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Ureteral injuries: Prevention and management during gynecologic surgery for benign disease
Volume 70 Number
SELECTED
3
683
ABSTRACTS
So far as the neonatal deaths are concerned, 70 of 133 these figures are of little value. Infections (15.8 per cent) and congenital instances were reported as due to prematurity. malformations (8.3 per cent) were the other two prevalent causes of death. Relating stillbirths to the indications for the cesarean section, the authors found three important groups where improvement in mortality might be possible: (a) There were 6 stillbirths due to hydrocephalus, which should have been diagnosed before operation. (b) Twelve A suspicion of the of the 15 instances of placenta previa were in “unbooked” patients. (c) In disordered uterine actions the condition would have obviated unfortunate delay. labor was prolonged to more than 60 hours, and 4 of the 6 stillbirths occurred in multiple pregnancy. Concerning the relation of indications for operation and neonatal deaths, severe toxemia and placenta previa are associated with the largest number of deaths (39 All the other causes are of less imper cent and 19 per cent of the total, respectively). Recent conservative policy in dealing portance because of the small numbers involved. with placenta previa advocated by Maeafee has led to a lessened incidence of prematurity and lessened neonatal death rate. DAVID M. KYDD, M.D.
Obstetrics Vol.
4, No.
1, July,
and Gynecology
1954.
Reis, Ralph A. : George W. Kosmak, p. 1. *Falk, Henry C., and Bunkin, Irving A.: Urrteral Injuries: Prevention and Management During Gynecologic Surgery for Benign Disease, p. 4. Kramish, David, Auer, Eugene S., and Reckler, Sidney M.: Spontaneous Rupture of the Liver During’ Pregnancy: Review of the Literature With Case Report, p. 21. Ware, H. Hudnall, Jr., and Winston, William 0.: Ectopic Pregnancy, p. 29. Decker, Albert, and Decker, Wayne H. : A Tubal Function Test, p. 35. Gordon, Edgar S., Chart, Jerome J., Hagedorn, Dorothy, and Shipley, Elva G.: Mechanism of Sodium Retention in Preeclamptic Toxemia, p. 39. Maxwell, George A. : Prolapse of Placenta, p. 51. Peripheral Utilization of Glucose in Pregnancy and the Puerperium, Burt, Richard L.: p. 58. Gorthey, R. L., and Krembs, M. A.: Vulvar Condylomata Aeuminata Complicating Labor, p. 67. Schmitz, Herbert E., Geiger, Clyde J., Smith, Charles J., and Blichert, Peter A.: Carcinoma of the Cervix: Failure of Haphazard Treatment, p. 75. Barns, H. H. Fouracre, and Schofield, P. B.: Ovarian Carcinoma, p. 82. Roth, Laurence G.: Early Rupture of the Membranes: Significance, Etiology, and Prognosis, p. 87. Wilson, Leo : Ovarian Dysfunction: A New Concept and Classification, p. 97. Alvarez, H., Caldeyro-Barcia, R., Guevara, A., D’Albenas, S., and RUOCCO, G.: Ergonovine and the Third Stage of Labor, p. 105. Diagnosis of Early Pregnancy by Cervical Mucus Smears, p. 117. Sprague, L. D.: Hanley, Bernard J. : Editorial : Fallacy of External Version, p. 124.
Falk
and Bunkin: Ureteral Injuries: cologic Surgery for Benign Disease,
Prevention
and Management
During
Gyne-
p. 4.
The author of this paper points out that one would expect a rise in the number of ureteral injuries at the time of surgery to be concomitant with the increased volume of pelvic surgery that is being done today. A brief summary of the American literature, however, shows no such trend. In the first half of the article there is an anatomical description of the pelvic ureter and its relationship to the pelvic peritoneum. .The usual type of displacement of the ureter in the presence of various pathological processes is described.
684 usual cited.
SELECTED The second part types of injury.
of
the paper The authors’
ABSTRACTS
is given to the own statistics
Am. J. Obst. & Gynec. September, I95 5 recognition and management in over 6,000 gynecologic
of thy, cases are
Vol. 4, No. 5, November, 1954. MacMahon, Brian, Hertig, Arthur, and Ingalls, Theodore: Association Between Maternal Age and Pathologic Diagnosis in Abortion, p. 477. Zondek, Bernhard, and Cooper, Eenneth: Cervical Mucus in Pregnancy: Inability of Estrogen to Produce Arborization in Pregnancy and Its Clinical Significance. p. 484. Reeves, Clyde P., and Savarese, M. F. R.: Simultaneous Intraand Extrauterine Pregnancies: Report of a Case, p. 492. Hofmann, J. W., and Atlas, J.: Cesarean Sections at Indianapolis General Hospital, p. 496. Scott, Roger B., and Te Linde, Richard W.: Clinical External Endometriosis: Probable Viability of Menstrually Shed Fragments of Endometrium, p. 502. Flanagan, James F., and Walsh, Charles R.: Cervical Pregnancy: Report of a Case, p. 511. Cochran, Robert B.: Interstitial Pregnancy: Report of a Case, p. 511. Vaginal Reconstruction, p. 517. Riva, Humbert L., and Harding, Robert L.: Arje, Sidney L., and Bachman, Kenneth B.: Disseminated Lupus Erythematosus and Pregnancy: Report of a Case, p. ,524. Foraker, Alvan G., Denham, Sam Wesley, and Mitchell, Dorothy D.: Dehydrogenase Activity: III. In the Rabbit Placenta, p. 527. Marbach, A. Herbert, and Schinf$d, Louis H.: High-Frequency Electrosurgical Vulvectomy: A New Technic, p. 536. Godsick, William H., and Baydoun, Adnan B.: Adrenal Tumors of the Ovary of a Case, p. 542. (Masculinovoblastoma) : Report Roberts, Chester L.: Intravenous Caffeine in Prevention of Neonatal Asphyxia and Narcosis, p. 545. Mixed Mesodermal Tumors of the Uterus, Laufe, Leonard E., and Meyers, Louis L.: p. 548. Staples, Pelham P., Jr., and Riva, Humbert I,.: Maternal Osteogenesis Imperfecta: Report of Two Cases in Sisters, p. 557. Prevention of Urologic Complications Rosenfeld, Samuel S., and Bergman, Harry: From Injuries in Gyneeologic Surgery, p. 562. Burgess, Gordon F., and Shutter, Harold W.: Malignancy Originating in Ovarian Dermoids: Report of Three Cases, p. 567. Lang, Warren R., Scheffey, Lewis C., and Fare& David M.: Delay Period in DiagnoObservations From Collected sis of Carcinoma in Situ of the Uterine Cervix: Data of the Philadelphia Committee for the Study of Pelvic Cancer, p. 572. Journey, R. Wallace, Gold, Herman, Wyman, Newton A., and Campbell, William N.: Unusual Complications of Cervical Cancer: Uremia and Alkalosis Due to Gastric Metastasis; Report of a Case, p. 575. Abortion, p. 578. Stephenson, Henry A. : Therapeutic Raftery, A., and Payne, W. S.: Condyloma Acuminata of the Cervix, p. 581.
British
Medical
Journal
Vol. 8, July 10, 1954. *Parker, Lesser,
Risk From Aspiration of Vomit R. B.: Cardiac Arrest M., and Eason, G. A.: Of Labour With Pitocin Drip, p. 79.
During Under
Obstetrical Anaesthesia
Anaesthesia, p. 65. During Induction
SELECTED
3
683
ABSTRACTS
So far as the neonatal deaths are concerned, 70 of 133 these figures are of little value. Infections (15.8 per cent) and congenital instances were reported as due to prematurity. malformations (8.3 per cent) were the other two prevalent causes of death. Relating stillbirths to the indications for the cesarean section, the authors found three important groups where improvement in mortality might be possible: (a) There were 6 stillbirths due to hydrocephalus, which should have been diagnosed before operation. (b) Twelve A suspicion of the of the 15 instances of placenta previa were in “unbooked” patients. (c) In disordered uterine actions the condition would have obviated unfortunate delay. labor was prolonged to more than 60 hours, and 4 of the 6 stillbirths occurred in multiple pregnancy. Concerning the relation of indications for operation and neonatal deaths, severe toxemia and placenta previa are associated with the largest number of deaths (39 All the other causes are of less imper cent and 19 per cent of the total, respectively). Recent conservative policy in dealing portance because of the small numbers involved. with placenta previa advocated by Maeafee has led to a lessened incidence of prematurity and lessened neonatal death rate. DAVID M. KYDD, M.D.
Obstetrics Vol.
4, No.
1, July,
and Gynecology
1954.
Reis, Ralph A. : George W. Kosmak, p. 1. *Falk, Henry C., and Bunkin, Irving A.: Urrteral Injuries: Prevention and Management During Gynecologic Surgery for Benign Disease, p. 4. Kramish, David, Auer, Eugene S., and Reckler, Sidney M.: Spontaneous Rupture of the Liver During’ Pregnancy: Review of the Literature With Case Report, p. 21. Ware, H. Hudnall, Jr., and Winston, William 0.: Ectopic Pregnancy, p. 29. Decker, Albert, and Decker, Wayne H. : A Tubal Function Test, p. 35. Gordon, Edgar S., Chart, Jerome J., Hagedorn, Dorothy, and Shipley, Elva G.: Mechanism of Sodium Retention in Preeclamptic Toxemia, p. 39. Maxwell, George A. : Prolapse of Placenta, p. 51. Peripheral Utilization of Glucose in Pregnancy and the Puerperium, Burt, Richard L.: p. 58. Gorthey, R. L., and Krembs, M. A.: Vulvar Condylomata Aeuminata Complicating Labor, p. 67. Schmitz, Herbert E., Geiger, Clyde J., Smith, Charles J., and Blichert, Peter A.: Carcinoma of the Cervix: Failure of Haphazard Treatment, p. 75. Barns, H. H. Fouracre, and Schofield, P. B.: Ovarian Carcinoma, p. 82. Roth, Laurence G.: Early Rupture of the Membranes: Significance, Etiology, and Prognosis, p. 87. Wilson, Leo : Ovarian Dysfunction: A New Concept and Classification, p. 97. Alvarez, H., Caldeyro-Barcia, R., Guevara, A., D’Albenas, S., and RUOCCO, G.: Ergonovine and the Third Stage of Labor, p. 105. Diagnosis of Early Pregnancy by Cervical Mucus Smears, p. 117. Sprague, L. D.: Hanley, Bernard J. : Editorial : Fallacy of External Version, p. 124.
Falk
and Bunkin: Ureteral Injuries: cologic Surgery for Benign Disease,
Prevention
and Management
During
Gyne-
p. 4.
The author of this paper points out that one would expect a rise in the number of ureteral injuries at the time of surgery to be concomitant with the increased volume of pelvic surgery that is being done today. A brief summary of the American literature, however, shows no such trend. In the first half of the article there is an anatomical description of the pelvic ureter and its relationship to the pelvic peritoneum. .The usual type of displacement of the ureter in the presence of various pathological processes is described.
684 usual cited.
SELECTED The second part types of injury.
of
the paper The authors’
ABSTRACTS
is given to the own statistics
Am. J. Obst. & Gynec. September, I95 5 recognition and management in over 6,000 gynecologic
of thy, cases are
Vol. 4, No. 5, November, 1954. MacMahon, Brian, Hertig, Arthur, and Ingalls, Theodore: Association Between Maternal Age and Pathologic Diagnosis in Abortion, p. 477. Zondek, Bernhard, and Cooper, Eenneth: Cervical Mucus in Pregnancy: Inability of Estrogen to Produce Arborization in Pregnancy and Its Clinical Significance. p. 484. Reeves, Clyde P., and Savarese, M. F. R.: Simultaneous Intraand Extrauterine Pregnancies: Report of a Case, p. 492. Hofmann, J. W., and Atlas, J.: Cesarean Sections at Indianapolis General Hospital, p. 496. Scott, Roger B., and Te Linde, Richard W.: Clinical External Endometriosis: Probable Viability of Menstrually Shed Fragments of Endometrium, p. 502. Flanagan, James F., and Walsh, Charles R.: Cervical Pregnancy: Report of a Case, p. 511. Cochran, Robert B.: Interstitial Pregnancy: Report of a Case, p. 511. Vaginal Reconstruction, p. 517. Riva, Humbert L., and Harding, Robert L.: Arje, Sidney L., and Bachman, Kenneth B.: Disseminated Lupus Erythematosus and Pregnancy: Report of a Case, p. ,524. Foraker, Alvan G., Denham, Sam Wesley, and Mitchell, Dorothy D.: Dehydrogenase Activity: III. In the Rabbit Placenta, p. 527. Marbach, A. Herbert, and Schinf$d, Louis H.: High-Frequency Electrosurgical Vulvectomy: A New Technic, p. 536. Godsick, William H., and Baydoun, Adnan B.: Adrenal Tumors of the Ovary of a Case, p. 542. (Masculinovoblastoma) : Report Roberts, Chester L.: Intravenous Caffeine in Prevention of Neonatal Asphyxia and Narcosis, p. 545. Mixed Mesodermal Tumors of the Uterus, Laufe, Leonard E., and Meyers, Louis L.: p. 548. Staples, Pelham P., Jr., and Riva, Humbert I,.: Maternal Osteogenesis Imperfecta: Report of Two Cases in Sisters, p. 557. Prevention of Urologic Complications Rosenfeld, Samuel S., and Bergman, Harry: From Injuries in Gyneeologic Surgery, p. 562. Burgess, Gordon F., and Shutter, Harold W.: Malignancy Originating in Ovarian Dermoids: Report of Three Cases, p. 567. Lang, Warren R., Scheffey, Lewis C., and Fare& David M.: Delay Period in DiagnoObservations From Collected sis of Carcinoma in Situ of the Uterine Cervix: Data of the Philadelphia Committee for the Study of Pelvic Cancer, p. 572. Journey, R. Wallace, Gold, Herman, Wyman, Newton A., and Campbell, William N.: Unusual Complications of Cervical Cancer: Uremia and Alkalosis Due to Gastric Metastasis; Report of a Case, p. 575. Abortion, p. 578. Stephenson, Henry A. : Therapeutic Raftery, A., and Payne, W. S.: Condyloma Acuminata of the Cervix, p. 581.
British
Medical
Journal
Vol. 8, July 10, 1954. *Parker, Lesser,
Risk From Aspiration of Vomit R. B.: Cardiac Arrest M., and Eason, G. A.: Of Labour With Pitocin Drip, p. 79.
During Under
Obstetrical Anaesthesia
Anaesthesia, p. 65. During Induction