Philadelphia,
Gynecologist to St. Joseph's Hospital. Assistant Gynecologist to
Jefferson Hospital, Assistant Professor of Gynecology, Order Thorazine Online Jefferson
Medical College.
PROGRESS IX GYNECOLOGY. /
No division of medical science has made more
rational and definite progress than that of gynecol-
ogy. Nearly all the lesions afifecting the pelvic
organs of women have become so definitely classi-
fied that there is practically universal unanimity as
to the methods Order Thorazine to be instituted in treatment. To-
day indiscriminate sacrifice of reproductive struc-
tures has given place to Thorazine 50 Mg judicious conservatism.
Acute pelvic infection is no longer considered or
treated as a surgical emergency with the accom-
panying high degree of mortality, morbidity and
the useless sacrifice of the most vital organs of a
woman's body. Postabortive and postpuerperal in-
fections are now largely regarded as medical and
not surgical conditions and, therefore, are treated
along conservative medical lines. Premalignant
conditions of the cervix are recognized and their
serious significance is becoming more and more ap-
preciated. These lesions, fortunately, are being
treated less and less by expectant medical measures
and Generic Thorazine prophylactic surgical procedures are being
promptly applied. There is no longer discussion
as to Purchase Thorazine the proper course in Thorazine Online ruptured extrauterine
pregnancy, a topic that prominently held the stage
until a few years ago. The introduction of radium.
BLAND: DISPLACEMEXT OF UTERUS.
703
however, has somewhat Thorazine Iv upset the established views
concerning the treatment of uterine fibroids and
carcinoma, but the majority of investigators are
unanimous in beheving that early surgical inter-
vention is Thorazine 10 Mg still the method of choice. This is as it
should be, because no human mind can fully com-
prehend Thorazine Uses the true cellular nature of a neoplasm in-
volving the organs concealed within the pelvic
cavity.
GENERAL COXSIDERATION OF MALPOSITIOX.
However, in the treatment of malpositions of the
uterus, there is still a divergence Chlorpromazine Thorazine of opinion, but
the majority of authors are advocating and em-
ploying surgical methods. This is due to the fact
that no attempt has been made to draw a sharp
dividing line between what constitutes on the one
hand a Thorazine 100 Mg medical, and on the other a true surgical
displacement. Hence many men apply operative
measures indiscriminately to all. Before institut-
ing any plan, the indications for treatment should
be most thoroughly considered and surgical methods
only should be utilized in those cases associated with
distinct concrete surgical complications, such as
lesions involving the vaginal walls, the cervix, the
uterine body or the structures in intimate pelvic
relation with this organ. Medical and mechanical
means are definitely indicated in the simple, uncom-
plicated malpositions. These methods should be
utilized especially in virgin women, in young mar-
ried women, in freely movable uteri and also in
the prolapsus of elderly women of poor surgical
resistance. Indeed, no simple, uncomplicated mal-
position of the uterus should be regarded Thorazine Bipolar as a sur-
gical lesion and, therefore, Buy Thorazine displacements of this
nature should not be corrected by surgical methods.
A simple displacement is defined as one not asso-
ciated with pathological change in the organ itself
or in the surrounding structures. This definition
seems entirely superfluous, but yet, as previously
remarked, the distinction between this form and the
socalled pathological type is not sharply drawn and
surgical measures are applied to all.
Unquestionably, today, the uterus in simple mal-
position is more sinned against than sinning. This
is especially true Buy Cheap Thorazine in this country, and have we not
swung the surgical pendulum a little too far? Are
not too many patients being operated upon? Are
we not building up a major surgical condition from
a minor medical lesion ? Certainly we have been Thorazine 25 Mg
more assiduously attentive in a surgical way to this
condition than our confreres in Europe. Too fre-
quently, indeed, we utilize surgical intervention
without paying due regard to the causative factors, Purchase Thorazine Online
and I am persuaded that before Thorazine Chlorpromazine deciding on any
method we should weigh more carefully, investigate
more thoroughly, not only the pelvic, but the svs-
temic condition of our patients as well. Surelv
one cannot hope to afford relief by operating upon
patients who are nervously and muscularly wracked.
It is needless to state that a stem pessary Buy Thorazine Online can-
not possibly accomplish good for a patient with Thorazine 200 Mg a
congenitally antiflexed, ill developed uterus, yet this
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