Re: Rubin's test/uterotubal insufflator

From: Gibbons, John (JGibbons@stfranciscare.org)
Thu Aug 31 15:18:09 2000


When I was a resident, one of my professors showed me his Rubin Insufflator and demonstrated its use. As I remember, a CO2 cartridge was employed (probably a late model Rubin). The operator released the gas into the uterus and oviducts observing the steady rise of pressure on the manometer. If the oviducts were "open", the pressure suddenly dropped as the gas flowed into the peritoneal cavity...if not, the pressure was allowed to rise to a certain point hoping to "blow the tubes open." I never used the equipment and haven't thought about it for years. Thanks for the memories.

John Gibbons ---------------------------------------------------------- Jeff Clemens wrote: ----------------------------------------------------------

---------------------------------------------------------- > Dear Listers,
>
> I have a second edition of Lisser and Escamilla's "Atlas of Clinical
> Endocrinology", CV Mosby Co. 1962 (meaning the book is older than me!).
> In
> the chapter of female infertility, a portable uterotubal insufflation
> apparatus for the RUBIN TEST is shown along with three panels of kymograph
> tracings. The reference given is to a company publication (Grafax
> Instruments, 1955). The caption briefly describes using 1 effervescent
> tablet and 4 ml water to create pressures of up to 200 mm Hg.
>
> Anyone out there ever used this apparatus? Has it been replaced by
> contrast and dye-based hysterosalpingograms?
>
> Jeff
> --
> Jeffrey W. Clemens, Ph.D.
> Assistant Professor, Biological Sciences
> Duquesne University
> Pittsburgh, PA 15282
> 412-396-4597
> fax-5907
> http://www.home.cc.duq.edu/~clemens/
>





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