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October 8, 1927

INDICATIONS FOR SURGICAL INTERVENTION IN PELVIC LESIONS OF INFECTIOUS ORIGIN: BASED ON SEVENTEEN YEARS OF LABORATORY AND CLINICAL STUDY

JAMA. 1927;89(15):1191-1194. doi:10.1001/jama.1927.02690150001001
Abstract

A correlated laboratory and clinical study of pelvic infections has now been continuously pursued for many years. With this work as a basis, I present certain problems of surgical interest in the management of patients with inflammatory lesions of the pelvic viscera.

SPECIAL FEATURES OF VAGINAL DISCHARGES  A study of the bacteriology of chronic leukorrhea, first reported in 1914, revealed that the chief sources of infectious vaginal discharges are Skene's ducts and the uterine cervix. Other external genitalia rarely play a notable part in the etiology. The discovery of the chief foci responsible for leukorrhea turned physicians away from intra-uterine therapy and helped to establish the modern belief that endocervicitis is the essential lesion in these cases. We still fail to relieve a relatively large proportion of patients with chronic leukorrhea. In our enthusiasm over treatment of the cervix there is a tendency to neglect a second important source of

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