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Cesarean sections: A twenty-five-year survey in a teaching hospital
Volume 66 iXumber 1
SELECTED
5 years or more succumbed; one patient publication. In the absence of adequate is problematic, but the author cautiously ative eases tends to be somewhat higher Definitive evidence in favor of this idea experience.
Netto,
Pedro Ayres:
ABSTRACTS
219
of the short-term group had died at the time of control material, the evaluation of these results concludes that the percentage of cure in the operthan in those patients receiving irradiation alone. would consist, of course, of a much more extensive DOUGLAS
Cancer of the Endometrium,
An.
brasil.
de ginec.
M.
HAYNES
31: 209, 1951.
The author in this paper analyses the incidence of cancer of the endometrium in his clinic at 850 Paula, and finds that among a series of 1,263 cases of cancer of the uterus, only 8 cases of cancer of the body of the uterus were found. This incidence of I:158 is below the world statistics. Etiology of corpus cancer is discussed, particularly its relation to endometrial hyperplasia and endometriosis. In the Clinic of the Institute of Viera de Carvalho among I9 cases of cancer of the endometrium only one case of endometrial hyperplasia was found. A general survey of uterine tumors observed at the clinic is reported. Among a total of 15,800 pathological examinations 1,838 uterine tumors were found: 1,263 were cancer of the cervix, 305 were fibroids, and there were 256 cases of glandular hyperplasia of the endometrium. The highest incidence of cancer of the endometrium was in the age group between 50 and 60 years, after the menopause. The author favors surgical treatment preceded by intracavitary radium, and statistics showing results of this treatment are quoted. REARDO
L.
GORBEA
Cesarean Section Pommerenke, pita&
W. T.: New
York
Cesarean Sections: State
J, Med.
52: 2785,
A Twenty-five-year
Survey in a Teaching
Ho&
1952.
The author presents the results in all of the cesarean sections performed in the twenty-five year period of its operation in the Department of Obstetrics and Gynecology of the University of Rochester. A total of 682 operations were performed, an incidence of 2.2 per cent of all deliveries. The indications for operation were numerous and varied as is the case in modern obstetrics with the general broadening of indications for this operation. The most frequent Indication was that of a previous cesarean, 13.8 per cent, closely followed by contracted pelvis, 10.4 per cent, and antepartum hemorrhage due to premature separation of the placenta, 6.6 per cent, or placenta previa, 5.0 per cent. There were 7 maternal deaths, a maternal mortality of 1 per cent, and, of these, 3 deaths were very definitely not due to the operation, but rather to underlying factors present. There were 26 (3.9 per cent) stillbirths, and 33 (5.1 per cent) neonatal deaths. Of the stillbirths, the majority were due to premature separation of the placenta which was More than half of the neonatal deaths were due to prethe indication for the operation. maturity or atelectasis. The paper is of particular interest in presenting the entire cesarean section experienee of a clinic first opened in 1926 down to the present time. KARL
M.
%‘ILSON
Ansbro, F. Paul, Gordon, Charles A., Eodell, Benson, and Latteri, Francis S.: Epidural esthesia for Cesarean Section, New York State J. Med. 52: 1901, 1952. The author first reviews the cesarean section with a comparison description of epidural anesthesia,
An-
various forms of anesthesia (general, local, spinal) for A detailed of hazards involving both mother and baby. with reasons for its use, namely, less spinal headache,
SELECTED
5 years or more succumbed; one patient publication. In the absence of adequate is problematic, but the author cautiously ative eases tends to be somewhat higher Definitive evidence in favor of this idea experience.
Netto,
Pedro Ayres:
ABSTRACTS
219
of the short-term group had died at the time of control material, the evaluation of these results concludes that the percentage of cure in the operthan in those patients receiving irradiation alone. would consist, of course, of a much more extensive DOUGLAS
Cancer of the Endometrium,
An.
brasil.
de ginec.
M.
HAYNES
31: 209, 1951.
The author in this paper analyses the incidence of cancer of the endometrium in his clinic at 850 Paula, and finds that among a series of 1,263 cases of cancer of the uterus, only 8 cases of cancer of the body of the uterus were found. This incidence of I:158 is below the world statistics. Etiology of corpus cancer is discussed, particularly its relation to endometrial hyperplasia and endometriosis. In the Clinic of the Institute of Viera de Carvalho among I9 cases of cancer of the endometrium only one case of endometrial hyperplasia was found. A general survey of uterine tumors observed at the clinic is reported. Among a total of 15,800 pathological examinations 1,838 uterine tumors were found: 1,263 were cancer of the cervix, 305 were fibroids, and there were 256 cases of glandular hyperplasia of the endometrium. The highest incidence of cancer of the endometrium was in the age group between 50 and 60 years, after the menopause. The author favors surgical treatment preceded by intracavitary radium, and statistics showing results of this treatment are quoted. REARDO
L.
GORBEA
Cesarean Section Pommerenke, pita&
W. T.: New
York
Cesarean Sections: State
J, Med.
52: 2785,
A Twenty-five-year
Survey in a Teaching
Ho&
1952.
The author presents the results in all of the cesarean sections performed in the twenty-five year period of its operation in the Department of Obstetrics and Gynecology of the University of Rochester. A total of 682 operations were performed, an incidence of 2.2 per cent of all deliveries. The indications for operation were numerous and varied as is the case in modern obstetrics with the general broadening of indications for this operation. The most frequent Indication was that of a previous cesarean, 13.8 per cent, closely followed by contracted pelvis, 10.4 per cent, and antepartum hemorrhage due to premature separation of the placenta, 6.6 per cent, or placenta previa, 5.0 per cent. There were 7 maternal deaths, a maternal mortality of 1 per cent, and, of these, 3 deaths were very definitely not due to the operation, but rather to underlying factors present. There were 26 (3.9 per cent) stillbirths, and 33 (5.1 per cent) neonatal deaths. Of the stillbirths, the majority were due to premature separation of the placenta which was More than half of the neonatal deaths were due to prethe indication for the operation. maturity or atelectasis. The paper is of particular interest in presenting the entire cesarean section experienee of a clinic first opened in 1926 down to the present time. KARL
M.
%‘ILSON
Ansbro, F. Paul, Gordon, Charles A., Eodell, Benson, and Latteri, Francis S.: Epidural esthesia for Cesarean Section, New York State J. Med. 52: 1901, 1952. The author first reviews the cesarean section with a comparison description of epidural anesthesia,
An-
various forms of anesthesia (general, local, spinal) for A detailed of hazards involving both mother and baby. with reasons for its use, namely, less spinal headache,