Hysterography and hysterosalpingography. An analysis of 2,500 cases with special emphasis on technique and safety of the procedure

Hysterography and hysterosalpingography. An analysis of 2,500 cases with special emphasis on technique and safety of the procedure

Vermilian, H., Hartemann, J., and Ribon. M,: Postabortal Tubercular Endometritis, Hull. ASROV. (1. gunk. 1.t obst, Meningitis ~lr Iarrg Resulting f...

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Vermilian, H., Hartemann, J., and Ribon. M,: Postabortal Tubercular Endometritis, Hull. ASROV. (1. gunk. 1.t obst,

Meningitis ~lr Iarrg

Resulting

frauc;.,

Felt.

From 2%. lNT,~t.

Although genital tuberculosis is considered to be a major factor causing sterility, endometritis of tubercular origin, when latent. will allow concseption. In the course of pregnancy, such endometrial tuberculosis simulates other types IJ~ endometritis but is jnmeasurably more serious. A (‘ase of 1lostabortn.l meningitis fc~llowing tubereulous endometritis is reported. This patient, with latent unrecognized tubercular endometritis, aborted spontaneously in the third month of pregnancy, developt?d severv meningeal signs wjthiu forty-eight hours, and died about one month later. The V:LW demonstrates the rapid proliferation of the tuberclr bacilli followiup a sl~ontaneour abortion. IA. 13. WINKElslTIN.

Marshak, Richard H., Poole, Charles S., and Goldberger, Morris A.: Hysterography and Hysterosalpingography. An Analysis of 2,500 Cases With Special Emphasis on Technique and Safety of the Procedure, Siurg.. (+ynec. & Obst. 91: t82, 1950. The authors report 2,500 eaxs of tlysttkrography and ttysterosalpingography, giving the techniques used with various contrast media. They stress the fact that when Lipiodol is employed the pressure should always be below 200 mm. vf mercury and the largest amount of dye used should not exceed 8 C.V. The chief danger ~~ucountered with oil soluble iodized solution,q is the danger of emholus. Nolh Hkiodan Acacia and Rayopaque have the advantage of quick absorbability and excretion Tvhieh obviate the danger of embolism and foreign body reaction. The fractional method of injecting L P.C. of iodized substance prior to the first picture, and then fractional amounts up to 4 C.C. is dewribed and photugraphs shown demonstrating t,he various intrauterine filling defects which can oc’eur and ‘I’he technique is also givea for salpingography, using their pathological interpretation. larger amounts of dye, and numerous photo$raphs showing tubal abnormalities are presented. I’AI-IS Xl. Hsr~,~a~u.

Gynecologic Hartemann, obst.

M. : Formation Supplement,

Rull.

of a Vagina Assoc.

Operations

by Transplantation

d. gyn&z.

ct ohst.

dtx lang.

of the Sigmoid, franc.,

1:

Glyner. et

21l71 1950.

The author describes a single case where the corrgenit.aI absence of a vagina was treated surgically by transplantation of a portion of the sigmoid with excellent results. Although such a procedure is much more serious and difficult than skin grafts, the fun?,The new vagina is definitetv more supple; it contains a mueons tional re,sult is far superior. secretion similar to a natural vagina and its proportions both ill length and diameter are better. In the particular case described, the anatomical result was esthetically and functionally superior to any result which might have been obtained from cutaneous grafting. L. R. WINKELSTEIN.

Fabre, M. M.: franp.

Electrolytic

2: 152,

Dilation

of the Uervix,

Bull.

Asaw. il. gpn&:. et ohxt. & lung.

1950.

This procedure was employed for the following conditions: dysmenorrhea, sterility, intracervical dilatation following cauterization and preceding exploration of the uterus. The method employed consisted of the introduction into the cervical OS, of a small Hegar dilator which is connected to the negative pole of a source of galvanic current. The A current of 20 milliamperes is allowed to po,sitive pole is placed under the buttocks. flow for 3 or 4 minutes, which has the effect. of allowing the cervical tissues to dilate by The advantage of this form of electri.cal dilatation is that it is practically themselves. painless, is atraumatic, and can be used ea,sily in ambulatory patients. L. ‘B. WINKELSTEIN.