Vol 7, No 3 (1893)

Caesarean section, which in the previous pre-antiseptic time gave a staggering percentage of mortality, really seemed too risky an operation; according to statistics collected by Joulin in Traité d'Acouchements, this percentage, according to different authors, fluctuated between 44.5% and 66.6%. According to Lazarevich (Course of Obstetrics published in 1892), the mortality rate in the old days was 80%. After the introduction of antiseptics and mainly after the improvements in the surgical technique proposed by Sänger, the mortality rate can be so much that if the operation is performed in a good environment and by the hands of an experienced surgeon, then less than 10% is obtained; thus, Leopold's caesarean sections gave only 8% of the adverse outcomes.

Honorary member attended A.Ya. Krasovskiy, 34 members: Kidder, Brandt, Vasten, Vorobyov, Gavronskiy, Hermonius, Goraiskiy, Danilovich, Dobradin, Dranitsyn, Zheltukhin, Zabolotskiy, Krukovich, Liluev, Lichkus, Lopatinskiy, Massen, Ott, Piotrovich, Porshnyakov, Radetskiy, R.K., Rachinskiy, Ruzi, Rutkovskiy, Savchenko, Salmanov, Stravinskiy, Sutugin, Tarnovskiy, Fisher, A.R., Chagin, Shverdlov, Shtol, Shuttenbakh and 22 guests.

On the basis of comparative observations on the use of antiseptics and asepsis in the labor and postnatal periods made in the Tiflis Olginsky Midwifery Institute, the author came to the conclusion that the use of decaying substances is not only not useful, but even partly harmful, as a circumstance that probably has a destructive effect on cells of healthy tissues.

Douglas Ayres argues that early production of venesection not only protects against threatening attacks of eclampsia, especially in more or less obese individuals, but also favors complete healing and in any case prepares an excellent ground for further therapeutic measures. The method of treatment with venesections gave the author a much lower mortality rate than any other method.

Craniotomy, causing fetal death with terrible disfigurement of its body, is often accompanied by severe damage to the vagina and surrounding tissues of the mother. The latest advances in abdominal surgery, applied to obstetrics and gynecology, have firmly established the fact that in case of pelvic irregularities, a timely Cesarean section will always be crowned with the desired success.

The patient, admitted in childbirth to the Elizavetgrad hospital on September 16, was healthy before her marriage, menstruated correctly after 4 weeks; she married at 18, and gave birth to a dead child in her second year. The second birth a year later ended with perforation due to narrowing of the outlet. After this birth she was ill; was treated, but unsuccessfully, for a tumor, and in view of the danger she was advised to beware of pregnancy. A year later, she became pregnant again and on time, September 15, labor began; the waters disappeared soon, the pain intensified, there was a breakdown, nausea and vomiting. Objectively: the subject is strong, the pelvis is correct, weak activity of the heart and pulse, t ° is normal, nausea and vomiting, constipation, bloating and pain in the lower abdomen, a sharp protrusion of the abdomen with the designation of the fetal position, fetal heartbeat is not audible, from the sleeve ichor with a smell.

The author used ichthyol in 278 cases, using it not only in gynecological cases, but for the treatment of this organism in general, guided by the following pharmacological data: being the double salts of ichthyosulfinic sodium sodium with ammonium, zinc, lithium and containing mainly sulfur, greedily combines with water, what is the effect of reduction and drying; and the ability to irritate tissues less than other drugs has already been proven Unn, They constrict blood vessels, absorb the liquid parts of inflammatory products, (bloodless tissues, and quickly destroy their swelling).

On October 12, 1891, a 22-year-old patient S. J. was admitted to the city hospital in Warsaw, who safely gave birth 12 days ago to a healthy girl, with signs of severe acute anemia and a colossal enlargement and swelling of the right large lip and pubic integument. The bladder is swollen and full of urine. With great difficulty, it was possible to find the opening of the urethra for catheterization through the mass of voluminous blood tumor. A foul-smelling discharge, yellowish in color, follows from the vagina. T ° - 40 ° C. Diagnosis — Endometritis puerpuralis et haematoma vulvae et vaginae post partum.

Studies by Rüge and Veit have established two forms of carcinomas of the mucous membrane of the uterine cavity (the first one begins with the expansion of the lumen of the glands filled with epithelial elements, and the second begins with the increased proliferation of the glands themselves), the existence of which has also been confirmed by other researchers, and which by many are considered the only cancer found in the uterus. Piering was the first to describe a case of a primary cavity cancroid developing on the uterine mucosa, completely covered by squamous epithelium, and giving metastases to the cervix.