- Email: [email protected]
Implantation of tube into the uterus
NEW
SEHIES
VOL.111,No. I
Progress
which he beheved to be appIicabIe to the diagnosis of peritonitis. The test is apphed as foIIows: To 6-8 C.C. aIbumin-free urine in a test-tube, 2 or 3 C.C. pure nitric acid are added without mixing. If the test is positive (first phase) a bIuish-gray coIor appears at the point of contact of the urine and acid. The second phase of the reaction is eIicited by adding 2 or 3 C.C. chloroform, when, in positive cases, the coIor becomes ruby red and diffuses throughout the tube on standing. Kilduffe beheves, with MarciaIis, that the first phase of the reaction is probably infIuenced by the indican content of the urine and is of no particuIar significance. WhiIe the reaction does not appear to occur promiscuousIy, neither is it uniformIy encountered in peritonitis, nor is it diagnostic of nor specific for this disease. It does not appear to be of sufficient vaIue to warrant its addition to the usua1 methods of Iaboratory study empIoyed in this condition. KENDIG, EDWIN L., Victoria, Va. Conservation of the function of the cervix in the treatment of chronic endocervicitis. Virginia M. Monthly, May, 1927, Iiv, 94. In seIecting a method of removing the infected areas of a chronic endocervicitis consideration shouId be given to conservation of the function of the cervix. Cautery striping and enucIeation seem to offer the best methods of conserving this function. Of the two, cautery striping, when indicated, is the better method. COTTE, G., and BERTRAND, P., Lyons. ImpIantation of tube into the uterus (L’implantation tubo-uterine). Gydc. et Obsttt., 1927, xv, No. 3, 182. The authors caI1 attention to the fact that in sterihty of tuba1 origin, the site of obstruction is frequentIy at the ampuha. In order to overcome this obstruction, they advise resection of the ampuIIary end of the tube and its reimpIantation into the fundus of the uterus. The technique is simiIar to that used in reimpIanting ureters into the bladder. The end of the divided tube is threaded and the thread is simpIy passed by a needIe into the fundus of the uterus and heId in pIace by severa peritonea sutures. The authors report fifteen cases in which this operation was performed and noted in the Iiterature either by themseIves or by others.-HENRY MILCH.
in Surgery
American
Journd
of Surgery
93
VILLARD, E., and LABRY, R., Lyons. Retrograde subserous saIpingectomy. (De Ia saIpingectomie retrograde sous-&reuse.) Gyntc. et ObstCt., xv, No. 4, 259. The authors caI1 attention to the advisabiIity of conserving ovarian and uterine function in the presence of adnexa1 infections requiring abIation of the tubes. In such cases, they suggest subserous remova of the tubes in the manner described by them. Their method permits of compIete reperitoneaIization of the stump, Ieaves the ovary with an adequate vascuIar suppIy and precIudes the necessity of remova of the ovary. The ampuIIary end of the tube is resected and then by means of two paraIIe1 incisions aIong the mesosaIpinx the tube is freed and removed without injuring the ovarian blood suppIy. The mesosalpinx is then sutured. This procedure is of vaIue in cases of ectopic pregnancy, where the ovary must be kept in order to prevent the onset of artificia1 menopause and in cases where the massive adhesions make the Iiberation of the adnexa diffrcuIt. HERMITTE, J., and DUPONT, R., Paris. Enervation of the ovary. (De I’enervation de I’ovaire.) Gynk. et Obst., 1927, xv, No. 35, 161. The authors observe that the so-caIIed sclerosing type of ovaritis associated with pain and frequentIy treated by partia1 resection is usuaIIy accompanied by interstitiaI fibrotic changes about the termina1 sympathetic nerves. It is this invoIvement of the nerve fibers that causes the pain and it is the section of these sympathetic fibers in the various sympathectomy operations which has brought reIief to the patient. The authors’ study of the anatomy of the ovarian nerves shows that the best pIace to attempt treatment of these fibers is at the hiIus, just as they enter the ovary. They suggest that through a smaI1 incision in the broad Iigament, the ovarian vesseIs be exposed, isoIated and Iigated. This assures compIete severance of the pain-carrying nerves. The operation is simpIe in technique. HENRY MIL.CH. WOLFE, SAMUEL A., BrookIyn, N. Y. Ovarian Iuteoma, with case report. Am. J. Obst. CT Gynec., May, 1927, xiii, 575. The author describes in detai1 cIinica1 history and gross and microscopic findings of a true ovarian Iuteoma. The ceIIs are of the paIe
SEHIES
VOL.111,No. I
Progress
which he beheved to be appIicabIe to the diagnosis of peritonitis. The test is apphed as foIIows: To 6-8 C.C. aIbumin-free urine in a test-tube, 2 or 3 C.C. pure nitric acid are added without mixing. If the test is positive (first phase) a bIuish-gray coIor appears at the point of contact of the urine and acid. The second phase of the reaction is eIicited by adding 2 or 3 C.C. chloroform, when, in positive cases, the coIor becomes ruby red and diffuses throughout the tube on standing. Kilduffe beheves, with MarciaIis, that the first phase of the reaction is probably infIuenced by the indican content of the urine and is of no particuIar significance. WhiIe the reaction does not appear to occur promiscuousIy, neither is it uniformIy encountered in peritonitis, nor is it diagnostic of nor specific for this disease. It does not appear to be of sufficient vaIue to warrant its addition to the usua1 methods of Iaboratory study empIoyed in this condition. KENDIG, EDWIN L., Victoria, Va. Conservation of the function of the cervix in the treatment of chronic endocervicitis. Virginia M. Monthly, May, 1927, Iiv, 94. In seIecting a method of removing the infected areas of a chronic endocervicitis consideration shouId be given to conservation of the function of the cervix. Cautery striping and enucIeation seem to offer the best methods of conserving this function. Of the two, cautery striping, when indicated, is the better method. COTTE, G., and BERTRAND, P., Lyons. ImpIantation of tube into the uterus (L’implantation tubo-uterine). Gydc. et Obsttt., 1927, xv, No. 3, 182. The authors caI1 attention to the fact that in sterihty of tuba1 origin, the site of obstruction is frequentIy at the ampuha. In order to overcome this obstruction, they advise resection of the ampuIIary end of the tube and its reimpIantation into the fundus of the uterus. The technique is simiIar to that used in reimpIanting ureters into the bladder. The end of the divided tube is threaded and the thread is simpIy passed by a needIe into the fundus of the uterus and heId in pIace by severa peritonea sutures. The authors report fifteen cases in which this operation was performed and noted in the Iiterature either by themseIves or by others.-HENRY MILCH.
in Surgery
American
Journd
of Surgery
93
VILLARD, E., and LABRY, R., Lyons. Retrograde subserous saIpingectomy. (De Ia saIpingectomie retrograde sous-&reuse.) Gyntc. et ObstCt., xv, No. 4, 259. The authors caI1 attention to the advisabiIity of conserving ovarian and uterine function in the presence of adnexa1 infections requiring abIation of the tubes. In such cases, they suggest subserous remova of the tubes in the manner described by them. Their method permits of compIete reperitoneaIization of the stump, Ieaves the ovary with an adequate vascuIar suppIy and precIudes the necessity of remova of the ovary. The ampuIIary end of the tube is resected and then by means of two paraIIe1 incisions aIong the mesosaIpinx the tube is freed and removed without injuring the ovarian blood suppIy. The mesosalpinx is then sutured. This procedure is of vaIue in cases of ectopic pregnancy, where the ovary must be kept in order to prevent the onset of artificia1 menopause and in cases where the massive adhesions make the Iiberation of the adnexa diffrcuIt. HERMITTE, J., and DUPONT, R., Paris. Enervation of the ovary. (De I’enervation de I’ovaire.) Gynk. et Obst., 1927, xv, No. 35, 161. The authors observe that the so-caIIed sclerosing type of ovaritis associated with pain and frequentIy treated by partia1 resection is usuaIIy accompanied by interstitiaI fibrotic changes about the termina1 sympathetic nerves. It is this invoIvement of the nerve fibers that causes the pain and it is the section of these sympathetic fibers in the various sympathectomy operations which has brought reIief to the patient. The authors’ study of the anatomy of the ovarian nerves shows that the best pIace to attempt treatment of these fibers is at the hiIus, just as they enter the ovary. They suggest that through a smaI1 incision in the broad Iigament, the ovarian vesseIs be exposed, isoIated and Iigated. This assures compIete severance of the pain-carrying nerves. The operation is simpIe in technique. HENRY MIL.CH. WOLFE, SAMUEL A., BrookIyn, N. Y. Ovarian Iuteoma, with case report. Am. J. Obst. CT Gynec., May, 1927, xiii, 575. The author describes in detai1 cIinica1 history and gross and microscopic findings of a true ovarian Iuteoma. The ceIIs are of the paIe