Cornual resection for the treatment of salpingitis

462

r\MERICAN

Harrell, William Female, South.

JOURNAL

OF

B., and Estevez, M. J. 37:

415,

OBSTETRICS

Rafael:

AND

Indications

GYNl!X:OLO~;Y

for Pelvioscopy

in the

1944.

is a diagnostic instrument which ma,v often Ire substituted 1aparotom.v. (longenital defects 8ueh as bicnrnate uterus, al)sence of the pelvic* structures, and thcl determination of sex in the hermaphrodite are positive indications for its use. 1’01’ obtaining a biopsy of pelvic tumOrs, differentiation of pelvic, cndometriosil: fronl other pelvic, pathology, and the Ilcternrination of the presence or absence of metastases, the instrument is useful. Large ovarian cysts can be aspirated, The differentiation between appendicitis and pelvic inflammation is made possible. Extrauterine pregnancies rn:iy he differentiated from &her nonoperative pelvic pathology. The authors have rclcently usrd a long, dull hook for rrtract,ing the viscera and thus gaining better exposure. Sterilization by (,auterization of the uterine rornua through the pelvioscope is possible. Thr operation is done through a small stab wound with :t minimum ol’ trauma and shoqk. Photographs of the instrument :tr+’ prescntr~~l. for

The pelvioscope exploratory

Falk, Henry C.: Cornual Surg. 52: 309, 1945.

Resection

for the Treatment

of Salpingitis,

West.

.I.

Primary gonorrhea1 i&e&on of the tubes occurs by direct extension along the Gonorrhea1 endometritis (*an be demonstrated but, c*ervical canal and endometrium. is rarely diagnosed because its symptomatology is overshadowed by the salpingitis. The chronic pus tube is the result of repeated infection front the lower genital tract. In postabortal infections the bacteria enter the endometrium at the placental site T)ifferentiation is made beand invade the parametrium by way of the lymphatic% tween it and gonorrhea1 infection by the location of the resulting inflammatory masses. In both cases the acute infection is managed conservat,ively. In the chronic, recurring salpingitis due to gonorrhea1 infection, however, surgery is indicated. The and not necessarily to remove all object of the surgery is to relieve symptoms since the infertion is seen in young women, conservation of the genpathology. Therefore, the author reports IL study on 1,000 women ital organs is derirable. treated by resection of the cornual ends of the tubes to prevent recurrence of the ascending infection. Clinic~al cures were reported in 85 per cent. \$‘I1 >A I lAhI

Emmert,

Frederick

V.:

Vaginal

Hysterectomy,

Surg.,

Gynec.

and

Br“KRt:s.

Obst.

79:

277,

1944. up

The on

author presents 600 502 private patients

cases and

o-f vaginal a six-month

hysterectomy follow-up

with a three-year follow. on 98 ward eases. The