Vol 5, No 5-6 (1891)

Articles

Inflammation and retention cysts of the fallopian tubes (End)

Slavyanskiy K.F.

Abstract

Prediction. In case of retention cysts of the fallopian tubes, our prognosis should be, in general, extremely restrained; the course of the disease is long, spontaneous healings are extremely rare, and the possibility of various more dangerous accidents and complications is often very likely.

Journal of obstetrics and women's diseases. 1891;5(5-6):335-353
pages 335-353 views

ABOUT PENETRATING RUPTURES OF THE VARNALS OF THE VAGINA IN GIVING WOMEN

Schetkin D.S.

Abstract

Complete separation of the vagina or one of the vaults of its uterus with the release of the ovum into the peritoneal cavity belongs to the number of rare complications of the labor act; at least, the meager information that I have obtained from the literature confirms this, although, of course, at the present time it is not possible to determine with accuracy how often this complication occurs, for the reason that ruptures of the arches of the sleeves in some cases occur independently , in others - they occur because of negligence in the production of some obstetric operations. Finally, there may be confused cases in which it is completely impossible to find out what was the main reason for the vaginal tear: obstetric surgery or some other condition that contributed to its spontaneous origin. Spiegelberg, referring to the statistics of M. Clintok from the Dublin maternity hospital, says that isolated ruptures of the sleeve are fragile. Garin comes to the same conclusion on the basis of reports of our obstetric clinics and obstetric institutions.

Journal of obstetrics and women's diseases. 1891;5(5-6):353-395
pages 353-395 views

TO THE QUESTION ABOUT RESTORATION OF CUTTING BY THE FLAP METHOD (LAWSON-TAIT)

Goltzman G.A.

Abstract

Perineal tears are one of the most common sufferings in women. In most cases, they are caused by childbirth. Regarding the frequency of ruptures during childbirth, the authors disagree with each other; but most obstetricians accept that in 20% of births in first or multiparous women, perineal ruptures occur. There is no doubt that every new perineal tear, reaching a known size, should be sutured immediately after childbirth. The suture imposed immediately after birth for the most part leads to healing per primam intentionem. Thus, the number of old, spontaneously healed by a scar - perineal rupture should become less and less.

Journal of obstetrics and women's diseases. 1891;5(5-6):396-410
pages 396-410 views

CHANGES IN THE MUCOSA OF THE UTERINE POD IN CANCER OF THE VAGINAL PART AND CERVIX

Mironov M.

Abstract

Changes in the mucous membrane of the body of the uterus, accompanying cancer of the vaginal part and cervix, drew special attention after the work of Abel (see No. I), which appeared in 1888. The author studied the mucous membrane of the body of the uterus, taken from extirpated cases of 6 uterus for carcinoma portionis and in 1 case for carcinoma cervicis. "In all cases, the mucous membrane is dull," says the author (p. 279, 1. p.), To a high degree of alteration, while the mucous membrane of the cervix is ​​relatively insignificantly diseased. " These changes, as can be seen from the description of each individual case, concern both the gland and the intermediate tissue, and the first in all cases were multiplied and represented corkscrew gyrus; some of them were enlarged or contained ectases of the lateral walls and processes protruding into the lumen of the gland. Changes in the intermediate tissue in cases 1, 2 and 4 consisted in the multiplication of cells in deep layers, and here they had a short-spindle-shaped shape, small size and went in trains in different directions; in the surface layers, they were more or less round, much larger in size and resembled epitheloid cells. In addition, a nested infiltration with small, round cells (lymphoid cells?) Met in places. In the remaining 4 cases, the changes in the intermediate tissue, according to the author's description, were the same as usually in chronic inflammation (cases 5, 6 and 7) or almost absent (case 3). On the basis of these studies, the author comes to the conclusion that changes in the mucous membrane of the body of the uterus in cancer of the vaginal part and cervix have the character of sarcomatous degeneration, which in observed 1, 2 and 4-m, already reached a rather high degree of 4, in the rest, although it did not appear as sharp as especially in the first case, but nevertheless, these changes, according to the author, cannot be considered as inflammatory, but should be taken only as a more weak degree of the same sarcomatous degeneration, by analogy with the first.

Journal of obstetrics and women's diseases. 1891;5(5-6):410-435
pages 410-435 views

ABOUT FEMALE URETRIT

Eberman A.L.

Abstract

I hope that my comrades will not condemn me for such an apparently insignificant topic, which I have chosen for today's report; I chose her because they paid and pay little attention to the urethritis of women and, in general, to the diseases of their urinary canal, - and very little about the diseases of this canal comes across in the manuals; a more extensive treatise we find in the surgery of Pitha-Billroth T. XI, processed by Winckel. In gynecology of various authors about diseases of urinary organs, it is said in passing and, in general, very little. And it is very understandable that gynecologists, busy with a more important organ - the organ of support of the human race, pay little or no attention to this small vessel - the urethra; but this short water supply of the female body does not easily cause not a little suffering, which is often attributed to uterine suffering, between which he is the cause of all suffering.

Journal of obstetrics and women's diseases. 1891;5(5-6):435-444
pages 435-444 views

TO THE QUESTION OF THE OPERATION "HYSTEROPEXIA ABDOMINALIS ANTERIOR"

Ter-Mikaelyants S.V.

Abstract

Hysteropexia abdominalis anterior - suturing of the uterus to the anterior abdominal wall is a relatively new operation. Although it was first adopted by Koeberlé) back in 1869, it was forgotten until the 80s. The free Coeberlé suffered from strong constipation, which did not give in to any cure, the cause of which Koeberlé saw in the pressure on the rectum of the bent back of the uterus. The patient reached such a state that energetic intervention was necessary. In view of these indications, Koeberlé decided to make the womb and to strengthen the uterus in the abdominal wound in such a position that its body could not be thrown backwards. Opening the abdominal cavity, the operator removed the healthy ovary; the resulting leg, i.e. broad ligament, tube and lig. ovarii sewed it into the abdominal wound. The result was satisfactory. Ten years later, Schroeder) performed this operation on a patient with a posterior bend of the uterus and a small ovarian cyst, accompanied, in addition, by the dance of St. Witt. After removing the cyst, he sewed the leg to the anterior abdominal wall. In 1880, L. Tait) performed two operations, one in February, the other in April. In both cases, it was about the backward bends; In addition, the patients suffered from ovarian inflammation, which did not respond to any other methods of treatment. The operator removed the inflamed, slightly enlarged ovaries, lifted the uterus and, when suturing the abdominal wound, passed the needle so that it captured part of the tissue in the area of ​​the fundus of the uterus and, thus, sewed the fundus of the uterus to the abdominal wall. In both cases, the results were satisfactory, at least until 1883. In 1881, he also, in one case of persistent retroflexio uteri, performed a blanching and a ligament of the right ovary and a left wide ligament in the belly. This case is cited by Sänger in Centr. f.Gyn. 1888, No. 2.

Journal of obstetrics and women's diseases. 1891;5(5-6):445-451
pages 445-451 views

IV THIRD CONGRESS OF THE GERMAN SOCIETY OF GYNECOLOGISTS BONNE 9TH (21st) —11TH (23rd) MAY 1891

MIRONOV M.

Abstract

Chairman G. Veit. The first session was devoted to two issues identified earlier: 1) about mortality from postnatal diseases (speakers Dohrn and Ahlfeld) and 2) about uterine cancer (speakers Hofmeier and Leopold).

Journal of obstetrics and women's diseases. 1891;5(5-6):453-456
pages 453-456 views

Trendelenburg's position with an elevated pelvis as a position for gynecological examination

Aleksenko N.

Abstract

The position with an elevated pelvis in the last time is hotly recommended as a significant relief in the production of fetuses about pathological conditions of the pelvic organs.

Journal of obstetrics and women's diseases. 1891;5(5-6):456-457
pages 456-457 views

Causes of septic postnatal diseases. - Antiseptic. Asepsis

Fisher A.

Abstract

The author, who read a whole repetitive course for midwives in the past academic year, published a revised brochure containing his lectures on the ethiology of septic post-natal diseases and about the fight against them. Finding it quite rightly that learning to apply the anti-rotten method is possible only in a practical way, and not out of a theoretical presentation, the author set himself the task, if not to teach his listeners, then at least to convince them of the meaning of antiseptics, for which he focuses on the history in some detail. emergence and further development, because from this story, in his own words, "the need for antiseptics follows as the only possible conclusion."

Journal of obstetrics and women's diseases. 1891;5(5-6):457-458
pages 457-458 views

To the question of the use of mercuric chloride in obstetric practice

Bukhshtab A.

Abstract

Preceding a short historical essay on the use of mercuric chloride in obstetric and gynecological practice, the author sets out to outline the position of mercuric chloride as an antiseptic agent and solve the question: can mercuric chloride now play the role of an antiseptic agent in obstetric practice? It reduces the essence of this issue to three points: mercuric chloride, as one of the ways for the aseptic course of normal and pathological childbirth; mercuric chloride, as an antiseptic agent for postnatal diseases, and mercuric chloride, as a poisonous agent that is harmful to the blood and tissues of women in childbirth.

Journal of obstetrics and women's diseases. 1891;5(5-6):458-460
pages 458-460 views

Modern state of anti-rotting surgery

Kuhn F.

Abstract

This article is a succinct extract from the objection of the author Tait'y to his last criticism of Lister's report at the X International Congress in Berlin.

Journal of obstetrics and women's diseases. 1891;5(5-6):460-461
pages 460-461 views

The absence of a part of the genital organs in two sisters

Kinast R.

Abstract

The author had to simultaneously see two sisters of peasants who turned to him for medical advice due to the improper development of the genital organs.

Journal of obstetrics and women's diseases. 1891;5(5-6):461-462
pages 461-462 views

Two cases of intrauterine ichthyosis

Kuhn F.

Abstract

The two cases of ichthyosis foetalis reported by the author differ in some interesting ways.

Journal of obstetrics and women's diseases. 1891;5(5-6):462-463
pages 462-463 views

To the question of pregnancy with insufficient nutrition of the body

Fisher A.

Abstract

Studies by A. B. Repreva ("On the influence of pregnancy on the exchange of substances in animals", dissertation, St. Petersburg., 1888) found that a pregnant organism with normal nutrition, without reducing the income, reduces at the same time its vital expenses and utilizes accumulating in this way in his body, folding material in the goals of creation fetus.

Journal of obstetrics and women's diseases. 1891;5(5-6):463-464
pages 463-464 views

About delivery in case of irreparable prolapse of the uterus

Kuhn F.

Abstract

An interesting case, this one from the clinic of A. Doléris, takes on even more significance due to the following features:

Journal of obstetrics and women's diseases. 1891;5(5-6):464-465
pages 464-465 views

To the casuistic operation of the excitation of artificial premature births with a common pelvis

Rutkowski A.

Abstract

Dwarf (height 125 ctm., Distance from the floor to the trochanters 72 s., And to the anteroposterior spines 80 s.) 23 y. As a result of a fall in the child's Pottov disease, the result of which is the kyphosis of the spine in the scapular region with a small scoliosis to the right side; a slight sharpness of the ribs, flattening of the right half of the pelvis and the similarity of the ribs in the direction to the knee joints. The right half of the body is generally slightly lower than the left.

Journal of obstetrics and women's diseases. 1891;5(5-6):465-467
pages 465-467 views

Miscarriage therapy

Kakushkin N.

Abstract

Pointing to the disagreement that now reigns among obstetricians regarding the therapy of miscarriage, the author expresses his view on the best of the so-called fresh and old miscarriages.

Journal of obstetrics and women's diseases. 1891;5(5-6):467
pages 467 views

Full delay after increments; postnatal rotting, scraping, wiping with a bannik and tamponation of the uterus. Convalescence

Rutkowski A.

Abstract

Mrs S., 28 years old. Regulations from 16 years old are incorrect. She has been married since 20 years. Gives birth to the third time. During the second birth, artificial separation after the feverless postpartum course. The third childbirth is difficult, lasted 3 days, the child died in asphyxiation. By the end of 5 days, that is, on February 4, 1889, when the patient was under observation, the cervix was completely closed, the uterus reached the navel, dense, painful with pressure. The general condition is satisfactory, t ° 38 ° R. Hot vaginal showers with carbolic acid.

Journal of obstetrics and women's diseases. 1891;5(5-6):467-469
pages 467-469 views

To the treatment of postnatal bleeding

Fisher A.

Abstract

Not being fully satisfied on personal experience with the results of tamponation of the postnatal uterus with atonic bleeding with strips of 20% iodoformed gauze according to the Dührsen method (cf. "Zhurn. Akush. And Zhenek. Bol.", 1887, p. 814; 1888, p. . 136, 163, 221, 579, 672 and 683, 1889, pp. 757 and 758. Ref.), The author proposes a combination of this method with the almost forgotten Seyfert's method, consisting, as is known, in the tamponization of the vagina and partly the cervix with a simultaneous overtightening of the abdomen with a bandage so that the bottom of the uterus rests against the bandage.

Journal of obstetrics and women's diseases. 1891;5(5-6):469-470
pages 469-470 views

Several cases of uteri tamponation during postnatal bleeding

Fisher A.

Abstract

R. reports the results of the treatment of postnatal bleeding in the clinic, prof. A.M. Makeva tamponation of the uterus, for which it was used, as iodoform gauze, as well (mainly) and absorbent cotton wool in the form of 2-3 tampons with the size of walnuts, moistened in glycerin solution liqu. ferri sesquichlorati (1: 3-4).

Journal of obstetrics and women's diseases. 1891;5(5-6):469-470
pages 469-470 views

To the question of the ethiology of indomitable vomiting in pregnant women

Kakushkin N.

Abstract

Indomitable vomiting of pregnant women is often accompanied by changes in urine, which MI Gorvits considers symptoms that depend on hunger. The author also describes a case where, in his opinion, indomitable vomiting was caused by nothing else but changes in the kidneys (also called Schwangerschaftsniere).

Journal of obstetrics and women's diseases. 1891;5(5-6):470
pages 470 views

A case of lateral extrauterine pregnancy. Operation 14 days after the death of the fetus. Extirpation (as much as possible) of a fertile beetle. Convalescence

Ruzi D.

Abstract

The author describes a very interesting and rare case of extrauterine pregnancy, where an operation was performed with the subsequent removal of the fetal sac.

Journal of obstetrics and women's diseases. 1891;5(5-6):471-472
pages 471-472 views

Ectopia vesicae urinariae

Kakushkin N.

Abstract

Cossack woman, 41 years old, unmarried, nulliparous, has 20 years of blood, not abundant, 3-4 days each, separated in a month; good build and nutrition. From birth, there is a defect in the urinary bladder. From the navel downward there is a divergence of the rectus abdominis muscles in the form of a triangle. Umbilical ring nѣt. In the lower part of the triangle, a tumor with an apple, formed by an everted posterior wall of the bladder. The holes of the ureters are visible, not allowing urine. The surrounding skin of the abdomen at the top is trimmed with a scar, at the bottom it directly passes into the mucous membrane of the bladder.

Journal of obstetrics and women's diseases. 1891;5(5-6):473
pages 473 views

Foreign body in the uterine cavity

Bukhshtab A.

Abstract

The author describes the following rare case of finding a metallic foreign body in the uterus. On May 18, 1890, he was approached by a woman who, on May 6, being on the 3rd month of pregnancy, in order to have a squatting abortion, inserted a hairpin into her uterus. I had a miscarriage. When examined, the vagina is free and the uterine opening is closed. The uterus is slightly enlarged, it is still in retroversio. In the anterior vault, on the right, the blunt end of a barely moving object is felt. With a probe, at the place of the internal uterine os, you come across a solid object, between the dark as the uterine cavity above is empty.

Journal of obstetrics and women's diseases. 1891;5(5-6):473-474
pages 473-474 views

Laceration of the vaginal mucosa caused by copulation

Sadovsky P.

Abstract

The patient, 17 years old, was admitted with complaints of bleeding from the vagina, itching and burning sensation in the external genital parts. With external examination, a mass of vesicles and excorings (Herpes) was found on the external parts; During internal examination with Sims' mirrors, a large fresh blood clot was found on the right lateral wall of the vagina near the fornix, at the removal of which a bleeding, rhomboid, torn wound of the vaginal mucosa was opened, approximately 4 ctm. length and 3 ctm. width.

Journal of obstetrics and women's diseases. 1891;5(5-6):474
pages 474 views

Acute case of retroflexio uteri, accompanied by symptoms of shock

Rutnovskiy A.

Abstract

The author happened to observe an extremely rare case of acute throwing back of the uterus with very severe concomitant phenomena. The patient is 39 years old, the size of the pelvis is normal, menses are always strengthened, gave birth to 9 times, threw out 1 time two weeks before the described case. The author has known this patient for a long time - after a miscarriage, the uterus was poorly involvated, its position is extremely unstable: now retroversio, now anteflexio.

Journal of obstetrics and women's diseases. 1891;5(5-6):474-475
pages 474-475 views

A case of radical cure of posterior uterus inflection by ventrotixatio surgery

Fisher A.

Abstract

M.M., 31 years old, the wife of an official, was admitted to the clinic of Professor G.E. Rein with complaints of general weakness, nervous disorders, headaches, dizziness, palpitations, constant pain in the abdomen and lower back, significantly increasing during regulation and each tension, pain during copulation, constipation and pain during bowel movement, frequent urge and pain during urination; comes from a consumptive family; In childhood, she suffered from scrofula, an English disease, anemia and pains; at the 15th year she suffered measles, at the 17th - pneumonia; the first month - in the 11th year, very profuse, with severe pains, lasted 7 days; the second - after 2 years, of the same nature; after 16 years, the correct menstruation was established, after 4 weeks for 7 days. She was married twice; in a month after entering the first marriage (husband suffered from overfusion) had an early (2 weeks) miscarriage, 6 weeks old; the second husband suffered from syphilis and transfusion and was relatively impotent; since this time, the patient's suffering has increased significantly; The used doctors determined that she had an abnormal position of the uterus. Upon admission to the clinic, retroflexio uteri fixata, oophoritis et salpingitis duplex (pelveoperitonitis) were found. Applied during the month of treatment (rest, warming compresses, scarification of the vaginal part, idoform in balls, etc.), as well as repeated attempts to correct the position of the uterus — without result; in view of this, it was decided to perform a ventrofixatio uteri retroflexi fixati operation (hysteropexia abdominalis anterior. Ref.), moreover, that at the same time it was possible to produce salpingotomy.

Journal of obstetrics and women's diseases. 1891;5(5-6):475-476
pages 475-476 views

Ten cases of suturing a retroflected uterus to the anterior abdominal wall by means of operation

Bukhshtab A.

Abstract

In this work, the author of the nine cases published by Professor Leopold (Volkmann's Vorträge, No. 333), the sewing of the retroflected uterus to the anterior abdominal wall attaches ten new ones, which were operated on during 1889 at the Dresden polyclinic.

Journal of obstetrics and women's diseases. 1891;5(5-6):477-479
pages 477-479 views

To the question of the influence of the abdominal attachment of the uterus on the subsequent pregnancy

Xrostovsky L.

Abstract

From the time of Olshausen, Czerny and especially Leopold, ventrofixatin uteri has been exhibited as an ultimum refugium for the treatment of retroflexions.
The author says that more than a year ago he expressed his opinion regarding the indications for this operation in the Berlin obstetric society, namely: 1) in cases where, due to other reasons, laparotomy is required with the simultaneous existence of retroflexio - you need to come to the lower mobilis or fixata the angle of the cut; 2) opposite ventrofixatio uteri retroflexi ad hoc, which should be considered as a life-threatening operation undertaken to cure non-life-threatening suffering, can only be tolerated with retroflexio fixata.

Journal of obstetrics and women's diseases. 1891;5(5-6):479-480
pages 479-480 views

Mutual influence of pregnancy and childbirth on the operation of shortening the round uterine ligaments and vice versa

Kuhn F.

Abstract

On the basis of theoretical considerations and conclusions from his own extensive practice, the author refutes the opinion shared by many gynecologists that the operation of shortening the round ligaments disrupts the normal course of the subsequent pregnancy, causing a miscarriage, or if pregnancy reaches the end of childbirth and in exceptional cases are again distended, and the uterus is again displaced posteriorly, as it was before the operation. According to the author, both are delusions based on theoretical considerations, and not on experience data.

Journal of obstetrics and women's diseases. 1891;5(5-6):480-481
pages 480-481 views

A case of prolapse of the uterus, cured by Brandt's method

Kakushkin N.

Abstract

The author uses the massage according to the principles described by Profanter, Remizov, Nordström, and observed by the author in the clinics of prof. D.O. Ott and V.O.Snegirev. The case concerns a peasant woman 23 years old, after the second (last) birth, 2 1/2 years ago, who suppressed uterine prolapse in her, which grew more and more wider.

Journal of obstetrics and women's diseases. 1891;5(5-6):481
pages 481 views

Treatment of female diseases according to the Brandt's method

Zabolotsky A.

Abstract

The author informs about the results of his employment with Brandt. At the beginning of treatment, Brandt examines patients in a standing position, briefly records the history of the disease, the condition of the genital organs, and prescribes daily gymnastics under the guidance of an assistant. The treatment is carried out by himself and the doctor attend sometimes.

Journal of obstetrics and women's diseases. 1891;5(5-6):481-485
pages 481-485 views

A brief overview of surgical methods of radical treatment of uterine fibroids

Kuhn F.

Abstract

All operations for removal of uterine fibroids by the author last for two categories: I) operations performed through the vagina, and II) operations performed through the abdominal wall.

Journal of obstetrics and women's diseases. 1891;5(5-6):485-487
pages 485-487 views

A case of laparo-colpo-hysterectomiae in cancer and fibroids of the uterus

Rutkowski A.

Abstract

If there are also possible disputes regarding the frequency of cancer and myoma of the uterus, in general, then the combination of cancer and myoma of a large size, such that does not allow extirpationis uteri per vaginam, must undoubtedly be recognized as extremely rare. The more interesting is the issue of operational assistance in cases of this last kind. Extirpatio uteri per vaginam is possible with tumors of size, according to Schroeder and Schaut, not more than a fist, but according to Leopold, less than a child's head. Colpo-laparo-hysterectomia is expedient where the combined method has to be handled due to any unforeseen accidents during the production of vaginal extirpation. As for those cases, where already before the operation it was decided to operate according to the combined method, then it would be expedient and, so to speak, antiseptic to start the operation with laparotomy, that is, to produce not colpo-laparo-hysterectomiam, but vice versa, colpo-kysterectomiam, which operation was performed by N.A. Velyaminov in the following case.

Journal of obstetrics and women's diseases. 1891;5(5-6):487-489
pages 487-489 views

Influence of direct current on myoma

Fisher A.

Abstract

In the study of the influence of direct current on the fibroids of the uterus, the practice, as you know, warned the theory: we know that the named tumors are reduced by the influence of electricity, but the reasons for such an effect are still far from clear. In this direction, apart from studies by Steavenson and Shaw, there are only brief references in the literature; in view of this, the author undertook a number of studies on the newly removed ones by means of celibacy miomakh; the strength of the applied current varied from 50 to 100 MA., the duration of its action was from 5 minutes up to 1 hour.

Journal of obstetrics and women's diseases. 1891;5(5-6):489-490
pages 489-490 views

Treatment of uterine cancer by amputation and cauterization

Kuhn F.

Abstract

In 1887 Dr. Keith sent a patient with cervical cancer to the author. The diagnosis was out of doubt. The possible high amputation of the cervix, suggested by Keith, was resolved. To this operation, the author added energetic cauterization with a red-hot iron.

Journal of obstetrics and women's diseases. 1891;5(5-6):490-491
pages 490-491 views

About fallopian tube cysts

Voff I.

Abstract

Already with a microscopic examination of the cut out bristles of the fallopian tubes, we notice that sometimes the mucous membrane is more changed, another muscle or only the peritoneal cover, sometimes all three layers of it are equally changed; The contents of these brushes are also very diverse, which is transparent like water and poor lumps, serous with an abundant amount of lumps, stained with blood, pure bloody, in various degrees of suppuration or decomposition, liquid or thick, curdled lime or sedimentary. Because of these data, it is impossible to describe all these conditions under one common name "cysts of fallopian tubes" and it has long been customary by the nature of the contents to divide these cysts into hydro, -hæmato- and pyosalpinx; but even such a definition is not enough, since it does not indicate either the ethology or the pathological anatomy of these changes, therefore, when describing these brushes, attention should be paid to both the reasons for the formation of various accumulations of fluid, as well as the mechanism of formation of these brushes, stnkakh pipes and their pathological and anatomical consequences.

Journal of obstetrics and women's diseases. 1891;5(5-6):491-500
pages 491-500 views

About cutting the Fallopian tubes and ovaries

Voff I.

Abstract

With this operation, it is mainly in view of the removal of the diseased Fallopian tube; the ovary is removed in this case only in those cases, when it is also sick or when it is impossible to separate it from the pipe due to adhesions. This operation differs from a simple ovaryotomy, that with it they always find very abundant adhesions, of varying density and sometimes enormous bleeding when they are separated; fresh adhesions are easily separated, give great bleeding, which by itself soon stops due to vascular collapse; old adhesions are sometimes separated only with tremendous labor, give a slight bleeding, but which does not stop on its own, since the vessels in the thick cicatricial cords do not collapse, and therefore the author combines in the most careful way to chop and bandage them.

Journal of obstetrics and women's diseases. 1891;5(5-6):500-502
pages 500-502 views

A case of sarcomatous degeneration of both ovaries. Successful laparotomy with relative recovery

Kakushkin N.

Abstract

Peasant woman 27 y.o., virgo intacta, in good general health. Menstruation from 15 liters, not abundant, after 28 days, 3-4 days. About six months ago - the appearance of menorrhagia, but during the last 5 months there is no blood at all. 5 months ago, the patient covered up a swelling on the left side of the abdomen, which was rapidly increasing.

Journal of obstetrics and women's diseases. 1891;5(5-6):502-503
pages 502-503 views

About drainage of the abdominal cavity in case of operation

Fisher A.

Abstract

The author is a fan of the drainage of the abdominal cavity, if not stereotypically adopted after every abdomen, then for a number of known cases. He considers as indications for drainage: 1) the existence of local accumulations of blood, decomposed (infected) or capable of decomposing secrets, if their neutralization exceeds the absorption capacity of the peritoneum, locally or generally reduced; 2) the possibility of sequential accumulation of secrets, decomposition (infection) and absorption of which makes one fear septic intoxication; 3) the danger of opening the hollow organs with not indifferent contents (bladder, intestine); 4) the need to isolate more significant, abundantly secerinating cavity wounds from the rest of the abdominal cavity.

Journal of obstetrics and women's diseases. 1891;5(5-6):503
pages 503 views

Notes on the fifty operations

Fisher A.

Abstract

At the beginning of his report, the author describes in detail the environment in which he operates. The instruments immediately before the operation are boiled in water for 5 minutes, toothed instruments (tweezers, etc.) are calcined on an alcohol lamp; during the operation, they lie in boiled water. For seams, silk is used, boiled in a 5% carbolic solution and stored in a mixture of equal parts of a 1% (? Ref.) Solution of mercuric chloride and absolute alcohol; is used to apply a catgut disinfected previously lying in the course of 12 hours 0.1% mercuric chloride solution and then kept for several days in a mixture of 1 part ol juniperi and 2 parts alcohol. Sponges are rarely used - they are replaced by tampons from aseptic gauze, which are put into 1/2 ‰ solution of mercuric chloride at the time of the operation. The operator and his four assistants put on decontaminated rubber aprons; the sleeves are rolled up above the elbows; hands are washed with green soap and a brush, then with absolute alcohol and mercuric chloride solution. The patient is given a general bath on the eve of the operation and a laxative is given; then, when it is already chloroformed, the hair on mons Veneris is shaved off, the abdominal wall is thoroughly washed with green soap with a brush, sulfuric ether and 1 ‰ solution of mercuric chloride. After that, during the operation itself, the author does not use any disinfectant liquids; the abdominal cavity, if necessary, is washed with boiled water. After the operation, the edges of the abdominal wound are washed with mercuric chloride and pulverized with idoform; then sutures are applied, 3-4 deep, covering the entire thickness of the abdominal walls, and many superficial.

Journal of obstetrics and women's diseases. 1891;5(5-6):503-504
pages 503-504 views

Experimental research on the origin of adhesions in the abdominal cavity after operations

Aleksenko N.

Abstract

Fusion of intestines and omentum after surgery, mainly with an abdominal wound, is a frequent phenomenon, proven by a number of clinical observations during repeated operations in the same subjects. Meanwhile, the question of the reasons for such a phenomenon, despite attempts to experimentally resolve it (Sänger, Dembowski, Kelterborn), remains open to this day. According to the opinion of the last mentioned authors, the main cause of adhesions in the abdominal cavity after operations is infection, the accretion of the omentum to the middle line is caused by the release of air and the local inflammatory process; further - sloughing of the epithelium and scars of the peritoneum in uncomplicated cases do not give adhesions, ligatures in the abdominal cavity for the most part also do not cause adhesions, but show a tendency to encapsulate.

Journal of obstetrics and women's diseases. 1891;5(5-6):504-507
pages 504-507 views

Two cases of intestinal obstruction before and after the operation: recovery

Fisher A.

Abstract

1st case. Left-sided ovarian tumor on the pedicle; after taking a spoonful of castor oil - repeated indulgences: in the evening, an increase in temperature to 38.0 ° with a pulse of 122 beats; the next morning t ° -37 °, pulse - 76 °; but then in the course of two days the usual picture of intestinal obstruction developed.

Journal of obstetrics and women's diseases. 1891;5(5-6):507-508
pages 507-508 views

TO THE QUESTIONS OF MODERN GYNECOLOGY

Kupidonov V.

Abstract

Dresden. Clinic of Professor Leopold. On the first visit I visited this clinic on December 24, 1890 (January 5, 1991) and on the same day I saw the next operation.

Journal of obstetrics and women's diseases. 1891;5(5-6):509-531
pages 509-531 views


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