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Ligation of the uterine arteries for control of hemorrhage in placenta previa
410
American
Journal
of Surgery
Progress
in Surgery
OCTOBER. ,927
oId method of Iithotripsy to be empIoyed. In the case of smaII stones, Iithotripsy under visua1 guidance is to be undertaken. Lithotripsy is to be used without question in oIder fat patients, in those suffering from high bIood pressure or from diabetes. In the Iatter case, even after the use of insuIin, the author has found cystotomy to be a serious procedure.
Kerwin finds that Iigation of the uterine arteries in pIacenta previa, a procedure described by HaroId Miller in AM. .I. SURG., in 1909, compIeteIy controIs hemorrhage. It is simpIe and can be done in a few minutes by any quaIified obstetrician either in a hospita1 or at home, without injury to the ureters and without incision.
TRUMBLE, HUGH C., MeIbourne. The treatment of peIvic abscesses. Med. J. Australia, July 2, 1927, ii, 4.
BONNER, ADOLPH, Brooklyn, N. Y. Carcinoma of the cervix in a thirteen-year-old patient. Am. J. Obst. 6 Gynec., August, 1927, xiv, I 75..
TrumbIe concIudes that drainage from the rectum or vagina is immenseIy superior to drainage through the abdominal waI1. It is to be emphasized, however, that onIy those abscesses which are cIosed above and which abut directIy on the rectum or vagina shouId be opened from beIow. The examining finger gives information on these important points.
This case of adenocarcinoma of the cervix in a thirteen-year-old gir1 is the third beiow the age of fourteen recorded in the avaiIabIe literature. Carcinoma of the cervix below the age of twenty is extremeIy rare. CervicaI carcinoma is not rare between twenty and thirty and the danger of empIoying the expression “cancer age” IiteraIIy is obvious. There are many cases of carcinoma of the cervix reported in nuIIiparous women.
JARCHO, JULIUS, New York. UterosaIpingovisualization of graphy ; roentgenoIogica1 the cavity of the uterus and FaIIopian tubes after the injection of iodized oiIs. Surg., Gynec. &+Obst., August, 1927, XIV, 129. RoentgenoIogicaI visuaIization of the uterus and FaIIopian tubes after the intrauterine injection of iodized oiJ furnishes a vaIuabIe means of gynecoIogica1 diagnosis in seIected cases. It outIines the cavity of the uterus and the various portions of the FaIIopian tubes with great distinctness. In cases of sterility, the procedure gives information as to whether the tubes are patent or not and it IocaIizes the site of occIusion if any. It not onIy suppIements the insufIIation of gas but often suppIants it. The technique is simpIe, but strict aseptic precautions must be taken. Jarcho is opposed to the performance of the test on amburatory patients. Proper interpretation of the roentgenoIogica1 findings requires experience. In some cases, it is advisabIe to examine pIates exposed at successive intervaIs or from different angIes. In Jarcho’s experience, the intrauterine injection of iodized oil is entireIy harmIess, and of iodism have been no manifestations observed. KERWIN, WILLIAM, St. Louis. Ligation of the uterine arteries for contro1 of hemorrhage in pIacenta previa. Am. J. Obst. & Gynec., August, 1927, xiv, 189.
HEINEBERG, ALFRED, PhiIadeIphia. The use of radium in the treatment of endometrioma of the rectovaginal septum. Am. J. Obst. & Gynec., August, 1927, xiv, 235. Heineberg says that there is a distinct field for the use of radium in the treatment of adenomyoma of the rectovagina1 septum especiaIIy in those instances in which the tumor is not smaI1 enough to be easiIy remoJed through vagina1 incision, and not so Iarge that a11 of it cannot be brought under the influence of radium embedded within it. Its use in propedy seIected cases avoids the necessity for abdomina incision and unsexing the patient. ROBERTS, M. HINES, AtIanta, Ga. Intracrania1 hemorrhage in the newborn. Southern M. J., August, 19.27, xx, 642. Four hundred and fifty routine lumbar punctures were made. Sixty-three, or 14 per cent, of a11 infants showed macroscopic brood in the spinal fluid, a figure somewhat higher than that found by Sharpe and his associates in simiIar studies. The percentage of infants showing intracranial hemorrhage in the premature or abnorma1 Iabor groups is far in excess of those for the full term and norma dehvery groups. In only one case does there seem to be definite evidence of any intracrania1 lesion. Two others might be cIassed as doubtful. One is led to beIieve that the great majority wilI grow up entirely free of any disorder
American
Journal
of Surgery
Progress
in Surgery
OCTOBER. ,927
oId method of Iithotripsy to be empIoyed. In the case of smaII stones, Iithotripsy under visua1 guidance is to be undertaken. Lithotripsy is to be used without question in oIder fat patients, in those suffering from high bIood pressure or from diabetes. In the Iatter case, even after the use of insuIin, the author has found cystotomy to be a serious procedure.
Kerwin finds that Iigation of the uterine arteries in pIacenta previa, a procedure described by HaroId Miller in AM. .I. SURG., in 1909, compIeteIy controIs hemorrhage. It is simpIe and can be done in a few minutes by any quaIified obstetrician either in a hospita1 or at home, without injury to the ureters and without incision.
TRUMBLE, HUGH C., MeIbourne. The treatment of peIvic abscesses. Med. J. Australia, July 2, 1927, ii, 4.
BONNER, ADOLPH, Brooklyn, N. Y. Carcinoma of the cervix in a thirteen-year-old patient. Am. J. Obst. 6 Gynec., August, 1927, xiv, I 75..
TrumbIe concIudes that drainage from the rectum or vagina is immenseIy superior to drainage through the abdominal waI1. It is to be emphasized, however, that onIy those abscesses which are cIosed above and which abut directIy on the rectum or vagina shouId be opened from beIow. The examining finger gives information on these important points.
This case of adenocarcinoma of the cervix in a thirteen-year-old gir1 is the third beiow the age of fourteen recorded in the avaiIabIe literature. Carcinoma of the cervix below the age of twenty is extremeIy rare. CervicaI carcinoma is not rare between twenty and thirty and the danger of empIoying the expression “cancer age” IiteraIIy is obvious. There are many cases of carcinoma of the cervix reported in nuIIiparous women.
JARCHO, JULIUS, New York. UterosaIpingovisualization of graphy ; roentgenoIogica1 the cavity of the uterus and FaIIopian tubes after the injection of iodized oiIs. Surg., Gynec. &+Obst., August, 1927, XIV, 129. RoentgenoIogicaI visuaIization of the uterus and FaIIopian tubes after the intrauterine injection of iodized oiJ furnishes a vaIuabIe means of gynecoIogica1 diagnosis in seIected cases. It outIines the cavity of the uterus and the various portions of the FaIIopian tubes with great distinctness. In cases of sterility, the procedure gives information as to whether the tubes are patent or not and it IocaIizes the site of occIusion if any. It not onIy suppIements the insufIIation of gas but often suppIants it. The technique is simpIe, but strict aseptic precautions must be taken. Jarcho is opposed to the performance of the test on amburatory patients. Proper interpretation of the roentgenoIogica1 findings requires experience. In some cases, it is advisabIe to examine pIates exposed at successive intervaIs or from different angIes. In Jarcho’s experience, the intrauterine injection of iodized oil is entireIy harmIess, and of iodism have been no manifestations observed. KERWIN, WILLIAM, St. Louis. Ligation of the uterine arteries for contro1 of hemorrhage in pIacenta previa. Am. J. Obst. & Gynec., August, 1927, xiv, 189.
HEINEBERG, ALFRED, PhiIadeIphia. The use of radium in the treatment of endometrioma of the rectovaginal septum. Am. J. Obst. & Gynec., August, 1927, xiv, 235. Heineberg says that there is a distinct field for the use of radium in the treatment of adenomyoma of the rectovagina1 septum especiaIIy in those instances in which the tumor is not smaI1 enough to be easiIy remoJed through vagina1 incision, and not so Iarge that a11 of it cannot be brought under the influence of radium embedded within it. Its use in propedy seIected cases avoids the necessity for abdomina incision and unsexing the patient. ROBERTS, M. HINES, AtIanta, Ga. Intracrania1 hemorrhage in the newborn. Southern M. J., August, 19.27, xx, 642. Four hundred and fifty routine lumbar punctures were made. Sixty-three, or 14 per cent, of a11 infants showed macroscopic brood in the spinal fluid, a figure somewhat higher than that found by Sharpe and his associates in simiIar studies. The percentage of infants showing intracranial hemorrhage in the premature or abnorma1 Iabor groups is far in excess of those for the full term and norma dehvery groups. In only one case does there seem to be definite evidence of any intracrania1 lesion. Two others might be cIassed as doubtful. One is led to beIieve that the great majority wilI grow up entirely free of any disorder