Vol 9, No 6 (1895)
- Year: 1895
- Articles: 17
- URL: https://journals.rcsi.science/jowd/issue/view/2692
- DOI: https://doi.org/10.17816/JOWD96
Full Issue
Articles
Clinical materials for the doctrine of tubal pregnancy
Abstract
Ectopic pregnancy, in which the fetus reaches full development, as with the correct urgent pregnancy, is a relatively rare phenomenon; more often it is encountered that the fetus dies after reaching only more or less significant development; The greatest percentage of non-self-conception falls on those cases when the embryo dies in the very beginning of its life. This form of disease by extrauterine pregnancy, that is, when the egg ceases to exist in the early periods and, therefore, when there is a regressive process, so to speak, an extrauterine incomplete miscarriage, is at the same time the greatest difficulty in the diagnostic relationship. The latter, perhaps, was the reason that in the past this kind of painful process was diagnosed less often than in the present, and comparatively only very recently it attracted due attention of gynecologists and underwent scientific development.
To the casuistry of childbirth with fused twins
Abstract
On April 13, 1895, at 5 o'clock in the morning, a peasant woman, 23 years old, was admitted to the clinic with labor pains. When asked, it turned out that labor began at 2 am on April 13, that she was pregnant in the 4th section; the previous labor was completely normal; the last regulation was at the end of July. The study produced the following: The pelvis is almost normal: dis. sp. 24.5, dis. cr. 27, intertr. 31, conj. ext. 19. The uterus is ovoid. The heartbeat of the fetus is heard on the right below the navel, 132 beats per minute. Full throat opening. The bubble is intact. Head to be presented. The arrow-shaped suture in the right oblique size of the pelvis; a small fontanel is felt to the right posteriorly. The second position was established, the rear view. As soon as the women in labor had time to take a bath, the waters passed. The head, which was still in the entrance of the pelvis, began to descend little by little into the cavity. At 8 a.m. 40 m, that is, after 3 hours with more than a rupture of the bladder, the head began to press on the perineum, which lasted more than half an hour, and finally at 9 o'clock. 15 minutes. the head has erupted. The born head, having made a slight movement first to the left and then to the right, turned its face towards the symphysis. At this moment, the forward movement of the fetus stopped.
To bacteriology of the female genital canal
Abstract
Recently, the question of finding microbes in various parts of a woman's genital canal again takes the attention of researchers. I will point out, for example, the work of Krönig, Menge, Walthard, and Winter, so much earlier in this area. This question is really extremely important and is of great importance not only in practical, but also in biological relations. Since my work on this subject, published only in Russian in 1893, is cited by Walthard and Winter) and, unfortunately, the last time not quite exactly, then may I be allowed here to pay attention to these inaccuracies, and the main thing is to point out the difference in the methods of research, due to which various conclusions were obtained by the indicated authors and me.
To the doctrine of the size and shape of the pelvis of an adult woman. - The pelvis of a Polish woman. Preliminary announcement
Abstract
Three and half a century separate us from the moment in which the work of the famous anatomist Vesalius 1) shed a ray of light into the dark area of the study of his predecessors about the normal basin. The ancient scholarship about the pelvis, based on the belief that the pelvis is a narrow channel, with the walls moving apart during childbirth, should have fallen before the anatomical description of the pelvis by Vesal, despite the fact that the defenders of this scholarship were Ambroise Paré 2) and, in , Severinus Pinacus 3).
Dr. Paul Swain. - The Treatment of uterine Fibroids by abdominal section. (British Medical Journal., 21 / VII, 1894, p. 116), Treatment of uterine fibroids by gastrointestinal surgery
Abstract
There was a time when women with uterine fibroids were left without surgical assistance. Experienced doctors certify that many women who suffered from uterine fibroids recovered without surgery. Subperitoneal or interstitial tumors, further huge in size, are often not accompanied by any severe seizures; small tumors often disappear during pregnancy. Submucous tumors burst into polyps or, after a spontaneous rupture of their bursa, are excreted in pieces. With the onset of climacteric age, many of these tumors atrophy.
Dr. Joseph Eve Allen. — The aseptic Dressing of the Umbilical Stump. (Americ. Journ. Of obstetrics, 1894, IV, pp. 457-461). Aseptic cord ligation
Abstract
In protesting against the routine of midwives tying the umbilical cord of newborns, Dr. Allen cites a number of facts that indicate the infection of children by this path; death from tetanus, erysipelas, diphtheria and septicemia he attributes to contamination of the umbilical cord ligation.
Dr. A. H. Buckmaster. — The Vaginal Anus and its Treatment, as illustraded by the Report of a Case and a Suggestion for a Method of Forming an artificial Sphincter. (New-Iork Med. Journ., 1894, 11 / VIII, pp. 168-176). Anus vaginalis and its treatment from one case report and a plan for the formation of an artificial sphincter
Abstract
Dr. A. H. Buckmaster. — The Vaginal Anus and its Treatment, as illustraded by the Report of a Case and a Suggestion for a Method of Forming an artificial Sphincter. (New-Iork Med. Journ., 1894, 11 / VIII, pp. 168-176). Anus vaginalis and its treatment from one case report and a plan for the formation of an artificial sphincter
Dr. Fetherstone. — Rupture of the Uterus, successfully treated by hysterectomy. (Lancet, 3 / II, 1894, p. 307). Uterine rupture successfully cured by uterine rupture
Abstract
Dr. Fetherstone (Victoria in Australia) reported such a case. A 35-year-old woman with many births, pregnant, she suddenly fell ill at night. Fetherstone found her in a state of collapse; the head was probed by a hydrocephalic head, a lot of blood was exuded from the uterus.
Thomas Keith. — On Surpa-pubic fixation of the Uterus in certain cases of retroversion and prolapse. (Lancet, 1894, 22 / IX, p. 679). Suprapubic attachment of the uterus in some cases of inclination and prolapse of the uterus
Abstract
In 45-year-old women,I woman in labor, labor was completed by one young doctor with difficult forceps in 1867. Prof. Keith saw her after 2 weeks. Vagina and rectum represented one cavity; the ruptured bowel extended several inches; the edges of the gap seemed uneven, the suppuration was terrible, some parts of the sleeve were close to necrosis. The doctor, who removed the child with forceps, performed the operation, being sick, why the damage was so extensive. After 6 months, the patient did not recover and the feces were spilled out involuntarily with every movement of the patient.
Dr. Stavely. — Myomectomy during Pregnancy. (British Med. Journ., 14 / VII 1894). Statistics of fibroid cuts in pregnant women
Abstract
Dr. Stavely collected 33 cases of this operation. Mortality - 8 or 24.25% of mothers; from them in 2, in the presence of bleeding, in 1 - from aortic disease, in 1 - from inflammation of the peritoneum; 3 died after an abortion, 1 — from an unexplained cause. Of these operations, 24 were produced from 1884; excluding 9 cases operated before 1884, the mortality rate will drop to 16.66%; and in 17 cases, operated on since 1889, the mortality rate is 11.75%.
Dr. Giles. — Temperatur after Delivery in Relation to the Duration of Labor. (The British Medic. Journ., 14 / vn, 1894, p. 70). Influence of duration of labor on postnatal temperature
Abstract
Dr. Giles measured the temperature in 600 cases of normal births, in order to track the effect of their duration on the temperature of the post-birth period. Giles concludes: 1) The average temperature rise associated with childbirth is negligible: 98.7 ° F. (= circa 37 ° C.). 2) The duration of the 1st period of labor has little effect on the temperature of the postnatal period.
Dr. G. E. Herman, Chairman of the London Midwifery Society — On the change in size of the cervical canal during menstruation. (The British Medic. Journ., 14 / VII, 1894, p. 70). About changes in the canal of the uterine cervix during menstruation
Abstract
Having reminded the members of the London Midwifery society of the existing disagreement regarding the spatial change of the cervical canal during menstruation, which, according to some, shrinks and swells its mucous membrane, and according to others—expands, Herman outlined the results of his research, namely: 1) During menstruation, there is a slight dilation of the canal. 2) the largest amount of expansion is closed on the 3rd or 4th day of regulation. 3) dilation is observed equally in women with abundant or scanty menstruation, with or without pain, and there is no mutual relationship between these phenomena and the degree of dilation.
Dr. Bell. — Retained Menses with Porforation into Bladder. (Brit. Med. Journ., 21 / VII, 94, p. 130). Delayed period with perforation into the bladder
Abstract
Dr. Benjamin Bell described the following rare case of a monthly delay in the accumulation of blood in the bladder. One midwife brought her patient to the hospital, as if she were 6 months pregnant and suffering from severe pain and exhaustion. On examination, the patient's hymen turned out to be very thickened, with a pinpoint opening, from which septic-decomposed fluid oozed, the opening of the urinary canal was very stretched.
Dr. Lloyd G. Smith - On five Cases of hydrocele in the Female. (British medic. Journ., 28 / VIII, 94, pp. 179-180). Five cases of dropsy of the labia majora
Abstract
Hydrocele in large lips in women - very rare disease; it is often confused with a hernia. As is known, the peritoneal process descends along with the round ligaments along the inguinal canal in the third month of the fetal life of the embryo, the canal overgrowth occurs after the birth of the child. The lack of a canal along its entire length leads to a hernia, on the lower branch - hydrocele lab. pudend. major.
Dr. E. V. Cragin.—What are the Indications for a vaginal Examination? (Americ. Journ. of obstetrics etc, 1894, IV, p. 515). What are the indications for checking women through the vagina?
Abstract
The author submitted a report on this to the Cincinnati Medical Society. He examines separately 3 different epochs of a woman's life: 1) the period of virginity, 2) the full development of sexual life, and 3) fading (climacterium). In the 1st, indications for examination are rare. However, the shortcomings of the development of the sexual organs in a girl preparing to marry her husband require the study of such a girl. Dizmenorrhea, which is not inferior to the general treatment or constant pain in the lower abdomen - also give the right to examine the girl. In America, checkup in the 1st is given under anesthesia to avoid pain and mental shock.
Adenot. — Traumatic Paralysis by Compression of the Sacral plexus during Labor. (Americ. Journ. Of Obstetries etc., 1894, I / V, p. 570; Nouv. Arch. D'Obst. Et de Gyn., 1893, XI). Traumatic paralysis due to compression of the sacral nerve plexus during childbirth
Abstract
This form of paralysis occurs even more often with hemiplegia, paraplegia, and personal paralysis due to kidney damage, depending on pregnancy. Some of them deny such an origin of paralysis (Churchill); others, without denying their existence, attribute the paralysis not to the pressure of the head, but to the forceps. The erroneousness of the last opinion is proved by the case of Bianchi, in which a woman in labor complained of an onset of her legs 4 hours before the imposition of forceps. Burns and Jaccoud observed similar paralysis and post-normal childbirth.