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Urological diseases of pregnancy
16‘2 tions, t,ween
AMERICAN
JOURNAL
OP
as heretofore, are excellent. a testbook and a compwd.
The
OBSTE’I’RICS
book
may
AND
GYKECOLOGY
1~ I~laxsified
as intermediate
hc-
X. ‘T. E'lT.Wli.
Obstetrics This
T‘. Ricci principle
monoffr;tpll,
Principles
of Extraperitoneal
Caesarean Sectiona by 1)~. .~:3~~~~~
and Dr. James P. Marr, has been written to itdmnce the extraperitoneal the Physick-Selhrim pror.edure. of cesxrean sec+on. p:trticularlg,
The authors feel that this t,ype of the mismanaged parturient and should Diihrsaen ‘s incisions and those types accompanied by trauma am1 its end German obstetricians who brought to surgical obstetrics.
ollerstion gives the maximum 05 safety to supplant the l’orro se&ion, nraniotom~v, atut of instrument:tI vaginal delivery whic.1~ :(w Thy Amy special t rihute lo thwc% results. fruition tllcl suprasymphysial technique in
The original suggestion of such :I motle of approach was originally suggestwl on the obstrwted by Physick. In the intervening years many method, Y of attack and potentially or actual infected parturitnt had been proposed. Sclheim’s efforts are high in the dt~vclopmmt of the t,rulv cstraprritonexl approach to t,lw uterus. The senior author of this monograph has uxr,l~ an imlmrtant contribution in his pro posed technique. For a rlea1 The historical and carlictr type, 4 of operation llare been discuswl. understanding of the anatomic relationships involrcd in this particular operation. there are two chapters which are devoted to the relationships of the isthmus and the lower segment and the transversalis fwxin. and it3 anatomic details. Methods of delivery in the extraprritonexl cesxre:m section, as well a:: wounds infectc(l and methods of drainage, are drwribed. There is a review of the various techniques of extrapcritoneal approaches ~r~m~ln~ling with the very recently suggested tec>hniyues of bot,h Waters and Kcci, the senior author. The operations proposed hp the latter txvvo arc thoroughly illustr:tt,ed. These illustrations together with the diagrammatic. representations o-f the pelvic, fascial, and peritoneal relnt,ionships found in the s&ion on anatomy, should enable :tnyoncA familiar with pclvir surgery to follow successfully the technical steps proposed. The essent,ial factors in the execution of the Physick-Selheim rstrapt~ritoneai caesarean section are again given with marked detail in a complete description of a typical operation. The performance of the operation in patients who haw hat1 prrvious pelvic or cesnrenn operations is discussed with regarcl to the difficulties which might be produced hy nclheaions. The closing chspt c’r deals with ccmplications mhiclt may he met during the operation or postoperatively. The appendix presents some statistics and a large l~ibliographp.
This timely brings together nancy, and the
contribution, Urological Diseases of Pregnancy* by Dr. C’rabtrw. his own experience, the man,v puhlicntions on the urology of pregpr~artical interpretation of both. frr. C‘rahttx~(~ refers quite fittingly
ROOK
REVIEWS
163
to the dual origin of t!lis subject, and discusses from the standpoint of obstetri(,s the changes taking place during pregnancy which have an influence on the urologic* system. The reversal of this then brings out tile anatomy nnrl pll)siologp of tlw urinary tract in relation to pregnancy. In the consideration of the inter~lepeudcllco of the cotlditioll, prcgna~~c’y xud an11 physiology, one finds a wellof the urologic system iu rc>lation their anatomy developed explanation for the factors, endocrine anrl others, which lead to functional changes and infections of the urinary tract in pregnancy. The remainder of Part I gives a comprehensive discussion of such infections and their treatment. Thirteen pages are devoted to a consideration of the use of the sulfonamide drugs in the The literature has been extensively infection of the urinary tract during pregnancy. covered and the text, on this subject leaves prartically no angle of the use of these rlrugs untou(,hed. The surgical t,reatment of the urinary tract infectit us is described in detail. The research worker in this field will find much of interest in the two chapters on Jipregnancy in animals in relation to the urinary tract” and ’ ‘ pyelnnephritis in animals. ’’ which is a signed c*liapter Part 11 of the book discusses toxemia of pregnancy, by Dr. George (1. Prather. In this chapter the relationrhip of the various urologic lesions to the symptom complex, toxemia of pregnancy, is t!roroughly diacus>ed. Prather feels that pyelography has not yet as;-umed its proper place in the differrntial diagnosis of the toxemias. He drvelops his discussion on thr classification proposed by the American Committee on Maternal IVelfarr, which he states has fjeen a(+Among the other topics in cepted by the Washington Conference on Tosemias. Part II are found a consideration of tuberculosis, the tumors and congenital conditions of the kidneys as well as injuries, technique of laboratory tests and use and their evaluation. There is a very clear statement as to renal contraindications to pregnancy. The book is beautifully illustrated. There are many retouched roentgenograms, urograms, and photomicrographs. The bibliography appended to each chapter has been combined at the end of the book and covers the important contributions of many years. There are 73 pages of references in the bibliography. It seems surprising that this book has not appeared long since. It has remained for the author to fill this want in a book which will be constantly referred to by all urologists, obstetricians, laboratory workers, and surgeons. P~III,W F. n’~~r>~anrs.
Contraception and Fertility5 was written under the auspices of the National Committee on Maternal Health. It is a study based on empirical observations Its object was to of thirteen hundred families in Logan County, West Virginia. determine “what is the likelihood that rural women of high fertility can be encouraged to practice birth control?” The site of the study was a community which represents frontier, agriculture, and coal industry, consisting of isolated coal camp communities under the control of operators. i i Conditions in these coal camps have helped to perpetuate the isolation, the ignorance, and the inflexibility of the mountaineer. ’ ’ In such environments, it is not surprising that there are few hospital beds and primitive conditions. The contraceptive used was of the simplest, namely vaginal jelly with an applicator. This study is not a final one nor are the results obtained to be considered final. The project appears to be invaluable and worth while. R. T. FRANK. SContraoeption and Fertility in the Southern Appalachians. Ey Gilbert Wheeler Beebe, Ph.D., Former Statistician, National Committee on Maternal Health : Research Assocmte, Milbank Memorial Fund. 274 pages. Medical Aspects of Human Fertility Series Issued by the National Committee on Maternal Health. Published for the National Committee on Maternal Health, Inc., by The Williams & Wilkins Company, Baltimore, 1942.
AMERICAN
JOURNAL
OP
as heretofore, are excellent. a testbook and a compwd.
The
OBSTE’I’RICS
book
may
AND
GYKECOLOGY
1~ I~laxsified
as intermediate
hc-
X. ‘T. E'lT.Wli.
Obstetrics This
T‘. Ricci principle
monoffr;tpll,
Principles
of Extraperitoneal
Caesarean Sectiona by 1)~. .~:3~~~~~
and Dr. James P. Marr, has been written to itdmnce the extraperitoneal the Physick-Selhrim pror.edure. of cesxrean sec+on. p:trticularlg,
The authors feel that this t,ype of the mismanaged parturient and should Diihrsaen ‘s incisions and those types accompanied by trauma am1 its end German obstetricians who brought to surgical obstetrics.
ollerstion gives the maximum 05 safety to supplant the l’orro se&ion, nraniotom~v, atut of instrument:tI vaginal delivery whic.1~ :(w Thy Amy special t rihute lo thwc% results. fruition tllcl suprasymphysial technique in
The original suggestion of such :I motle of approach was originally suggestwl on the obstrwted by Physick. In the intervening years many method, Y of attack and potentially or actual infected parturitnt had been proposed. Sclheim’s efforts are high in the dt~vclopmmt of the t,rulv cstraprritonexl approach to t,lw uterus. The senior author of this monograph has uxr,l~ an imlmrtant contribution in his pro posed technique. For a rlea1 The historical and carlictr type, 4 of operation llare been discuswl. understanding of the anatomic relationships involrcd in this particular operation. there are two chapters which are devoted to the relationships of the isthmus and the lower segment and the transversalis fwxin. and it3 anatomic details. Methods of delivery in the extraprritonexl cesxre:m section, as well a:: wounds infectc(l and methods of drainage, are drwribed. There is a review of the various techniques of extrapcritoneal approaches ~r~m~ln~ling with the very recently suggested tec>hniyues of bot,h Waters and Kcci, the senior author. The operations proposed hp the latter txvvo arc thoroughly illustr:tt,ed. These illustrations together with the diagrammatic. representations o-f the pelvic, fascial, and peritoneal relnt,ionships found in the s&ion on anatomy, should enable :tnyoncA familiar with pclvir surgery to follow successfully the technical steps proposed. The essent,ial factors in the execution of the Physick-Selheim rstrapt~ritoneai caesarean section are again given with marked detail in a complete description of a typical operation. The performance of the operation in patients who haw hat1 prrvious pelvic or cesnrenn operations is discussed with regarcl to the difficulties which might be produced hy nclheaions. The closing chspt c’r deals with ccmplications mhiclt may he met during the operation or postoperatively. The appendix presents some statistics and a large l~ibliographp.
This timely brings together nancy, and the
contribution, Urological Diseases of Pregnancy* by Dr. C’rabtrw. his own experience, the man,v puhlicntions on the urology of pregpr~artical interpretation of both. frr. C‘rahttx~(~ refers quite fittingly
ROOK
REVIEWS
163
to the dual origin of t!lis subject, and discusses from the standpoint of obstetri(,s the changes taking place during pregnancy which have an influence on the urologic* system. The reversal of this then brings out tile anatomy nnrl pll)siologp of tlw urinary tract in relation to pregnancy. In the consideration of the inter~lepeudcllco of the cotlditioll, prcgna~~c’y xud an11 physiology, one finds a wellof the urologic system iu rc>lation their anatomy developed explanation for the factors, endocrine anrl others, which lead to functional changes and infections of the urinary tract in pregnancy. The remainder of Part I gives a comprehensive discussion of such infections and their treatment. Thirteen pages are devoted to a consideration of the use of the sulfonamide drugs in the The literature has been extensively infection of the urinary tract during pregnancy. covered and the text, on this subject leaves prartically no angle of the use of these rlrugs untou(,hed. The surgical t,reatment of the urinary tract infectit us is described in detail. The research worker in this field will find much of interest in the two chapters on Jipregnancy in animals in relation to the urinary tract” and ’ ‘ pyelnnephritis in animals. ’’ which is a signed c*liapter Part 11 of the book discusses toxemia of pregnancy, by Dr. George (1. Prather. In this chapter the relationrhip of the various urologic lesions to the symptom complex, toxemia of pregnancy, is t!roroughly diacus>ed. Prather feels that pyelography has not yet as;-umed its proper place in the differrntial diagnosis of the toxemias. He drvelops his discussion on thr classification proposed by the American Committee on Maternal IVelfarr, which he states has fjeen a(+Among the other topics in cepted by the Washington Conference on Tosemias. Part II are found a consideration of tuberculosis, the tumors and congenital conditions of the kidneys as well as injuries, technique of laboratory tests and use and their evaluation. There is a very clear statement as to renal contraindications to pregnancy. The book is beautifully illustrated. There are many retouched roentgenograms, urograms, and photomicrographs. The bibliography appended to each chapter has been combined at the end of the book and covers the important contributions of many years. There are 73 pages of references in the bibliography. It seems surprising that this book has not appeared long since. It has remained for the author to fill this want in a book which will be constantly referred to by all urologists, obstetricians, laboratory workers, and surgeons. P~III,W F. n’~~r>~anrs.
Contraception and Fertility5 was written under the auspices of the National Committee on Maternal Health. It is a study based on empirical observations Its object was to of thirteen hundred families in Logan County, West Virginia. determine “what is the likelihood that rural women of high fertility can be encouraged to practice birth control?” The site of the study was a community which represents frontier, agriculture, and coal industry, consisting of isolated coal camp communities under the control of operators. i i Conditions in these coal camps have helped to perpetuate the isolation, the ignorance, and the inflexibility of the mountaineer. ’ ’ In such environments, it is not surprising that there are few hospital beds and primitive conditions. The contraceptive used was of the simplest, namely vaginal jelly with an applicator. This study is not a final one nor are the results obtained to be considered final. The project appears to be invaluable and worth while. R. T. FRANK. SContraoeption and Fertility in the Southern Appalachians. Ey Gilbert Wheeler Beebe, Ph.D., Former Statistician, National Committee on Maternal Health : Research Assocmte, Milbank Memorial Fund. 274 pages. Medical Aspects of Human Fertility Series Issued by the National Committee on Maternal Health. Published for the National Committee on Maternal Health, Inc., by The Williams & Wilkins Company, Baltimore, 1942.