Vol 11, No 4 (1897)
- Year: 1897
- Articles: 37
- URL: https://journals.rcsi.science/jowd/issue/view/2993
- DOI: https://doi.org/10.17816/JOWD114
Full Issue
Articles
Surgical treatment of uterine fibroids
Abstract
What method should be used to operate uterine fibroids and what criterion is currently desirable for solving this important practical issue - these are the thoughts that arise involuntarily when reading any new work on this subject and, despite the many significant improvements described in almost every issue of special periodicals, all these questions usually do not receive a definite answer and there is a vast field for all sorts of doubts when trying to resolve them.
Alumnol in gynecology
Abstract
The proposed method for the treatment of diseases of the uterus, its appendages and pelvic peritoneum consists in injecting into the uterus (its cavity) a solution of alumnol'a (alumnol 2.5, iodine tincture and purified alcohol 25.0 each). The idea of such a method of treatment, like very much in modern medicine, is not new, for example, for a very long time, for endometritis, injections into the uterine cavity of iodine tincture, an aqueous solution of zinc chloride, etc. have been used. The use of alumnol for this purpose is of a very recent origin.
On the question of the treatment of uterine blood tumors
Abstract
The abdominal cavity is, in essence, an appendage of the lymphatic system, therefore, it cannot represent a completely foreign container for the blood poured out here. Indeed, the observations of Virchow, Wintrich and others show that whole blood can remain in this cavity for a long time (several days) without undergoing clotting (Pashutin). In view of this fact, it is natural to expect, as is confirmed by experiments, that most of the blood that has entered the abdominal cavity has time to be absorbed before it begins to coagulate. If a part of it, which failed to be absorbed in time, undergoes clotting, then this does not represent any particular disturbances in the overall economy of blood, the blood clot is completely absorbed after preliminary disintegration (fat). In this sense, hemorrhage into the abdominal cavity is not life-threatening, since the blood does not disappear for the body, but soon again, almost entirely, enters the total mass of the blood vessel.
Medical report of the obstetric department of the clinic prof. K.F.Slaviansky for 1393
Abstract
All those who entered in 9 3 were 550; of them were discharged before delivery 7. One was admitted with a dead child — the birth took place at home. Consequently, there were 542 that were disintegrated, which are distributed as follows.
OBSTETRIC GYNECOLOGICAL SOCIETY IN ST.-PETERSBURG (ELEVENTH YEAR)
Abstract
32 members were present: Antipov, Batsevich, Bukhshtab, Visten, Vertsinskiy, Danilovich, Zheltukhin, Zabolotskiy, Zamshin, Kakushkin, Lileyev, Massen, Matseevskiy, Lisevich, Rad, Ott, Piotrovich, R.K. I. , Rachinskiy, Savchenko, Sadovskiy, Salmanov, Stelmakhovich, Stravinskiy, Ulezko-Stroganova, Fisher A.R., Fisher B.A., Frank, Piverdlov, Iputtenbakh and 48 guests.
Sclerosis of the uterine arteries and climacteric bleeding
Abstract
Opinions differ about the pathological causes of menopausal bleeding; there are no exact data in the literature. In most cases, these bleeding is linked to endometrial inflammation. In many cases, such inflammation occurs, in no fewer cases, after curettage of the uterus, a healthy mucous membrane is obtained. With such a negative result, the cause of bleeding is sought in chronic metritis, especially when the uterus is slightly enlarged. For some cases this explanation is true, for others it is not. In the latter category of cases, there is often a disease of the vessels themselves, which prevents them from contracting. Such cases, taken from private practice and the Leopold's Clinic, are being discussed.
Round vaginal ulcer
Abstract
The round ulcer of the vagina, first described by Zahn in 1884, according to the author, is far from being as rare as it was hitherto assumed. It develops mainly in older women, and circulatory disorders due to heart disease and arteriosclerotic changes in the vessels supplying the walls of the vagina play an important etiological role.
Artificial expansion of the narrow pelvis
Abstract
Frank, director of the obstetric institute in Cologne, performed in 1894 on a patient who, due to a narrow pelvis, underwent symphysiotomy and who could hardly walk due to nonunion of the pubic articulation, a secondary operation, and he refreshed the articular surfaces of the joint and inserted a piece of bone taken between them them together with a skin flap from the right horizontal branch of the pubic bone.
On the postpartum fee of the uterus
Abstract
While in the beginning it was assumed that gonococcus are exclusively parasites of the mucous membranes, recently, especially after the work of Wertheim and others, it turned out that they can develop perfectly in connective and even muscle tissue.
Multiple and ectopic pregnancies, as well as anomalies in the development of female genital organs, are considered from the point of view of the doctrine of human origin
Abstract
The teachings of Darwin and Haekel's, gave rise to the author's idea, whether some phenomena in the field of obstetrics, which are considered to be pathological, do not correspond only to a state characteristic of an earlier period of organic evolution.
Towards the anatomy and development of the human placenta
Abstract
Pointing to the scarcity of our information about the very first stages of the development of the placenta, the scarcity depends, on the one hand, on the fact that the studied material, the products of miscarriages, in most cases has a pathological character, on the other hand, on the other a proper assessment of his age is not always possible - and prefaced by a description of seven apparently normal drugs, the author expresses the following view of the development of the placenta.
To the doctrine of the child's place and of the maternal membranes of the fetus
Abstract
The first question discussed by the author concerns the direction of growth of the placenta, especially the placentae cirkumvallatae. The increase in the serotinae area depends mainly on the direction of growth of the villi and on the conditions of their nutrition. As for the direction in which the villi send their processes, theoretically, two possibilities can be assumed.
About giant cells of serotinae and their relation to the rengeneration of epithelial elements at the placenta attachment site
Abstract
Without resolving the dispute about the origin of the elements of syncytium and only casually mentioning that some microscopic pictures make the doctrine of the transformation of the epithelium into multinucleated syncytial masses very plausible, the author, at the instigation of his teacher, Marchand only touches on the question of the further fate of these syncytial giants cells.
Antistreptococcal serum
Abstract
The author reports 3 cases of the use of antistreptococcal serum: in one 3-month-old child who suffered from erysipelas, in a woman with pharyngeal lesions (ang.pseudomembran, streptococci and in a puerperal woman in puerperal infection.
Treatment of 2 cases of cancer with serum. Recovery
Abstract
Last year on the pages of Dtscbe med. Wochenschr. there was a heated debate about the treatment of cancers with erysipelas between professors such as Bruns, Emmerich, Petersen, and others; accidental or artificially grafted erysipelas is known to have beneficial effects on cancer.
A case of putrefaction cured by antistreptococcal serum
Abstract
A woman in labor who contracted a puerperal infection, on the 5th day after giving birth, received subcutaneous (sub cutim) in the morning of 30 k. From. anti-chain serum Boger'a and Charrin'a in the evening another 20 to. page; the next day in the morning 20 k., - in the evening 15 k. from.; with the further use of such injections, there was an improvement in the general condition and local phenomena; and on the 11th day the patient could already leave the bed.
I. A Case of Carcinoma of the Uterus Complicated hy Pregnancy II. Cancer of the Cervix, complicated with Pregnancy III. Cancer of the Uterus, complicated with Pregnancy; Indication for operation
Abstract
29-year-old, giving birth 2 times; from a family in which there was neither cancer nor tuberculosis. The first childbirth of P / a was a stillborn child a year ago, during childbirth the cervix was ruptured, but sutured. Sometimes she had pain and blood; but despite this, the 2nd pregnancy came; the second birth lasted 5 days, the baby is dead.
I. Sabcutaneous Emphysema, occu- ring during Labour II. Idem
Abstract
Dr. Fr. was invited to 1 woman in labor at 6 am, December 1, 1895. During the period of opening, the contractions were very strong, the woman in labor was very strained, holding her breath. An hour before the birth of the child, the face of the woman in labor was swollen, became tense; but she covered herself with a handkerchief and lay still and d-r Fr. did not pay attention to the said phenomenon.
I. А Case of puerperal Thrombosis; Hysterectomy, Recovery II. Report of a Case of Hysterectomy for acute Puerperal Sepsis, With Recovery III. about the same
Abstract
In December 1894 prof. Baldy reported to the Philadelphia Medical Society 5 cases of the named operation performed by him and various other members of the society; in May 1895 the number of these operations increased to 19 with seven recoveries. B refers to prof. LwsFa, who calls this operation a future-proof operation, considering it especially useful in early diagnosis and production. Baldy gives a new case of her, here are the details.
About rotropritoneal care of the leg and the use of elastic constriction in myomotomies
Abstract
Briefly, the case histories of 44 myomotomized according to the method introduced by prof. Cuzzi since 1890, A. indicates a significant simplification achieved when applying this method. The operation is performed as follows: an incision of the abdomen and peritoneum of the corresponding size is made; the uterus is freed from adhesions and, in its supravaginal part, is pulled over by a well-disinfected thin Nelaton catheter, the ends of which are folded crosswise and sutured with silk; the uterus is amputated an inch above the constriction; the stump is closed only by the peritoneum surrounding it, and finally, after the toilet, the abdominal wound is sutured.