Vol 6, No 6 (1892)
- Year: 1892
- Articles: 25
- URL: https://journals.rcsi.science/jowd/issue/view/2602
- DOI: https://doi.org/10.17816/JOWD66
Full Issue
Articles
TO THE ETHIOLOGY OF UTERINE RUPTURE
Abstract
Uterine rupture is one of the most dangerous birth accidents that an obstetrician can deal with. Despite the successful development of research on uterine ruptures in the last 15 years, we, unfortunately, are not yet in a position to foresee a rupture in every case. Only in cases that correspond to Bandl's theory can we really predict, under certain conditions, a break, although here, too, individual motives play an important role.
TO THE QUESTION ABOUT TAMPONATION OF THE ABDOMINAL CAVITY
Abstract
Professor Mikulicz, in 1886, proposed his own method of tamponation of the abdominal cavity. Among the properties of such a tampon, the main role is undoubtedly played by its draining action, and therefore tamponation should be considered as an improved method of drainage. On this basis, I will briefly trace the issue of drainage development and then move on to tamponation.
TO THE QUESTION ABOUT THE USE OF A PHYSIOLOGICAL SOLUTION OF BOILED SALT IN ACUTE SEVERE ANEMIA FROM POSTNATAL BLEEDING
Abstract
One of the most important questions for any practicing physician is what to do in cases where the body is at risk of fatal bleeding? The importance of this issue is evident, on the one hand, from the fact that it occupied the minds of such researchers as V. Lewins, King, Lower, Graily Hewitt and others in England, - Conheim, Kronecker, I. Sander, Bischoff, Kästner, Ponfick, Panum, Falck, Sahli, Leichtenstern and others in Germany, —Jolyet, Laffont and others in France, - Tarkhanov, Chudnovsky, Buyalsky, Chiriev, Sutugin, Nikolsky, Kolomnin, Ott and many others in Russia.
FISTULA VESICOVAGINALIS SUB PARTU AFTER COMPLICATIONS OF RODOV STONE OF THE BLADDER
Abstract
Bladder stones in women are generally known to be very rare. Dr. Klin at the Moscow City Hospital over a 38-year period of time (from 1822 to 1860) out of 1792 cases of bladder stones counted only 4 in the female sex. Winckel, out of 10,000 women and girls he studied in Berlin, Roshtok and Dresden over a 15-year period (1860-1875), found only one bladder stone in a woman. According to Walter Kowlson, for every 100 cases of stones in men, there are 5 in women, therefore 20 times less often. Even less often, of course, there are cases of complications of pregnancy and childbirth with bladder stones.
PROTOCOL No. 4. Meeting on April 16, 1892
Abstract
Honorary member A.Ya. Krassovskiy, 37 members were present: Batsevich, Bidder, Brandt, Butchik, Vasten, Vertsinskiy, Danilovich, Dobradin, Dobrovolskiy, Zheltukhin, Zabolotskiy, Zamshin, Lichkus, Lopatinskiy, Martsinkevich, Neishtube, Ott, Passover, Petrov, Piotrovich, Polonskiy, Rachinskiy, Ruzi, Savchenko, Sokolovskiy, Stelmakhovich, Stravinskiy, Strogonov, Fisher A.R., Tsekhanovskiy, Chagin, Chernyshev, Shverdlov, Stolts, Schuttenbakh, Eberman, Nikolskiy and 28 guests.
OBSTETRIC GYNECOLOGICAL SOCIETY IN KIEV. Meeting on April 22, 1892
Abstract
Regarding the minutes of the past meeting, A.G. Boryakovskiy made several remarks about the device arranged by Dr. ). Contrary to the statements of the speaker, Boryakovskiy believes that neither his device, nor the devices of the future, the most advanced in their design, are able to give such results that, in terms of the purity of the study, would fully correspond to such a significant level of development of modern bacteriology. In order to penetrate into the uterine cavity without capturing the cervical compartment, it is necessary to either eliminate these compartments, or make them indifferent, or, finally, pass them by.
OBSTETRIC GYNECOLOGICAL SOCIETY IN BERLIN. Meeting on January 8, 1892
Abstract
Mackenrodt presented a case of a bilateral tubal pregnancy, which he operated on with good success in November 1891. A 32-year-old patient, 6 years ago, got married for the first time and in the course of three years of her marriage gave birth 2 times safely and once there was a miscarriage. Since then, she was no longer pregnant. After the death of her first husband, she remained a widow for 2 years, then remarried. In May 1890, the regulations were absent, in June there were irregular bleeding and severe pain on the right side, and the temperature rose to 40 °. The doctor diagnosed a right-sided ectopic pregnancy.
OBSTETRIC GYNECOLOGICAL SOCIETY IN Cologne. Meeting on January 7, 1892
Abstract
Following Eberhart's demonstration of a patient with a vagus liver, Pelzer reported one non-operative case of cervical cancer that had spread to the pelvic tissue and vagina. In view of the previous observations, a small cotton swab soaked in a paste of Acidi arsenicosi cum Saccharo albo 1.0: 10.0 was placed on the ulcerative surface in the vagina. Bleeding and discharge decreased significantly, superficial ulceration disappeared.
Case of ectopic gestation of eleven and half months’ duration
Abstract
Mrs. X., 35 years old, menstruation at 17 years old, married, gave birth twice and the last birth was 12 years old. ago. Menstruated correctly after four weeks. The last regulations were in October 1890; gradually the abdomen increased in volume, fetal movements appeared. After 10 months, after the last menstruation, on August 16, 1891, she felt severe abdominal pain, fetal movements stopped. On September 1st, a watery expiration appeared from the genital canal. The patient asked for medical help and Dr. Gramm, having examined the patient, found: the abdomen is strongly and unevenly stretched; a dense tumor is felt on the right.
A case of tubal pregnancy with rupture of the fetal sac; gluttony; recovery
Abstract
A woman of 25 years old, gave birth 4 times completely safely. In the middle of the 3rd month of the 5th pregnancy, there were severe pains in the right side of the abdomen, loss of strength, severe anemia, pulse almost imperceptible. Ice pack; suppositories from opia. The next morning, the pulse improved.
Uterine fibroids as an obstacle to childbirth
Abstract
With the frequency of uterine myomas, they are rarely obstacles to childbirth, since with large myomas most of the conception does not occur, with small ones, there are usually miscarriages. Low-sitting submucosal and intermuscular myomas create mechanical obstacles for childbirth, higher located ones cause irregularities of attempts, delay in child's place and bleeding, while a small subperitoneal, sitting on a thin leg of myoma, does not represent obstacles for childbirth.
Rupture of the uterus from external violence
Abstract
The author cites two cases that were in his observation. In the first case, it was about a healthy, well-built woman who had been married for 8 years. Her first eight pregnancies ended — 5 miscarriages and 3 — born on time, but still dead. The reason for this, in addition to significant anemia and lethargy of the uterus, the author thought to find syphilis in one of the parents, but the mother and her relatives did not present the slightest signs of syphilis, and the father denied any diseases of the genital organs, except for gonorrhea; however, the permission of the 9th pregnancy with a child with undoubted signs of syphilis proved its existence with the father.
A case of Porro surgery for a narrow osteomalacia pelvis; recovery from osteomalacia
Abstract
Having listed the indications for Porro's operation, noting the important role that osteomalacia plays among these indications and citing Fehling's statistical data in favor of the beneficial effect of Porro's operation on the cure of osteomalacia, the author cites a case of pregnancy in a VIII-giving woman with a pronounced osteomalacia. The process began from the time of the 6th pregnancy, 5 years ago; at the end of the 7th pregnancy (childbirth lasted a long time, but ended by the forces of nature), the patient could no longer walk, and by the end of the 8th pregnancy, the pelvic deformity was so strong that per vias naturales it was impossible to extract even a crushed fetus.
Anatomical changes occurring in puerperal eclampsia
Abstract
In an extensive work devoted to anatomical changes in eclampsia, Bouffe in the first part sets out everything that is available in the literature on this issue. The liver undergoes the greatest and constant changes in eclampsia. The first to pay attention to this was, as you know, A. Pilliet, who partly with Létienne, partly independently posted a detailed description of those pathological and anatomical changes that are found in the liver with eclampsia. These changes in Pilliet go through three stages of their development.
On the origin of cephalhaematomatis externi
Abstract
The reason for the formation of an external blood tumor is mechanical damage to the head during childbirth. These injuries often occur when high forceps are applied, when, after bringing the head into the pelvic cavity, the forceps spoons are moved from the transverse to the oblique size of the pelvis. Under these conditions, the soft parts of the head and pericranium are easily kneaded, and the result is cephalhaematoma. To avoid this, the author does not move the forceps spoons, but, after bringing the head down into the small basin, removes the forceps, and then applies them again in the required oblique size. Difficulty in the introduction of the front spoon is easily eliminated if the spoon is inserted with the handle strongly lowered.
Vicarious menstruation during pregnancy
Abstract
Mary E ..., 21 years old, anemic, suffers from bouts of hysteria. The first blood was at the age of 14, moreover, for several days, before the appearance of regulation, the patient felt severe pain in the lower abdomen, leucorrhoea, coughing fits with expectoration of blood, then a weakly colored bloody leak from the genital canal.
Double uterus case
Abstract
Mrs R., 26 years old, married for 2 years; regulation from 20 years through 4-5 weeks. Kyphosis, she says, is a consequence of childhood abuse. From the time of marriage, the menses became much stronger, as if from a cold, there were pains in the abdomen and sacrum, which ceased after Secale and Hydrassit. Beli. When examined: anemic, short in stature, with a moderately developed muscular system. The sleeve is wide; small, flaccid, malformed pharynx in the fornix; there is no vaginal part; the uterus is palpable unclear, in retroposition and retroversion. In the mirror, in addition to the aforementioned pharynx, there is also another, 2 cm from the first to the right, also without a vaginal part, flaccid and irregular.
Attitude of influenza to diseases of female genital organs
Abstract
The influenza epidemic this year was not as widespread as it was 2 years ago, but for that it was much stronger and was accompanied by more severe complications. This also applies to the complications of her pelvic tissue diseases, as the author had to observe.
Lysol, a new antiseptic
Abstract
Vondergoltz, using lysol since 1890 in obstetric practice and in various operations, considers this remedy to be a very important invention. Lysol has strong antiseptic properties and, due to its non-toxicity, deserves preference over other antiseptic agents.
To the ethiology of fibroids
Abstract
The ethiology of fibroids is still dark. Some consider a predisposition to fibroids congenital (in the sense of Cohneim's theory of the origin of tumors), others, with Virchow at the head, consider the cause of the development of fibroids to be pathological irritation of the uterus. According to the author's theory, the combination of both of these conditions plays a role in the ethiology of fibroids.
On the use of electricity in gynecology
Abstract
The author in 11 cases of uterine myomas had the opportunity to apply the Apostoli method. In 8 cases, this method of treatment was used for long-lasting bleeding, and one patient underwent castration in 1887, in 3 cases, for severe pain and symptomatic complaints.