Original communicationConservative treatment of pelvic inflammation with the newman thermo-flo
Review articleOpen access
1942/08/01 Full-length article DOI: 10.1016/S0002-9378(42)90595-7
Journal: American Journal of Obstetrics and Gynecology
1.1. The Newman thermo-flo apparatus, in our hands, has proved an effective method for the application of prolonged intravaginal heat. The method utilizes heated air and presents advantages over other devices, because of simplicity of operation, comfort, freedom from potential burns, and because it gives uniformly effective application of pelvic heat.2.2. Two hundred patients with pelvic inflammatory disease were treated with the thermo-flo, of whom 141 (70.5 per cent) showed complete cure or marked improvement; 44 (22 per cent) moderate improvement, while 15 (7.5 per cent) obtained slight or no improvement. (a) Gonococcal infections in 132 cases showed in 94 (71.2 per cent) complete cure or marked improvement; in 28 (21.2 per cent) moderate improvement; and in 10 (7.6 per cent) slight or no improvement. (b) Nonspecific pelvic infection observed in 35 cases produced in 23 (65.7 per cent) complete cure or marked improvement; 8 (22.9 per cent) moderate improvement, and 4 (11.4 per cent) slight or no improvement. (c) Postoperative residual pelvic inflammatory disease seen in 33 cases yielded 24 (72.7 per cent) completely cured or markedly improved; 8 (24.2 per cent) moderately improved; and 1 case (3.1 per cent) slightly or not improved.3.3. Seven patients of the entire series presented additional complaints of sterile periods of two to four years and subsequently conceived after thermo-flo treatments.4.4. Bladder and rectal inflammation associated with pelvic infection is favorably influenced by the use of intravaginal heat.5.5. In cases of gonococcal, nonspecific, and postoperative residual infections of the pelvis, our clinical impression was that a more rapid and complete resolution of pathology and improvement of clinical symptoms takes place, in a shorter period of time, than with previous methods of treatment.6.6. We recommend the use of intravaginal heat therapy (thermo-flo) as a pre- and postoperative measure, in suitable cases.7.7. We wish to emphasize that the treatment of pelvic inflammatory disease by intravaginal heat (thermo-flo) does not replace operative therapy in all instances, particularly when associated pelvic pathology exists. In a large group of society, surgery is more frequently indicated because of economic dependency.
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