1921 Journal of the American Medical Association (JAMA)  
secondary septicemia or secondary pyemia. When, on the one hand, signs of grave infection, with tendency to pyemia, repeated chills, etc., exist, and, on the other hand, the uterus, still enlarged, presents, upon examination of the lochia col¬ lected directly from its cavity, colonies of streptococci, it would seem that the best thing to do is to intervene without delay, by means of either vaginal hysterectomy or abdominal hysterectomy. The latter route will be chosen in cases in which there is
more » ... s in which there is a phlebitis of the veins supplying the uterus and ovaries; in cases in which the infection has spread beyond the pelvis toward the abdominal peritoneum, and when signs of peritoneal reaction appear in addition to signs of general infection. Dr. Anderodias, associate professor of the School of Medi¬ cine of Bordeaux, spoke of the analogy that exists between a war wound and a uterine lesion, and endorsed the use of Carrel's method of intermittent irrigation by means of a rubber urethral sound. Of 152 infected women who were thus treated, 133 were cured in from two to eight days. Dr. Bourcart of Geneva said that in the case of failure or
doi:10.1001/jama.1921.02630460053024 fatcat:nmthdrndijg2nmbvpqirolmswu