He
believes
tile
test
to
have
value
(I)
in
the
difcrentiation
of
illfl:LIl~lil~tQ~~j
alld
the adnexa ; (2) in fixing the time of operation In inflammatory conditions and altered positions of the utcms with complications; (3) as an indication of possible adnexal disease when eurettagc is indicated; (4) in differentiating between salpingitis and extrauterine pregnancy taking into considersin gynecologic conditions of inflammatory tion the symptoms; and (3) in general, Lml'LE. origin.
noninflammatory
Steh
tumors
and
of
Roentgenograms
Axens:
Pregnancy.
Journal
Ameriran
of the Fetal Skeleton Medical
~bssoeiation,
1923,
as a lxxsi,
Positive
Sign of
4.
Stein and arens make use of roentgcnograms to confirm the existence of a and to diffcreutiate pregnancy from other pregnancy, to diagnose presentation, abdominal enlargements. Four hundred cases mere used for their examinations and in only three cases \vere they able to diagnose pregnancy before quickening. They speak very highly of the method as a. diagnostic means in the last trimester. W. KERWI~.
Roberts: British
Oxygen Inflation Medical
Journal,
of the Peritoneal 1920,
No.
3124,
Cavity for Radiographic
Purposes.
p. 742.
The method of the author is to prepare the patient with the ‘use of castor oil and restriction of solid food. The oxygen is injected with a fine needle introduced about one inch bebvv and to the left of the umbilicus. In an ordinary adult, not over three or four liters arc introduced. $fter the examination is eompleted, the needle is reintroduced and the gas allowed to escape. If the gas is not removed, He thinks the dangers are largely absorption takes five or six days as a rule. tlmoretical, having had no evil consequences in fifty cases. Most of the discomfort. is obviated by the removal of the gas at the end of the examination. Various ~ost’ures are used for different sorts of examinations. Be states that the female pelvic organs are visible but that it is difficult to distinguish a solid ova,tian tumor from a uterine fibroid. F. L. ~4DAIX.
Gotliez, Robert:
The Artificial
et ObstBtrique,
1921,
iv,
Pneumoperitoneu??
in Gynecology.
GynBcologie
562.
The author gives a brief review of thr literature. Re mentions four positions which have been advised in this method of examination: (1) knee chest position with the tube under the table, the rays directed vertically; (2) vertical Trendelenburg position with the rays directed perpendicularly toward the table; (3) lateral Trendelenburg position with the rays direct,ed horizontally, either dorsal-ventral, or ventral-dore,al; (4) simple dorsal Trendelenburg position with the rays directed laterally. The author considers this method of great value, without any sl?ecinl danger if properly carried out. F. L. ADAIR:.
Petewcm-Cron: tion,
19,23,
Trans,uterine lxxx-i,
Gas InAatioa.
,TournaI
American
Medical
,Issocia-
980.
The Rubin technic vith slight modifications was used to determine the patency of the fallopian tubes and %I-ith the aid of pneumoperitoneum roentgenographs made Ror the purpose of diagnosis. They used carbon dioxide ,under a maximum pressure of 200 mm. of mercury, but expressed the belief that a higher pressure can be used with safety. In 36 eases of sterility, 13 conceived after the use of gas inflation, and 10 resulted in full term pregnancies, xvhile 3 had spont.aneous abortinns. They divide the question of sterility inbo groups, the youngor group of women offering