kinderh. 95: (9) Sohaab, A.: 43, 1921. (8) Bbels, H.: Wien. klin. Wcahnschr. 37: 869, 1924. Presse mhd. 566, July, 1924. (IO) Ries, Emil: AX 5. OBST. & GYNEC. 11: 361, 1926. (11) Goldstein, L., and Murphy, D. P.: Ibid. 18: 189, 1929. (12) Gal, F.: Verhandl. d. ungar, iirztl. Gesellsch. 3: 79, 1931. (13) Petenyi, G.: Klin. Wchnsehr. 2: 566, 1923. (14) NeiZZ, W., dr: AM. J. OBST. & GYNEC. 30: 414, 1935. (15) Smith, F. R.: Ibid. 34: 616, 1937. (16) Fagioli, M. : Ann. di ostet. e ginec. 58: 1135, 1936. (17) Amico-Roxas: Riv. d’ostet. e ginec. pmt. 18: 99, 1936. (18) Zimmerman, R.: Strahlentherapie 29: 108, 1928. (19) Paroli, G.: Arch. di o&t. e. ginec. 20: 316, 1933. (20) Ban Rooy, d. w. TV.: 5. Obst. & Gynaec. Brit. Emp. 41: 404, 1934. (31) Berkeley, C.: J. Obst. & Gynaec. Brit. Emp. 41: 402, 1934. (22) Brouha, M., and Gosselin, 0. : Bull. dcad. roy. de m6d. de Belgique 13: 499, 1933. (23) Condamin, II. : Gynecologie 27: 577, 1928. (24) CozLveZaire: Reported by Gynecologie 27: 577, 1928. (25) Pouey, H.: Bull. Sot. d’obst. et de Condamin: gyn6c. 16: 702, 1927. (26) Hoj$mnn, H.: Zentralbl. f. Gyniik. 58: 1886, 1934. 9~. J. OBST. & GYNEC. 29: 264, 1935. (28) Herold, K: (27) Kane, H. F.: Zentralbl. f. Gyniik. 59: 2655, 1935. (29j Lacomme: Bull. Sot. d’obst. et de gym?. 20: 4.57, 1931. (30) Titus, E. JV.: Personal Communication.

Miller, Norman F., and Obst. 67: 265, 1938.

Todd,

Oliver

E.:

Conization

of the

cervix,

Surg.

Gynec.

Electrosurgical eonization of the cervix is many times faster, simpler and a bloodless substitute for the Sturmdorf operation. The amount of tissue removed can be cqntrolled and conization equals in efficiency any means of cervical gland reaming now available. Ultimate healing is but little slower than in the Sturmdorf procedure and the incidence of severe stricture probably not greater. In general, its use should be limited to women past the childbearing age and even in this group should not be looked upon as a substitute for the less radical office procedures now in use in the treatment of simple cervical disease. Conization is a desirable, quick, and convenient method of treating the cervix prior to subtotal hysterectomy. WILLIAM

C. HENSKE.