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The treatment of pelvic infections by injections of milk
REVIEWS
AND
453
ABSTRACTS
initial dose of Caseosan should be small, (0.1-0.5 KC.) and is better administered Where the antibody content of the serum intramuscularly than intravenously. before treatment is low? an initial dose of 0.5 KC, intravenously may bc given. The therapy is usually far more efficient in the cases where the initial antibody content is low. Better results are obtained in the chronic infections, especially the tuberculous In the infections in which often marvelous therapeutic effects arc obtained. acute puerperal conditions the beneficial effects usually appear too late to save the life of the patient, though occasionally even se,-ere eases of bactercmia have been healed. Other indications for its use are nonpuerperal parametritis, pelvic inflammatory disease, and carcinoma, in the operable cases before operation, to increase the general resistance, in inoperable cases as an adjunct to radiotherapy. MARGARET
Gellhorn: Missouri
The Treatment State Medical
of Pelvic Association,
Infections 1922, xix,
by Injections 341.
of
Milk.
S~IICL~.E.
Journal
While admitting its limitations, Gellhorn is quite well pleased with his results in the treatment of pelvic infections by the injection of sterile milk. He believes that in the majority of cases a cure can be effected without pain, risk, or mutilation where formerly only serious operations gave promise of relief. From personal observations as well as a study of the literature, Gellhorn gains the impression that the tubes, the uterus, and possibly the bladder are most favorably influenced by foreign protein therapy. The ovaries seem to remain refractory. Of infections, he believes that gonorrhcal foci offer a more favorable prognosis, although other infections also respond in some instances. Since gonorrhcal infection of the cervix is not influenced, this ought to he Treated lntlcpcndcntly to avoid reinfection% While milk is not the only protein which may be used, Gellhorn prefers it because it is readily procurable and inexpensive. He uses ordinary whole milk which is sterilized either hy hoiling in a water-bath for 10 minutes or, prefcrably, by pasteurizing at SO” C. for an hour on six successive days. From 5 to 10 CL is injected into the gluteal musculature and the injection repeated every three to five days until from 4 to 1 2 injections have been given. The reaction occurs after from G to 5 hours, the fever ranging from 100” to 104”. R. E. Woeus.
Nussbaum: Abortion.
Stimulation Zentralblatt
(Schwellenreiz) fiir Gynakologie,
Therapy 1922,
in the Treatment xlvi,
of FebriIe
424.
The importance of the treatment of abortion has markedly increased in Germany since the war, inasmuch as approximately 57 per cent of pregnancies have ended in abortion and 78 per cent of these are provoked abortions. The mortality from abortions has risen since the war from 3000 to 5000. The problem of abortion is not only a medical but a national question, and the treatment is of the utmost importance. There seems no common ground’for the believers either in active or in conservative therapy. Indeed, therapy is almost useless when the infective process has passed the uterus itself, and here so many suggestions are made as to treatment that it is doubtful whether any are of value. Von Jasehke, after a survey of the literature, came to the conclusion that there could be no standard of treatment, and the propriety of any measure could be judged only by its smxess or failure in any given case. He believed that the bacteriologic examination was of little value, and recommended active therapy (emptying the uterus) in every case.
AND
453
ABSTRACTS
initial dose of Caseosan should be small, (0.1-0.5 KC.) and is better administered Where the antibody content of the serum intramuscularly than intravenously. before treatment is low? an initial dose of 0.5 KC, intravenously may bc given. The therapy is usually far more efficient in the cases where the initial antibody content is low. Better results are obtained in the chronic infections, especially the tuberculous In the infections in which often marvelous therapeutic effects arc obtained. acute puerperal conditions the beneficial effects usually appear too late to save the life of the patient, though occasionally even se,-ere eases of bactercmia have been healed. Other indications for its use are nonpuerperal parametritis, pelvic inflammatory disease, and carcinoma, in the operable cases before operation, to increase the general resistance, in inoperable cases as an adjunct to radiotherapy. MARGARET
Gellhorn: Missouri
The Treatment State Medical
of Pelvic Association,
Infections 1922, xix,
by Injections 341.
of
Milk.
S~IICL~.E.
Journal
While admitting its limitations, Gellhorn is quite well pleased with his results in the treatment of pelvic infections by the injection of sterile milk. He believes that in the majority of cases a cure can be effected without pain, risk, or mutilation where formerly only serious operations gave promise of relief. From personal observations as well as a study of the literature, Gellhorn gains the impression that the tubes, the uterus, and possibly the bladder are most favorably influenced by foreign protein therapy. The ovaries seem to remain refractory. Of infections, he believes that gonorrhcal foci offer a more favorable prognosis, although other infections also respond in some instances. Since gonorrhcal infection of the cervix is not influenced, this ought to he Treated lntlcpcndcntly to avoid reinfection% While milk is not the only protein which may be used, Gellhorn prefers it because it is readily procurable and inexpensive. He uses ordinary whole milk which is sterilized either hy hoiling in a water-bath for 10 minutes or, prefcrably, by pasteurizing at SO” C. for an hour on six successive days. From 5 to 10 CL is injected into the gluteal musculature and the injection repeated every three to five days until from 4 to 1 2 injections have been given. The reaction occurs after from G to 5 hours, the fever ranging from 100” to 104”. R. E. Woeus.
Nussbaum: Abortion.
Stimulation Zentralblatt
(Schwellenreiz) fiir Gynakologie,
Therapy 1922,
in the Treatment xlvi,
of FebriIe
424.
The importance of the treatment of abortion has markedly increased in Germany since the war, inasmuch as approximately 57 per cent of pregnancies have ended in abortion and 78 per cent of these are provoked abortions. The mortality from abortions has risen since the war from 3000 to 5000. The problem of abortion is not only a medical but a national question, and the treatment is of the utmost importance. There seems no common ground’for the believers either in active or in conservative therapy. Indeed, therapy is almost useless when the infective process has passed the uterus itself, and here so many suggestions are made as to treatment that it is doubtful whether any are of value. Von Jasehke, after a survey of the literature, came to the conclusion that there could be no standard of treatment, and the propriety of any measure could be judged only by its smxess or failure in any given case. He believed that the bacteriologic examination was of little value, and recommended active therapy (emptying the uterus) in every case.