Re: Rubin's test/uterotubal insufflator

From: eugene jursek (ejursek@neoucom.edu)
Thu Aug 31 20:41:41 2000


Finished my residency in '63 (1963 that is!) We used the Rubin's insufflator as an office tool to check for patent tubes. The gas was in a cartridge that was inserted into the machine. A weighted moveable cylinder was raised to a certain point to prevent the gas from the cartridge exploding the tubes. Our machine had no graph. We had to put a stethoscope on the abdomen to hear the gurgling of the gas through the tubes. A sure success was diaphragmatic pain when the patient sat up. There was always a worry that the gas came from a patency and not a rupture. We the machine for a number of years. Hysterosalpingograms were used only with a negative Rubins. (Remember, this was long before insurance was widespread.) Ciao.

>----- Original Message -----
From: "Jeffrey W. Clemens" <clemens@duq.edu> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@forum.obgyn.net> Sent: Thursday, August 31, 2000 3:48 PM Subject: Rubin's test/uterotubal insufflator

> 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 Has it been replaced by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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