Vol 5, No 7-8 (1891)

Mm. Gg. Of the issues that occupy modern gynecologists, in the first place, undoubtedly, it should be noted the question of the treatment of fibrous tumors of the uterus. The method of treating fibroids by galvanic current from the light hand of the French doctor Apostoli, who has done a lot in this area, was greeted by the gynecological world with special enthusiasm, and, as usual with the appearance of any new and especially efficient method, immediately acquired many adherents. However, as always, in such cases, the matter was not without extremes, and some even prominent gynecologists openly recognized the universal significance of the Apostoli method in the treatment of uterine fibroids.

The danger of postpartum hemorrhages, in most cases depending on the atony of the uterus, and sometimes extreme difficulty in stopping these bleeding has drawn the attention of doctors for a long time; since ancient times, various methods of stopping these bleeding have been proposed and continue to be offered now.

As you know, anomalies in the development of the anal orifice are divided: into complete atresia - when it is completely absent, and into incomplete, when the aperture, being placed in a normal place, is too narrow to pass fecal masses (stenosis), or the intestine opens on some in another place, either in the back wall of the vagina along its length behind the hymen (abouchement retro-hymenal), or in front of it; ex. въ fossa navicularis (abouch. anté-hymenal). In embryonic life), the rectum and urogenital parts open in the urogenital sinus or cloaca, formed from the connection of the gradually deepening genital sulcus with allantois, the opening of the Müllerian canal and rectum, and the intestine is separated from the Müllerian canal by a plate and the fetus crotch tissue.

M.g! In 1888, while demonstrating a case of anecephaliae in the local Society of Physicians), I expressed the proposition that all cases of congenital deformities, especially those that change the appearance of the born fetus, should be published, due mainly to their social significance. At the same time, I pointed out the phenomenon that the birth of freaks by a woman living somewhere in the wilderness, in a village, often arouses rumors in the poorly educated population that it was not a person who was born, but some kind of beast or fiend of the devil, and that such freaks cannot be born of a human husband. As a result of the said, unfortunate women who gave birth to a freak can be accused of witchcraft, sorcery, or ascribed to them intercourse with devils - all this unintentionally, the population can completely ruin the life of such a woman. Yes, not only in the wilderness, but even in big cities, in the center of education, such slander can happen and can do a lot of harm.

Author, while partially agreeing with Kaltenbach's view that vomiting of pregnant women is often a consequence of hysteria, he cites cases where this connection apparently does not exist. So out of 5 cases of severe diseases of pregnant women observed by him, in two vomiting and salivation were complications of local diseases of the stomach, part of the peritoneum, two cases belonged to hysterical individuals, and, finally, one case cannot be attributed to one or the other category.

On June 29, 1890, N. was called to a pregnant 36-year-old nurse who gave birth 2 times: 7 years ago an immature dead fetus and 11/2 years of a so-called premature baby. The last bloods were in November 1889. Pregnancy was proceeding normally, but on June 28, after the jump, she felt a strong stitching in her right side and after that the onset of unusually painful attempts.

It cannot be denied that the moments that weaken the body during both the act of childbirth itself and the postpartum period can, due to purely mental conditions, especially with the existence of a hereditary predisposition, entail mental illness in the postpartum period.

Mycosis of the vaginal mucosa is a very rare suffering.

A 47-year-old bourgeois woman, married, giving birth, menstruating correctly (she does not wear blood for 4 years), has been sick with pain and bleeding for six months.

Vaginal-perineal surgery for prolapse of the uterus and vagina, although in most cases give good success immediately after their production, but to make the latter resistant, it is necessary on the part of patients over a long time to observe a number of precautions. Meanwhile, the greatest number of prolapses is found among women belonging to the insufficient, hard-working class, who, therefore, are deprived of the opportunity to take care of themselves sufficiently.

The operation itself depends on the place and method of development. Myomas on a long stem, interstitial myomas, which can be harvested without opening the uterine cavity, give a good prognosis.

The named clinic has only 20 beds, which, of course, are not enough; patients have to refuse an appointment or treat them, if possible, out-patiently; moreover, the author found himself compelled to write out many of them until he was fully recovered. In 1890 it was accepted — once 162 patients, twice - 17 and 3 times - 1; remained from the previous year - 13; not discharged by 1891 - 14.

From July 1888 to April 1891, the author performed 50 celiac cuts, mainly for diseases of the female reproductive apparatus. Of these, 29 were made due to tumors of the ovaries and uterus, 13 - due to inflammatory changes in the ovaries and tubes, 2 - with an ectopic pregnancy, 1 - with an abdominal cyst (without communication with the genitals), 1 - with renal sarcoma, 1 - with sarcoma small intestine and 3 - with neoplasms of the peritoneum.

The predominant obstetrician and gynecological obstetricians 'and gynecologists' obsession with sublimate suffered a significant chill after the accidents published by Lomer, Stadtfeld, Nötz, Winter, Patridge.