Vol 6, No 2 (1892)

The widespread use of the antiseptic or anti-rotting method in the last 20 years, which has yielded brilliant results both in general surgery, and especially in the surgical treatment of diseases of the abdominal and pelvic organs, also has its disadvantages, the main one of which undoubtedly should be considered poisoning when using various anti-rotting medicines. In the literature there is already a rich casuistic material of deadly poisoning when used as an anesthetic, iodoform, carbolic acid, mercuric chloride, etc., etc. antiseptics or antiseptic method of treatment, despite the quick and brilliant success, still left much to be desired and made, during this entire 20-year period, both in laboratory and at the bedside of the patient, to look for means to disinfect the wound, with on the one hand, and not having a harmful effect on patients and those around them, on the other. Carbolic acid was replaced by iodine preparations, iodine preparations with mercuric chloride preparations, mercuric chloride boric acid, copper sulfate, creolin, lysol and many others, some of which have already been abandoned, some are still being tested. The degree of concentration of solutions changed, the time of their contact with the early was limited, and nevertheless, cases of poisoning, which, however, became less common, nevertheless did occur.

MATERIALS FOR THE QUESTION ABOUT EXTRAUTERINE PREGNANCY

On October 3, 1891, at 5 o'clock in the afternoon, a pregnant L.G., 24 years old, was admitted to the maternity hospital at the Hospital of the Society of Kremenchug Physicians, with complaints of pulling pains, as well as minor bloody expirations for 2 weeks. L. G. married 21/2 years, pregnant for the 3rd time: the 1st pregnancy ended in miscarriage in the 3rd month, 2nd urgent delivery 1 year and 3 months ago. The last regulations were in early May; L. G. felt fetal movement 5 days before admission to the clinic. Throughout her last pregnancy, L. G. suffered from time to time puffy pains and leucorrhoea, the latter, however, even before pregnancy. A pregnant woman is of good build, nutrition is not entirely satisfactory, thin, anemic, when listening to the heart, a noise is heard instead of the first tone. The abdomen is soft, the uterus is hard, sensitive to pressure, the bottom of it is 2 transverse fingers below the navel; the neck is soft, passes a finger; a little blood is shown from the genital tract.

31 members attended.

1. Protocol No. XIX was read and approved.
2. Butchik, Vladimir Timofeevich, doctor was proposed for full members. Proposed by Hermonius, Danilovich and Stravinsky.
3. Full members elected.

This vessel is especially useful for all types of urinary incontinence in women (after belly, with neoplasms in the urethra, etc., likewise, with various cerebral suffering and paralysis of the bladder)

The author complements the article by R. Nickel, which appeared in No. 37 Cntrbl. f. Gyn. and indicating that the pregnancy calendar published in the American Journal of obstetrics (November 1889) and in the Archives de tocologie (May 1890) is far from new, as he found it in one of the Prussian textbooks published in 1838 or 1840

After the report made by Fehling at the Strasbourg Congress of Naturalists in 1886, about the influence of nephritis on the habitual death of the fetus, as a result of the formation of numerous heart attacks in the placenta, this question was repeatedly investigated (Cohn. L. Meyer, Wiedow, as well as with clinical and from the anatomical side. Nevertheless, the connection between nephritis, illness of the child's place and the death of the fetus has not yet been fully clarified, therefore Fehling now reports information on this issue, obtained by him in recent years since the Strasbourg Congress.

In view of the rarity of the case, the author reports the clinical fact of the appearance of subcutaneous emphysema during childbirth in a primiparous woman, 24 years old, who does not have any pulmonary phenomena. After long and difficult periods of opening the throat and smoothing the neck, which lasted about 30 hours, almost at the end of the expulsion of the fetus, which lasted about 2 hours, the woman in labor suddenly had a swelling on her right cheek, of a soft consistency, which, when palpated, gives a sensation of subcutaneous tissue, characteristic of emphysema following a rupture in any part of the airways. Before the end of labor (voluntary), the tumor enlarged and spread to the neck and lower face on both sides. After holding on for 3-4 days, the tumor began to gradually subside and by the 6th day it disappeared completely without any treatment.

In his work, Nagel, referring to the history of the above-mentioned operation, says that too two hundred years ago, after a long oblivion, this operation was put into practice again.

A 32-year-old patient complains of bleeding and pain in the right side of the lower abdomen, lasting two weeks after the miscarriage occurred.

In several cases, the author was convinced of the sucking action of iodoform tannin, used according to the Fritsch method — in the form of bags.

The author describes a case of removal of a huge tumor from a 45-year-old woman from the left large lip.

The extraperitoneal method of treatment with the pedicle in supravaginal amputations of the uterus has significant advantages over intraperitoneal; however, there are also dark sides behind it that fully justify the desire to combine the immersion of the legs (Stielversenkung) with the favorable results of the extraperitoneal method.

Having pointed out that the Apostoli method is far from complete either from the theoretical or from the technical point of view, and that the results of its treatment are not the same not only in different cases, but also among the same observers in homogeneous cases, the author considers it necessary to further development and improvement of this empirical method.

Mrs G., 1-para, 40 p. The last menstruation, very profuse and within 15 days, 6 months. back. Soon after stopping the regulation, I noticed an enlargement of the abdomen, which gradually reached a significant size, and various painful symptoms appeared: a feeling of heaviness in the lower abdomen, persistent constipation and severe shortness of breath.