THE TEXAS MEDICAL JOURNAL. VOLUME XXIII. 15446 FROM JULY, 1907, TO JUNE, 1908. INDEPENDENT IN ALL THINGS; NEUTRAL IN AUSTIN, TEXAS: VON BOECKMANN-JONES CO., PRINTERS, 1908. Our Greatest (and Most Neglected) National Asset.. ..365 Partial Thyroidectomy in the Treatment of Exophthalmic Goitre. By Aime Paul Heineck, Chicago. Politics and the State Medical Association.. President's Address, Central Texas District Medical Society, .223 ....173 Recumbency in the Treatment of Infantile Paralysis. By Ado- niram B. Judson, M. D., New York, N. Y.. Rockefeller, the Philanthropist.... ..269 Some Practical Hints on Prostatectomy. By G. Frank Lydston, ..409 Social Hysteria. By G. Frank Lydston, M. D... .437 The Moloch of Civilized Man. 63 The Moralities of Medicine. By Charles M. Rosser, M. D., .165 The Texas Health Officers' Association. Secretary's Report...485 1 Treatment of Infected Wounds. By Emory Lanphear, M. D., 43 Tuberculosis Problem in Texas. 15 Urinary Ailments: Therapeutics. By W. C. Abbott, M. D., .176 Yellow Fever Again in Cuba. By A. M. Fernandez De Ybarra, .123 ་་ X-Ray as an Aid in the Early Diagnosis of Pulmonary Tuber- LIBE THE TEXAS MEDICAL JOURNAL. Established July, 1885. F. E. DANIEL, M. D., Editor, Publisher and Proprietor. PUBLISHED MONTHLY.-SUBSCRIPTION $1.00 A YEAR. VOL. XXIII. AUSTIN, JULY, 1907. No. 1. The publisher is not responsible for the views of contributors. For Texas Medical Journal. The Treatment of Extra-Uterine Pregnancy. BY AIME PAUL HEINECK, CHICAGO, ILL., Surgeon to the Samaritan and Cook County Hospital; Professor of Surgery, Dearborn Medical College; Adjunct Professor of Surgery, College of Physicians and Surgeons, University of Illinois. Extra-uterine pregnancy is of far more frequent occurrence than the current literature of the subject would indicate. The diagnosis of this condition is often a matter of great difficulty. Hence, the failure to recognize, or rather to diagnose this condition, is largely responsible for the morbidity and the mortality which so frequently accompanies extra-uterine gestation. A knowledge of the possible termination is essential before there can be a rational discussion of the methods of treatment: 1. Gestation may go to term and a viable child be delivered through channels created by the surgeon. This mode of termination is exceptional. Even when it does occur the child may live but a few days. It is frequently the subject of malformations. These malformations are due to the unnatural conditions of existence under which the extra-uterine child develops. The operation necessary for their delivery may determine the death of the mother or child, and frequently of both. Both the ovarian and tubal varieties of pregnancy may be terminated by the surgical delivery of a viable child. In the absence of surgical intervention, an extra-uterine pregnancy always terminates fatally for the child, and very frequently so for the mother. 2. Gestation may go to term, at which time the fetus may die and remain undelivered, persisting in the maternal organism as a cyst, a fetal cyst. 3. The fetus may die at any time previous to term or at term. |