P. B. P.
JAMA. 1889;XII(7):244-248. doi:10.1001/jama.1889.02400840028011.
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Laparotomy in Pyosalpinx— The Digestive Ferments.

At the last meeting of the Section on Obstetrics and Gynecology of the Academy of Medicine Dr. H. J. Boldt made a strong plea in favor of Laparotomy in Pyosalpinx, on account of the danger of fatal septic peritonitis resulting from rupture of the distended tube; and, in case of the occurrence of general peritonitis, of opening and thoroughly washing out the abdominal cavity at the earliest possible moment. The subject of his paper was the " Treatment of Suppurative Disease of the Uterine Appendages," and he said that cases of such disease might be roughly divided into three groups: 1, those in which an operation is altogether unjustifiable; 2, those in which it is the wiser course to keep the patient under treatment for a time, in order to observe what benefit may thus be derived, before finally deciding as


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