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November 24, 1945


JAMA. 1945;129(13):905. doi:10.1001/jama.1945.02860470065026

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To the Editor:—  Dr. Breyfogle's report of a death from air embolism following insufflation during pregnancy (The Journal, September 29, p. 342) interested me deeply. Contrary to Dr. Breyfogle's mention of the first reference in medical literature to insufflation into the vagina in 1936, I have to say that the dry treatment of discharge of different kinds by insufflation was used in Europe much earlier. I myself published about a hundred cases dealing with this in December 1912 in the Therapie der Gegenwart, stimulated by the publication of Nassauer and Abraham some years prior. Fortunately we had not had any deaths by insufflation because we did not use this method in pregnancy, as far as I recall.While the aforementioned authors used the Nassauer insufflator, I preferred not to do this. I noticed in beginning of my dry treatments the defects and insufficiencies of this instrument, which are (1) frequent

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