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June 22, 1940


JAMA. 1940;114(25):2449-2450. doi:10.1001/jama.1940.62810250001006

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For some time I have used a method of applying heat in the treatment of such conditions as chronic pelvic infections and salpingitis which has proved most satisfactory. Probably some one can get a suggestion from the description of my method and render the hot douche more popular.

For a disease which requires months of daily treatments, office instruments for applying dry heat in the vagina are barely practicable for the wealthy and not practicable for the nullipara, and the cost renders these treatments prohibitive for the poor. Furthermore, the hot douche, although inexpensive, is probably a better method of conveying heat to the pelvic organs.

Maintaining the necessary uniform high temperature of the douche for from thirty to forty-five minutes I found impracticable, almost impossible, until I thought of controlling the flow with a Hoffman clamp. Now I use boiling water in the fountain syringe bag and close the

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