The operative treatment of abdominal and pelvic tuberculosis

790

THE

AMERICAN

JOURNAL

OF

OBSTETRICS

AND

GYNECOLOGY

Therefore, it not only had the advantage of maintaining menstrual preserved ovarian secretion; and also in doing it with this technic one is able t.o maintain the circulation of the ovary.

if

function, hut care is used

DR. CHARLES L. BONIFIELD, CINCINNATI, OHIO.-I agree with Dr. Polak that the ovary thrives better if the uterus be left with it; its cireulati,on is much better. To me, however, it does not Seem absolutely necessary, in operating for inflammatory conditions, to remove all the inflamed tissue. If you remove the infection from a fallopian tube the inflammation around it subsides. Formerly in removing infected tubes I often left a little stump .of the tube. I learned that that stump was often infected and kept infecting and reinfecting the endometrium. One could curette the uterus but he could not curette these stumps and they often caused a disagreeable leucorrhea for a number of years. I now, theref,ore, dissect the tube out of the horn, closing the wound as I sew up the broad ligament and covering it with a fold of the round ligament. My results with this operation have been quite satisfactory and, therefore, I see no reason for cutting clear across the fundus of the uterus. DR.

THOMAS

B.

NOBLE,

Ind., read a paper on The Opera(For origvolume of the Transactions of the Asso-

Indianapolis,

tive Treatsllent of Abdominal and Pelvic Tuberculosis. inal article ciation.)

see the current

Tuesday, Septmber 21, 1926 Norrthg Sessiolz DR.

LAWRENCE

M.

RANDALL,

Rochester,

Minn.,

read (by invitation)

paper on Lipiodol Radiograms in the Diagmwia of %erility. original article see page 457.)

a (For

DISCUSSION DR. OTTO H. SCHWARZ, ST. LOUIS, MO.-Dr. Newell, that are practically identical with those of Dr. Randall ‘8. AMERICAN JOURNAC OF OBSTETRICS AND GYNECOLWY (vol.

of St. Louis, has pictures They are published in the xii, p. 189).

DR. WM. A. COVENTRY, DULUTH, MINN.-HOW long after the lipiodol injccYou have only operated upon one patient tion was the patient operated upon? I should like to know whether any evidence of within a few days of your injection. irritation or residue of lipiodol material was found4 DR. JOHN N. BELL, DETROIT, MrcH.-Dr. they observed no irritation of the peritoneum the peritoneal cavity. That is very interesting bility of our treating tuberculous peritonitis in the peritoneal cavity, why not give it a triall parently begins around the tubes, and it would a therapeutic measure in tubercular peritonitis.

Randall, in his remarks, stated that where the lipiodin had escaped. into and significant because of the possithis manner. If it does nat irritate So often tuberculous peritonitis, apbe a very simple matter to use it as

DR. JAMES E. DAVIS, DETROIT, MIcEI.-It must be recognized by all that a method which will contribute so materially to the understanding of the gross patholWhen ogy of tissues before they are removed from the body is exceedingly valuable. such pictures can be obtained, the pathology is so easily read, that we mu% recognize that this diagnostic method is a distinct advance. The majority of the cases distinctly belonged in the group of malformations sug-