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March 25, 1933

Chirurgie du sympathique pelvien en gynécologie.

JAMA. 1933;100(12):994. doi:10.1001/jama.1933.02740120132041

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Almost the entire book is devoted to a discussion of the indications and technic of surgery of the sympathetic pelvic nerves, particularly resection of the presacral nerve. In the first three chapters the author discusses the history of this type of surgery and the anatomy and physiology of the pelvic sympathetic nervous system. Then follows the section on technic, which includes descriptions and illustrations of intervention on the periarterial plexus, the visceral plexus, the lumbosacral sympathetic chain and the communicating branches. Among the usual indications for this form of therapy the author includes pelvic pain associated with inoperable carcinoma of the cervix, dysmenorrhea, dyspareunia, vaginismus, painful cystitis, functional disturbances of the bladder, persistent leukorrhea, nymphomania, frigidity, pruritus vulvae, amenorrhea and trophic disturbances of the female genitalia. Among the rare indications he includes uterine pains during pregnancy, tuberculous peritonitis and salpingitis, and other ailments. The author maintains that he has obtained

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