Vol 6, No 1 (1892)
- Year: 1892
- Published: 12.01.1892
- Articles: 27
- URL: https://journals.eco-vector.com/jowd/issue/view/2542
- DOI: https://doi.org/10.17816/JOWD61
Full Issue
Articles
To the doctrine of congenital anomalies of female genital organs. A fourteen year old girl’s ANUS PRAETERNATURALIS VESTI
Abstract
Congenital anomalies of the female genital organs are, in addition to their clinical interest, also anatomical interest, serving to a known extent as a touchstone for checking the history of the development of the genital apparatus that we have. Some anomalies in the area of external genital organs have given rise to new embryological studies in recent years, which gave valuable data concerning the history of the development of the ano-genital area. The same data serve for a better understanding of the way of origin of some anomalies, among other things also anomalies, known as atresiae ani vestibularis, vulvaris, hymenalis, or better anus praeternaturalis vestibularis.
TO THE QUESTION OF INDICATIONS FOR PARTIAL CERVICAL AMPUTATION IN CANCER OF THE VAGINAL UTERINE
Abstract
The issue of radical treatment of uterine cancer has been deservedly attracting special attention of gynecologists for a long time. In fact, this disease, which until recently was considered incurable, accounts for about 3.5% of all diseases of the female genital area; so according to the statistics of Petrov (V. Petrov. On the issue of radical surgical treatment of uterine cancer. Dis. 1888) for the ambulatory of the St. Petersburg Mariinsky hospital and clinic prof. Lebedev, embracing 5,040 gynecological patients, uterine cancer occurs in an amount of 3.5%. According to statistics prof. Ott (D. Ott. Complete vaginal uterine eruption, etc. Doctor. 1889, No. 39-49) 4228 uterine cancer is 3.7% of all gynecological patients. According to Schröder (Schroeder. Guide to diseases of female sex. Organs) for 16,800 patients, this disease occurred in 3.6%.
THE CASE OF THE SECONDARY CESARIAN SCORE ON THE SAME WOMAN
Abstract
On September 7, 1891, A. Ya. Krassovsky was placed in the pregnant ward for the production of artificial premature births, a pregnant woman in the 3rd section, the widow of a soldier Fyokla Petrov, 35 years old, a native of the Yaroslavl province, on which he had already performed an operation with Kochen 1886 year.
PROTOCOL No. 16 Meeting on November 28, 1891
Abstract
42 members were present: Baykov, Bankovskiy, Baskin, Batsevich, Bidder, Vasten, Verter, Vertsinskiy, Viridarskiy, Vorobyev, Hermonius, Goraiskiy, Danilovich, Dobradin, Dobrovolskiy,Zheltukhin, Zamshiv, Zmigrodskiy, Kireev, Lileev, Lichkus, Lopatinskiy, Martsynkevich, Massen, Mazurkevich, Neishtube, Ott, Popov, Porshnyakov, Rodzevich, Rostkovskiy,Salmanov, Slavyanskiy, Stelmahovich, Stravinskiy, Tarnovskiy, Fisher, Chagin, Shverdlov, Shtol, Stolts, Yanpolskiy and 37 guests.
A case of a double uterus and a double vagina
Abstract
This case of a double uterus and a double vagina is noticeable only because the author found this anomaly only during the second childbirth of the patient, although he himself provided obstetric care during the first childbirth of it (along with another obstetrician).
A wonderful case of permission foetu in foetu
Abstract
In 1859 (? Is it a typo?) The author had to accept a baby, normally built with the exception of the following rare anomaly: the baby was born as if sitting astride a ball. Anus is missing; the sac, formed by the continuation of the fetal skin, occupies the buttocks and the back of the thighs to the scrotum and goes down to the middle of the legs. The skin that forms the membrane of this sac is of normal thickness and bluish-reddish color, depending on the bloody-serum contents of the bag and on the abundantly developed veins.
Observations and facts from rural medical practice. 1. To the question of the treatment of childbirth with a narrow pelvis (3 cases)
Abstract
Protracted the 1st birth with the head end. The bladder is very distended with urine, which could not be released, since the squeezed urethra did not pass the catheter. True conjugate 81/2 s. (the author does not mention how the true conjugate was determined neither in this nor in the following cases, ref.). The child is dead. A dead macerated boy with pronounced traces of forceps on his head was removed by very energetic traction. "Postpartum course with mild fever and pain in the lower abdomen, but the postpartum woman recovered after 3 weeks."
Childbirth complicated by cervical carcinoma, presentation of childbirth and weakness of attempts
Abstract
Woman 32 years old, married 4 years, 3 years ago - normal childbirth. Pregnant 9 months, cranial position, dance presentation. The cervix is loosened, hypertrophied, especially in the lower part, the pharynx passes a finger. Short-lived but severe bleeding.
The current state of the issue of caesarean section with relative indication
Abstract
A more detailed study of this issue will be included in the author's dissertation, and now, on the basis of the literary material he cites, as well as on the basis of his own employment in the clinic of prof. A.I. Lebedeva puts the following six provisions
Postpartum tetanus case
Abstract
A healthy 25-year-old woman, 17 years old, suffered scarlet fever, a year ago — influenza, in July 1890 — had a miscarriage at the 2nd month of pregnancy. The last regulations — in October 1890, January 1, 1891, bleeding and pain.
Two cases of ectopic pregnancy
Abstract
Mrs. F. 44 years old, 25 years old married; two miscarriages and 6 normal births, the last birth in August 1884. Amenorreya from January 1890 to August inclusive. In July, within two weeks, watery discharge from the genital tract. Over the past months, the breasts have swollen, but in August they fell off again. Severe at times abdominal pains stopped along with the cessation of fetal movements. In September, mild fever. When investigated, an asymmetric semi-dense tumor is found in the abdomen.
Is it possible to determine the place of rupture during an ectopic pregnancy?
Abstract
In the hospital of St. Roha was taken unconscious, a 24-year-old worker in a factory, pale, with a haggard face. Heart sounds are clear, the lower border of the lungs is moved upward by 1 rib. The abdomen is tense, increased in volume. Tissue tension is especially pronounced in the right iliac cavity. At the lightest palpation of the abdomen, the patient's anxiety increases, and she attracts her left leg to the body; the right leg is motionless. With percussion of the abdomen, the tone is timpanic, with the exception of the right iliac cavity, where it is significantly dull.
Technique of the main methods of diagnosis and treatment used in gynecology
Abstract
This small book, neatly published, contains in the first chapter (90 pages) a description of various methods of gynecological research, and in the second (25 pages,) - an exposition of the most common methods of local treatment of diseases of female genital organs. Such content, with the brevity and clarity of the presentation, explained by the drawings, makes this book a useful practical guide for a novice gynecologist, if only not to make demands on it, which it is inherently not intended to satisfy: operational gynecology is, of course, not affected by it.
Small gynecological surgery
Abstract
So widely used in the recent past, small gynecological operations in our time, the time of large operations, are more and more losing their meaning. The author explains this mainly by the fact that our diagnostic tools have recently increased and improved significantly. We know something that was not known to our predecessors, namely that not all so-called uterine diseases have the starting point of the uterus itself, or that uterine disease is only secondary. Thanks to the success of diagnostics, we are relieved of many not only unnecessary, but often dangerous for patients manipulations in the uterus, which were previously considered inevitable.
Bacilli that form gas in colpohyperplasia cystica
Abstract
In 1888, Eisenlohr isolated short rods in pure form in Colpohyperplasia cystica and in one similar disease of the bladder and intestine, and these bacilli formed gas in agar, gelatin and broth. Although subcutaneous inoculations of rabbits and guinea pigs were unsuccessful, Eisenlohr considers the bacilli he isolated as highly probable pathogens of emphysematous colpitis.
Scope of surgical treatment of uterine folds back
Abstract
The author distinguishes between mediocre and direct methods: the first ones include: 1) stitching of perineal ruptures, operations during the prolapse and prolapse of the vagina and uterus; 2) suturing of deep ruptures of the neck; 3) wedge-shaped excision and amputation of the neck; 4) Removal of tumors that displace the uterus posteriorly by means of celiac disease; 5) Castration. - There are a large number of direct methods.
A case of a uterine tumor
Abstract
The author reports a case of uterine fibroid that he operated on in May 1891, recognized as such already 6 years before the operation (in 1885 he was not operated on due to the refusal of the patient). The operation itself, carried out in compliance with all the rules of asepsis, went completely smoothly: there were no adhesions, the blood loss was equal to one ounce. Postoperative course without complications: recovery on the 21st day. The tumor occupied the fundus of the uterus and closely covered the right ovary; on the right side of it there were several small, softer cyst-like protrusions ("bunches or protrusions").
Treatment of uterine fibroids by injection of ergotine into the tumor tissue
Abstract
Proceeding from the opinion that any method of treatment leading to a decrease in severe suffering or to a cure of uterine fibroids should be published, the author reports from his practice 3 cases of uterine fibroids treated by him with ergotine injections into the tumor tissue
Three cases of supravaginal excision of the uterus and similar cases used by electrolysis
Abstract
In a 48-year-old woman, the author removed the uterine fibroma, which had existed for 6 years, with a supravaginal hysterectomy. Tumor weight was 20 lbs; its dimensions: anteroposterior circumference = 231/2 inches, transverse = 223/4 in., diameter from leg to apex = 13 in., transverse diameter = 12, and vertical diameter 91/2 in. The microscope showed the predominance of fibrous tissue; numerous lymphatic spaces were filled with fibrin.
A case of papillomatous ovarian cyst
Abstract
Mrs. M. R. H. 44 years old, widow, mother of three children; enjoyed excellent health until the first birth, 24 years ago. Since then, she began to complain of pain in the uterus and in the ovaries. After suffering typhoid fever 8 years ago, the pain intensified and spread to the entire abdomen and lower back. Having examined her at different times, four doctors consistently found the following: cervical rupture; endocervicitis; swelling in the left side of the abdomen; fibroma. Finally, in one of the hospitals, a malignant tumor associated with the liver (?) Was diagnosed. The mass that had fallen out of the vagina in this American hospital could not be corrected and was limited to light laxatives.
The third ovaryotomy performed on the same patient
Abstract
Mrs F. 42 years old. In 1877, the author removed a single-cavity cyst from the patient. The leg is tied with silk and immersed. Fast recovery. Months continued. (According to the author, it was a vaporous cyst, the long stem of which was tied far from the ovarian tissue).
Eleven laparotomies
Abstract
This article presents an extremely short report on 11 laparotomies produced by the author over the past two years. For eleven of these operations, one was fatal. The author presented his 11 cases in the table, from which we borrow only two columns - illness and surgery.
ABOUT THE ARTICLE OF DOCTOR MIRONOV “TO THE QUESTION OF INDICATIONS FOR PARTIAL CERVICAL AMPUTATION IN CANCER OF THE VAGINAL UTERINE”
Abstract
In the above-published article of Dr. Mironov, the author wishes, mainly by means of statistical data, to justify the suitability of cutting off the uterine cervix alone, instead of completely removing the entire organ, for the purpose of radically curing patients with uterine cancer. Without going into a critical assessment of all the arguments that the author uses to convince the reader of this, in this note I will focus mainly on only the coverage that the author gives to the published cases and the results obtained.
TO QUESTIONS OF MODERN GYNECOLOGY
Abstract
London. Having visited German and French gynecologists, everywhere I met more or less strict adherence to asepsis and antiseptics during operations, only in England there are, however, only two gynecologists who decided to stop the use of antiseptics in their operative practice and postoperative results are not only no worse, but even better. The operators are Lawson Tait (in Birmingham) and Bantock (in London). Interested to see personally the production of operations without antiseptics, I decided to visit Bantock's clinic.