A simple method of extramucosal perineoplasty

A simple method of extramucosal perineoplasty

Volume Number 62 5 SELECTED pelvis. The 92 cases of adnesal miliary ascitic form; 43 cases of 7 cases adnexal type with fistulas; case was with pre...

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Volume Number

62 5

SELECTED

pelvis. The 92 cases of adnesal miliary ascitic form; 43 cases of 7 cases adnexal type with fistulas; case was with pregnancy; and 4 form responded most rapidly to in 3 eases. There were excellent cases were treated successfully by female simpler provoke

ABSTRACTS

1175

tuberculosis were distrilmtell as follows: 23 with the the simple peritoneal-adnesal type; 14 cases of peritonealwere associated with other localized tubercular processes; 1 cases could not be accurately classified. The a&tic-miliary Incomplete results mere obtained streptomycin treatment. results in 23 cases without surgical intervention, and 17 a combination of streptomycin and pelvic exenteration.

The authors conclude that streptomycin is the treatment of choice in tuberculosis of genitals. In some it apparently arrests the process, in others surgery is made much While streptomycin did with adequate pre- and postoperative use of streptomycin. several rare toxic reactions, the writers agree these should not deter its judicious use. CLAIR

Ishizuka, Naotaka: 2: 103, 1950.

Artificial

E. FOJSOME

Corpora Lutea in the Human Female, M. J. Osaka

University

A trophoblasthormone was made from human placental tissue or hydatid mole hp means of acet,one-benzoic acid extraction. The solution obtained was colorless with a pR of 5.8 to 6.0. It could be injected into human beings without adverse generalized body reaction. The strength of the solution was determined by the induction of follicle bleeding in a rabbit, a unit being taken to be the minimal amount required to cause follicle bleeding In 9 patients with carcinoma of the cervix, treated 48 hours after one subcutaneous injection. with various dosages and at various times with trophohlasthormone, follicle bleeding ‘IWS instituted in 6, and luteinization of the theca cells occurred in 3. The author estimated that it was necessary to inject 150 units or more to obtain follicle bleeding. He was unable to induce luteinization of the granulosa cells and ovulation did not occur. LOUIS M. HEIJJLIN

Ovulation After Unilateral Oophorectomy as Determined by Whitelaw, M. James: Endometrial Biopsy and Basal Body Temperature, Surg., Gynec. & Ohst. 92: 747, 3951. In an attempt to study ovarian function after removal of one ovary the author has st,udied 42 women, all under 30 years of age, who had had one ovary removed eight or more months prior to the investigation. Although there mere no control studies on these individual patients, a group of a like number of postpartum patients under 30 years of age was selected at random. One hundred sixty-eight biopsies were done on the 42 Iv-omen .who had been operated upon, covering four consecutive cycles. The author was unable to show any difference in the endometrial pattern of the lvomen who had had one ovary removed as compared with the control group. In the total series of 350 biopsies, slightly less than 0.9 per cent showed an anovulatory cycle. There was no difference between the control group and the group of LOUIS M. HELTX~N women who had been operated upon.

Gynecologic Vecchietti,

G.:

A Simple Method

Operations

of Extramucosal

Perineoplasty,

Minerva

ginec.

10:

422,

1950. The author describes a personal method of in 42 women. He claims that it is very simple perineum due to previous lacerations and before After a description of the anatomical-pathological explanation of the technique, illustrated by some consists of building up of the pelvic floor without ing the perineal muscles through an opening in

anus.

perineoplasty used with excellent results and efficacious in patients with a small complications of eystocele and rectocele. alterations, there follows a detailed schematic drawings. The new technique touching the vaginal mucosa, but reachthe region between the vulva and the RINA

D’AIJICO