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February 16, 1889

LETTER FROM NEW YORK.

JAMA. 1889;XII(7):244-248. doi:10.1001/jama.1889.02400840028011

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Abstract

(FROM OUR REGULAR CORRESPONDENT.)

Laparotomy in Pyosalpinx— The Digestive Ferments.

At the last meeting of the Section on Obstetrics and Gynecology of the Academy of Medicine Dr. H. J. Boldt made a strong plea in favor of Laparotomy in Pyosalpinx, on account of the danger of fatal septic peritonitis resulting from rupture of the distended tube; and, in case of the occurrence of general peritonitis, of opening and thoroughly washing out the abdominal cavity at the earliest possible moment. The subject of his paper was the " Treatment of Suppurative Disease of the Uterine Appendages," and he said that cases of such disease might be roughly divided into three groups: 1, those in which an operation is altogether unjustifiable; 2, those in which it is the wiser course to keep the patient under treatment for a time, in order to observe what benefit may thus be derived, before finally deciding as

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