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Contribution to the differential diagnosis of lower abdominal pain in women
Volume 86 Number 2
Book reviews
275
when active pulmonary tuberculosis or nephrosis was also present. Douglas M. Haynes
excellent method for relieving sterility of cervical origin. Douglas M. Haynes
Oct. 5, 1962. *Boruth, M., and Muller, Dieter: The Uterine Cervix as Cause of Marital Sterility, p.
Oct. 26, 1962. *Felkel, R. K.: Contribution to the Differential Diagnosis of Lower Abdominal Pain in Women, p. 734. Felkel: Contribution to the Differential Diagnosis of Lower Abdominal Pain in Women, p. 734. The author reports the findings in 198 women who came to his attention with a preliminary diagnosis of pelvic inflammatory disease. Fortyone of the patients required treatment and 18 were hospitalized, so that 29.8 per cent of all the cases required further management. Twentyseven women, or 13.6 per cent were treated or operated upon with a different working diagnosis. In 112 won1en, there was no pathologic finding in the genital tract or any systemic inflammatory reaction. The author assumes that among this 56.5 per cent of the total number of patients with lower abdominal complaints, there were some cases of malingering, but he assumes the functional pain of most of these patients was real. He emphasizes the importance of carefully ruling out organic causes of pain before making the diagnosis of functional syndromes. Douglas M. Haynes
676.
Boruth and Muller: Uterine Cervix as Cause of Marital Sterility, p. 676. In the authors' clinic, electroconizations of the cervix were performed, 880 of which were carried out because of sterility in the presence of pathologic changes of the cervix. Pregnancy followed conization in 280 women. The only significant postoperative complication was postconization hemorrhage, encounten•d in 7 cases. One hundred forty-six of 280 patients in whom pregnancy followed conization were of primary sterility, \vhile 134 were of secondary sterility. In 14 cases which resulted in abortion, and ectopic pregnancy was encountered 4 times. Three of the subjects were delivered by cesarean section; however, in only one of these were the difficulties surrounding delivery the result of the antecedent conization. All the other women were delivered spontaneously without difficulty. The authors believe that electroconization of the cervix is an
Book reviews Annales, Instituti Ohstetricii et Gynecologici. By A. Turunen and P. Vara, vol. 35, 1960-1961, Universitatis Helsinkiensis. The volume contains research works published in 1960-1961 by members of the staff of the Women's Hospitals in Helsinki. Because there are several interesting papers which we have failed to review previously, they are now listed here with the journal of their original appearance as a partial table of contents of the Annates. Huhmar, E., and Jarvinen, P. A.: Relation of Epileptic Symptoms to Pregnancy, Delivery and Puerperium, Ann. chir. et gynaec. Fenniae 50: 49, 1961. Ikonen, M., Niemi, M., Pesonen, S., and Timonen, S.: Histochemical Localization of Four
Dehydrogenase Systems in Human Ovary During the Menstrual Cycle, Acta endocrinol. 38: 293, 1961. Jarvinen, P. A., Unnerus, C. E., and Vaananen, P.: Cystometric and Cystourethrographic Studies During Puerperium, Ann. chir. et gynaec. Fenniae 50: 237, 1961. Meyer, B.: Tetani och Graviditet, Tetany and Pregnancy, Finska lak. sallsk. hand!. 104: 348, 1960. Pystynen, P.: Effect of the Finnish Sauna Bath on the Maternal Blood Circulation and Fluid and .l:';lectrolyte tlalance in Toxemia of Late Pregnancy, Acta obst. et gynec. scandinav. 40: Suppl. 3, 1961. Sjostedt, E.: Results Obtained with the Vacuum
Book reviews
275
when active pulmonary tuberculosis or nephrosis was also present. Douglas M. Haynes
excellent method for relieving sterility of cervical origin. Douglas M. Haynes
Oct. 5, 1962. *Boruth, M., and Muller, Dieter: The Uterine Cervix as Cause of Marital Sterility, p.
Oct. 26, 1962. *Felkel, R. K.: Contribution to the Differential Diagnosis of Lower Abdominal Pain in Women, p. 734. Felkel: Contribution to the Differential Diagnosis of Lower Abdominal Pain in Women, p. 734. The author reports the findings in 198 women who came to his attention with a preliminary diagnosis of pelvic inflammatory disease. Fortyone of the patients required treatment and 18 were hospitalized, so that 29.8 per cent of all the cases required further management. Twentyseven women, or 13.6 per cent were treated or operated upon with a different working diagnosis. In 112 won1en, there was no pathologic finding in the genital tract or any systemic inflammatory reaction. The author assumes that among this 56.5 per cent of the total number of patients with lower abdominal complaints, there were some cases of malingering, but he assumes the functional pain of most of these patients was real. He emphasizes the importance of carefully ruling out organic causes of pain before making the diagnosis of functional syndromes. Douglas M. Haynes
676.
Boruth and Muller: Uterine Cervix as Cause of Marital Sterility, p. 676. In the authors' clinic, electroconizations of the cervix were performed, 880 of which were carried out because of sterility in the presence of pathologic changes of the cervix. Pregnancy followed conization in 280 women. The only significant postoperative complication was postconization hemorrhage, encounten•d in 7 cases. One hundred forty-six of 280 patients in whom pregnancy followed conization were of primary sterility, \vhile 134 were of secondary sterility. In 14 cases which resulted in abortion, and ectopic pregnancy was encountered 4 times. Three of the subjects were delivered by cesarean section; however, in only one of these were the difficulties surrounding delivery the result of the antecedent conization. All the other women were delivered spontaneously without difficulty. The authors believe that electroconization of the cervix is an
Book reviews Annales, Instituti Ohstetricii et Gynecologici. By A. Turunen and P. Vara, vol. 35, 1960-1961, Universitatis Helsinkiensis. The volume contains research works published in 1960-1961 by members of the staff of the Women's Hospitals in Helsinki. Because there are several interesting papers which we have failed to review previously, they are now listed here with the journal of their original appearance as a partial table of contents of the Annates. Huhmar, E., and Jarvinen, P. A.: Relation of Epileptic Symptoms to Pregnancy, Delivery and Puerperium, Ann. chir. et gynaec. Fenniae 50: 49, 1961. Ikonen, M., Niemi, M., Pesonen, S., and Timonen, S.: Histochemical Localization of Four
Dehydrogenase Systems in Human Ovary During the Menstrual Cycle, Acta endocrinol. 38: 293, 1961. Jarvinen, P. A., Unnerus, C. E., and Vaananen, P.: Cystometric and Cystourethrographic Studies During Puerperium, Ann. chir. et gynaec. Fenniae 50: 237, 1961. Meyer, B.: Tetani och Graviditet, Tetany and Pregnancy, Finska lak. sallsk. hand!. 104: 348, 1960. Pystynen, P.: Effect of the Finnish Sauna Bath on the Maternal Blood Circulation and Fluid and .l:';lectrolyte tlalance in Toxemia of Late Pregnancy, Acta obst. et gynec. scandinav. 40: Suppl. 3, 1961. Sjostedt, E.: Results Obtained with the Vacuum