Vol 6, No 7-8 (1892)

A more or less thorough acquaintance with the pelvis must be attributed to the 16th century, when Vesalius accurately described the normal pelvis, and his student Aurantius was flat.

There are relatively few cases of communication of the tube cavity with a cystically altered ovary in the gynecological literature, and therefore the pathology and the question of the origin of the so-called tubo-ovarial cysts still present quite a few gaps. As far as I know, there is no indication of the possibility of communicating the cavity of a stretched tube with a cystic-degenerated parovari in the literature at all.

Akulina O., a peasant of the Smolensk province, Belsky district, 54 years old, came to me on an outpatient basis in the middle of April 1889, complaining of rapid abdominal enlargement and severe shortness of breath. After examining her and assuming an ovarian cyst, I sent her to my room in the Smolensk hospital, where I was still studying external medicine.

Cases of death from chloroform during anesthesia or immediately after are well known. But even Casper in 1850 claimed that harmful effects after prolonged chloroform anesthesia could affect later (Nachwirkungen) - "to a certain extent, chronic chloroform poisoning".

Mrs. R. 38 years old, V para; last birth 4 years ago; 4 miscarriages, of which the last one was 2 years ago. I always enjoyed good health, and only the regulations were not quite correct.

Recalling that uterine bleeding never represents an independent disease, but always serves only as a symptom of a general or local disease, the author insists on the possibly careful diagnosis of metrorrhagia in each case, which establishes rational therapy.

In refutation of Keith's opinion (Brit. Med. Journ. Jan. 10, 1891), that the above operation failed in England, where it is performed very rarely, the author cites between the figures of other English gynecologists and 16 of his operations performed in recent years (1885-1891) at Leeds General Jnfirmary.

By its structure, the papilloma is the borderline between malignant and benign tumors; but in clinical terms it is wrong to classify it as a type of malignant tumor.

The relationship and even the close relationship that exists between diseases of the female genital area and the suffering of the entire nervous system, the author says, has not yet attracted enough attention from gynecologists, who attached too little importance to this relationship.