Advances in the treatment of sterility

Advances in the treatment of sterility

Kuestner, H. : Results of Salpingostomy, AwII. $‘. (;y~~iik. 161: 1:;5, 19X The author reports the collected stalkfirs from :i7 clinics. This gr...

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Kuestner,

H. :

Results

of

Salpingostomy,

AwII. $‘. (;y~~iik. 161: 1:;5, 19X

The author reports the collected stalkfirs from :i7 clinics. This group in In thth c+ludes 93 operations of reimplantation of the tube into the uterus. majority of cases, this was carried out on 110th tubes. There WRF one death from embolism. Ten patients complained of severe tlysmenorrhea following the rbporation. Postoperative tulntl latency tests on .X1 of these patients showed nl least one patent tube in twenty. \Vlrile in the r1msining 30 patients both 1ohes were found czlosetl. Ten patients ha1 subsequent pregnancies ; of these Y miscarried and 8 were deiiverrcl of full-term babies. A patient 11~s: there fore, only a 1.0 per cent chance of achieving a pregnancy as a result of Ihi,* type of operation.

Green-Armytage, Nl-Term

V. B.:

Pregnancy,

Tubo-Uterine Implantation Brit. M. 2: S? 1937.

for

Sterility

Followed

by

-4 successful case is reported of the use of tubal implantation in the treatmcnt of sterility in a patient who had previously been sterilized by tubal resection. -4 modifled Bonney technique for tubal implantation is described. The author encourages the adoption of this procedure rather than salpingostomy. The technique is simple, and complete hemostasis is obtained by clamping the cervix and using a ring forceps on the infundibulo-pelvic ligaments. This operation or at the cornual

is useful portion.

whether

the

occlusion

of the E'.

Hartmann, 162:

K.:

Tubal

Changes

Following

Madlener

tube

is at the

1,. ~huK

Ai-irl

Sterilization,

R.

fimbriated

AI&.

f. GynHk.

407, 1936.

Careful serial sections were carried out by the author on tubes which were removed at varying intervals following Madlener method. Findings are described in detail, the change being a complete hyalinization of the loop. In none was the lumen patent nor could any fistulas be demonstrated. fore believes that failure following the Madlener t,fie of due to the method but rather to the faulty carrying out of Such failure is caused by insufficient crushing of the loop.

four sets of uterine sterilization by the most charaet,eristic of the tubes studied The author theresterilization is not the exact technique. RALPI~

Gerloff, Klaus: 2365,

PKARI‘.

x.

Advances

in

the Treatment

of Sterility,

Zentralbl.

-k.

REIS.

f. Gym&.

60:

1936.

Gerloff reports the results obtained in 102 women treated for sterility. No cases were included in which steriilty was due to severe hormonal disturbances. In lli cases, treatment resulted in pregnancy which corresponds to 1.5 per cent of the total cases. The author believes t,hat better results would be obtained if t,he true cause of sterility could be determined in every case. In the majority of cases, however, sterility probably is due to multiple factors. RICHARD

Van

Tcmg~lten, F. CL: Utenine Sterility in tge Penn%&, Arch.

Probing f. Gyn%k.

as a Sin@e B&arm 161: 143, 1936.

E.

SONMA.

of TreGwmt

of

The author has been carrying out probing of the uterine cavity as a simple means of treating sterility in women for many years. He states t,hat it is a harmless procedure when done under strict asepsis. The optimum time for using it is the tenth day of the menstrual oy&--which is just before ovulation.