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Culdoscopy
113
ABSTRACTS
11ince it produces no tissue reaction, thus affording greater comfort to the patient. The only disadvantage to the use of cotton is its lower initial tensile strength as compared with catgut, silk or linen; but this is offset by greater retention of tensile strength in the tissues. ,J. P. GREENHILL. Phelan, G. w.: The Use of Carbolic Acid (Phenol) in the Treatment of Bartholinia.n Abscess, Am. J. Surg. 64: 28, 1944. After incising the Bartholian abscess and evacuating the pus, the author advo· cates packing the cavity with pure phenol for one and one·half minutes. It is then ~wabbed with alcohol and packe(l with iodoform gauze. The method has been em· ployed for ten years with gratifying result~. FRANE: SPIELMAN.
Decker, A., and Cherry, T. A.: Culdoscopy, Am. J. Surg. 64: 40, 1944. "Culdoscopy" is the term applied by the authors to the direct inspection of the intra-abdominal pelvic organs through the cul-de-sac, using a cytoscope-like in· 8trument called the '' culdoscope.'' With the patient in the knee-chest position, the cul-de-sac is punctured by means of a trochar and cannula, the trochar removed and the instrument introduced. To facilitate inspection of the pelvis a cannula attached to a self-retaining screw tip is applied to the cervix so that the uterus may be manipulated when desirable. Indications for the procedure are sterility, ''small ovarian disease,'' unruptured ectopic, endometriosis, etc. Caudal and local anesthesia are recommenoea to prevent pam. FRANK SPIELMAN.
Labor, Management, Complications Va.lenzuela, Raul Ga.reia: 8: 226, 1943.
Induction of Labor, Bol. Soc. chilena de obst. y ginec.
• The author has used the following method: at 6 A.M., eastor oil, 45 Gm., quinine sulfate, 0.6 Gm.; at 8 A.M., soapsuds enema, quinine, {),3 Gm.; then every half hour, alternately thymophysin 5 units (0.5 c.c.) and quinine 0.3 Gm. until 20 un:its of thymophysin and 1.20 Gm. of quinine have been taken. In most ~ases the indication was prolongation of pregnancy beyond normal limits: in 33 of the 56 cases the prolongation varied from 4 to 14 days, seventeen having a pregnancy of 290 days or more. Five patients who were admitted with weak pains or premature rupture of membranes requested acceleration of labor to shorten their hospitaJization. Exceptional indications were two cases o:f eclampsism (one with prolonged pregnancy), two of ovular infection, one of uterine fibroma, and one with contracted pelvis (both with prolonged pregnancy). The series included 25 primiparas and 31 multiparas, and the presentation was vertex 54, breech 2. 'rhe entire treatment was given in 37 eases, while only the first doses were needed in some. In five it was impossible to produce efficient con· tractions, and labor occurred in :from 7 to 35 days. In six an obstetric intervention was necessary for delivery a.nd a second induction was nee<:led in four. Spontaneous labor as immediate result of the method occurred in H cases (78.57 per cent). J. P.
GREENHILL.
Cabrera, H.: InductiOn. of La.bor by Watson's Method, Bol. Soc. chilena de obst. y ginec. 8: 212, 1943. The author uses the following method which resembles that of Watson. (1) Castor oil, 30-60 Gm. (2) Quinine, 0.3 or 0.6 Gm. (3) Soapsuds enema. (4) Pituitary extract, 2.5 to 5 units. (5) Quinine, 0.3 Gm. (6) Pituitary extract, same dose as previously. (7) Continuation of quinine and pituitary until four doses of each are given. The interval between the ·drugs in this schedule varies from half an hour to one hour. If labor starts, treatment is stopped.
ABSTRACTS
11ince it produces no tissue reaction, thus affording greater comfort to the patient. The only disadvantage to the use of cotton is its lower initial tensile strength as compared with catgut, silk or linen; but this is offset by greater retention of tensile strength in the tissues. ,J. P. GREENHILL. Phelan, G. w.: The Use of Carbolic Acid (Phenol) in the Treatment of Bartholinia.n Abscess, Am. J. Surg. 64: 28, 1944. After incising the Bartholian abscess and evacuating the pus, the author advo· cates packing the cavity with pure phenol for one and one·half minutes. It is then ~wabbed with alcohol and packe(l with iodoform gauze. The method has been em· ployed for ten years with gratifying result~. FRANE: SPIELMAN.
Decker, A., and Cherry, T. A.: Culdoscopy, Am. J. Surg. 64: 40, 1944. "Culdoscopy" is the term applied by the authors to the direct inspection of the intra-abdominal pelvic organs through the cul-de-sac, using a cytoscope-like in· 8trument called the '' culdoscope.'' With the patient in the knee-chest position, the cul-de-sac is punctured by means of a trochar and cannula, the trochar removed and the instrument introduced. To facilitate inspection of the pelvis a cannula attached to a self-retaining screw tip is applied to the cervix so that the uterus may be manipulated when desirable. Indications for the procedure are sterility, ''small ovarian disease,'' unruptured ectopic, endometriosis, etc. Caudal and local anesthesia are recommenoea to prevent pam. FRANK SPIELMAN.
Labor, Management, Complications Va.lenzuela, Raul Ga.reia: 8: 226, 1943.
Induction of Labor, Bol. Soc. chilena de obst. y ginec.
• The author has used the following method: at 6 A.M., eastor oil, 45 Gm., quinine sulfate, 0.6 Gm.; at 8 A.M., soapsuds enema, quinine, {),3 Gm.; then every half hour, alternately thymophysin 5 units (0.5 c.c.) and quinine 0.3 Gm. until 20 un:its of thymophysin and 1.20 Gm. of quinine have been taken. In most ~ases the indication was prolongation of pregnancy beyond normal limits: in 33 of the 56 cases the prolongation varied from 4 to 14 days, seventeen having a pregnancy of 290 days or more. Five patients who were admitted with weak pains or premature rupture of membranes requested acceleration of labor to shorten their hospitaJization. Exceptional indications were two cases o:f eclampsism (one with prolonged pregnancy), two of ovular infection, one of uterine fibroma, and one with contracted pelvis (both with prolonged pregnancy). The series included 25 primiparas and 31 multiparas, and the presentation was vertex 54, breech 2. 'rhe entire treatment was given in 37 eases, while only the first doses were needed in some. In five it was impossible to produce efficient con· tractions, and labor occurred in :from 7 to 35 days. In six an obstetric intervention was necessary for delivery a.nd a second induction was nee<:led in four. Spontaneous labor as immediate result of the method occurred in H cases (78.57 per cent). J. P.
GREENHILL.
Cabrera, H.: InductiOn. of La.bor by Watson's Method, Bol. Soc. chilena de obst. y ginec. 8: 212, 1943. The author uses the following method which resembles that of Watson. (1) Castor oil, 30-60 Gm. (2) Quinine, 0.3 or 0.6 Gm. (3) Soapsuds enema. (4) Pituitary extract, 2.5 to 5 units. (5) Quinine, 0.3 Gm. (6) Pituitary extract, same dose as previously. (7) Continuation of quinine and pituitary until four doses of each are given. The interval between the ·drugs in this schedule varies from half an hour to one hour. If labor starts, treatment is stopped.