Vol 5, No 9 (1891)

Mm. Gg. I will draw your attention to the operation known under the name of the conservative Caesarian section. This communication is based on three cases that I operated on in the current academic year. Each of these cases has its own casuistic interest, and also sheds light on one side or the other of the issue of this operation.

Sexual activity is one of the main goals of life on earth for every being. For a person, this goal of life is especially important, because, thanks to the mental development of his mental powers, his sexual activity is not instinctive, like in every animal, but is more conscious and therefore constitutes for him a more urgent need for life. Like any creature, human sexual activity is divided between two sexes, between a man and a woman, but the man accounts for only a small part of this activity, almost all the burden is borne by the woman. From this, the functions of the female genital apparatus are very complex: they are not limited to the narrow sphere of one genital apparatus, but relate to the entire female body, having enormous influence on other spheres of its activity.

39 members were present: Batsevich, Bidder, Vasten, Vertsinsky, Viridarsky, Vorobyov, Voff, Hermonius, Goraisky, Grinev, Danilovich, Dobrovolsky, Dovnarovich, Zheltukhin, Zabolotsky, Krukovich, Liluev, Lichkus, Lopatinskiy, Mazurkevich, Massen, Ott, Piotrovich, Popov, Radetskiy, Rostkovskiy, Savchenko, Salmanov, Smolskiy, Stelmakhovich, Stravinskiy, Strogonov, Urvich, Fisher A., Fratkin, Chernyshev, Shtol, Stolz. Yanpolskiy and 20 guests.

The author describes the change in the lips of the pharynx of syphilitic origin that he met during childbirth. Along the entire circumference of the pharynx, in the thickness of the lips, very dense nodules in the form of beads were felt, grasping the length of the cervix by 1/2 cm.

The author used intrauterine tamponation in a fairly large number of cases, moreover, in some very severe cases, mainly with bleeding. All received good results. In some, tamponation followed curettage - removal of septic products from the uterus.

X.Y. Z. 43 years old, married, 13-para; does not live with her husband for 18 months; On November 20, 1888, a difficult birth (pelvic position) with a full-term baby, without medical assistance, from which the mother persistently refuses.

The author describes a typical case of an ectopic - tubal pregnancy, which he operated on.

There is nothing more or less common more or less wide adhesions connecting the uterus with the walls of the pelvic floor or with adjacent organs. The author investigated the female genital organs of more than 300 subjects who, however, in most cases, belonged to a more mature age, and he came to the conclusion that a healthy uterus, in the sense of the absence of a large or smaller number of adhesions, which are the consequences of former inflammations, is a rarity. almost an exception.

Analyzing Schücking's method, he finds it uncomfortable because it is accompanied by painful fits and suffering of the urinary bladder for a long time, and therefore (even before the modification of Zweifel) he produces it as follows:

The case reported by the author does not differ in any way from a number of similar cases in terms of the complex of symptoms and surgical technique. It is reported over for statistics.

Terrillon's clinic is located in one of the huge buildings of the Salpetrière hospital, located parallel to each other and enclosed in a quadrangle by one high wall. In the intervals between them (in the courtyards) there are parks and smaller buildings, for example: a church, an auditorium, an electrotherapy room, a reception room for patients, etc. In parallel large buildings, wide passages are arranged, through which the courtyards communicate with each other. Old buildings and, probably, as a result of rare renovations, appear from the outside smoky and gloomy. In general, all the old hospitals in Paris in their gloom and isolation are more like prisons than hospitals. However, the inside of the ward for the sick is kept very clean.