TREATMENT OF MENORRHALGIA OF PELVIC ORIGIN BY ELECTRICITY.
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Abstract
ritation of the nerves, but afterward menstruation oc- curs without pain."I have heard gynecologists declare that they never make use of tents, that such methods are antiquated; but in this class of cases the laminaria tent unfolds a power that can be equaled by no other known plan of treatment.In cases complicated by chronic en- dometritis and in those in which a myoma is situated in the uterine wall I make use by preference of the dilator of Pryor, which possesses many advantages over the ordinary dilators, for the purpose of thorough dila- tation.The uterus is then curetted with the Sims sharp curette and tightly packed with strips of iodoform gauze.In this way the dysmenorrhea is cured with the endometritis.For the membranous form I use the same method of treatment with decided benefit.Fritsch recommends the prolonged use of uterine irrigations of lysol, 1 to 100, after thorough dilatation, and this method is well worthy of adoption.Finally, it should be mentioned that oophorectomy has been recommended as a last re- sort in cases of persistent and obstinate dysmenorrhea.Against this practice I must make my decided protest; in the first place we have no certain guarantee that the patient's condition will be better after the operation than before, and secondly with the less radical means at our command I am absolutely sure that we can attain the desired goal by persistence, patience, and wise dis- crimination.
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