The Diagnostic Value of Hysterography: (Section of Obstetrics and Gynæcology).
Object of paper.-Clarification of position concerning clinical value of procedure. Conflicting views. Review of routine examination of all cases investigated during the past two years.Historical.-Suggested by Cary (1914) and Rubin (1915), made practicable by the invention of lipiodol-applied Heuser (1924).Technique.-Instruments employed, anaesthesia, X-ray figures, screening.Material.-Uterine fibroids and carcinomas, extra-uterine tumours and cysts, placental remains and polypi, moles, &c. Correlation with operative results.Physiology.-Normal shapes, sizes, and positions. Pseudo filling-defects and malformations.Pathology.-Appearances in various conditions. Correlation with specimens and radiography of same. Fallacies and contradictions.Conclusions.-Method of value in diagnosis of placental remains may avoid diagnostic curettage in carcinoma of body; by localization of fibromata may allow of prediction of myomectomy, &c. But fallacies numerous and much more experience required to make diagnosis so accurate as to be of much real routine value.
Davis
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