Vol 8, No 3 (1894)
- Year: 1894
- Published: 13.03.1894
- Articles: 36
- URL: https://journals.eco-vector.com/jowd/issue/view/2648
- DOI: https://doi.org/10.17816/JOWD83
Full Issue
Articles
To the question of the aseptic method for operations
Abstract
Recently, instead of the antiseptic method, sterilization and aseptic methods have been increasingly used in operations in uncharged tissues. In the department of prof. Ott, at the Clinical Institute of the Grand Duchess Elena Pavlovna, the latest methods have been used for several years, and in general, a more favorable course of the postoperative period, more frequent receipt of primae intentionis wounds - this is the ideal of surgeons, both in large, and especially in plastic surgeries.
Uterus duplex bicornis cum vagina subsepta infrasimplici или uterus didelphys cum vagina subseptainfra simplici?
Abstract
The various deformities found in the area of female genital organs are of interest to us not only as a deviation from the laws according to which the forms of individual creatures develop, but also according to those functional features that are completely dependent on the properties, location and degree of development of the existing defect. They are interesting for the practicing physician in the sense that the morbid phenomena and functional deviations that have developed as a result of their morbidity require special individual therapy based on a comprehensive study of this defect. The developed diseases on the basis of a viciously developed organ require the careful use of conventional therapy. Finally, in the diagnostic sense, they sometimes present such difficulties that are not always even resolved positively on the sectional table.
To the casuistry of complete ruptures of the uterus during the act of childbirth
Abstract
Ruptures of the uterus, being one of the most fatal complications of the act of childbirth, represent, by their etiology, in each individual case, and still a lot of dark sides. Bandl's classic works, which, according to Veit's apt expression, constituted an era in the teaching of uterine ruptures, are so carefully substantiated by the author himself and are full of such valuable indications for the symptomatology of a threatening rupture that for every obstetrician practitioner, they are still a guide thread in the prevention of this dangerous complication.
Medical report on the activities of the Obstetric Department of the Gynecological Clinic prof. N.V. Yastrebova at the Imperial Warsaw University in 1890 (from 15 / III), 1891 and 1892 (until 15 / III)
Abstract
Of the total number of births during the reporting period (931), in 910 cases, births were single and in 21 — multiple births — twins (or 2.26%). The ratio of multiple births to single births = 1: 43.3, which is higher than in the previous reporting years 1: 66. Twins are accounted for in 43.3 single births.
OBSTETRIC-GYNECOLOGICAL SOCIETY IN ST. PETERSBURG
Abstract
Attended by: honorary member K.F. Slavyanskiy, 38 members: Antipov, Baikov, Bankovskiy, Baskin, Batsevich, Viridarskiy, Voff, Hermonius, Goraiskiy, Danilovich, Dimant, Dranitsyn, Zabolotskiy, Krukovich, Lichkus, Massen, Piotrovich, Porshnyakov, Radetskiy V.K., Rachinskiy, Ruzi, Rutkovskiy, Rymsha, Savchenko, Sadovskiy, Serezhnikov, Stelmakhovich, Stravinskiy, Strogonov, Fisher, A. R. Fratkin, Tsyrskiy, Chernyshev, Shverdlov, Stolts, Shuttenbach, Eberman, Eichfus and 20 guests.
To the etiology and treatment of uterine inversion due to tumors. Eversion statistics
Abstract
If, in general, eversion of the uterus occurs infrequently, then in particular this applies to eversion due to tumors. According to statistics from Crossé, out of 400 cases of eversion, tumors account for 50; During the period from 1877 to 1893, Jakub collected 244 cases, of which 27 were tumors, together with the author's next case.
Uterine ruptures and their outcome, depending on the nature of obstetric care
Abstract
Leaving aside the ruptures of the uterus, depending on changes in the uterine parenchyma and malformations of the uterus, the author attributes most of the ruptures to neglected and incorrectly administered labor. He puts the degree of frequency of ruptures in direct proportion to the timeliness and nature of obstetric care in each case. Finding a negligible percentage of ruptures in almost all authors (0.01% -0.1%), excluding Leopold (0.3%), and comparing the incidence of uterine ruptures in Warsaw (18 ruptures per 3391 births, therefore, about 0 , 5%), the author explains this frequency of breaks by the irrational delivery of obstetric care. Several cases are cited to support this opinion.
Death during childbirth with uncompensated heart disease
Abstract
In confirmation of the earlier statements by the author on the effect of pregnancy on the worsening of heart disorders and on the possibility of a fatal outcome due to irreparable heart compensation disorders, he cites here a case that was under his supervision at the Moscow obstetric clinic.
Brefotomy case
Abstract
In a second-bearing woman, on the 3rd day after the onset of labor, with a transverse neglected position (t° 38.8°; pulse 120), the author exfoliated both arms in the shoulder joint, perforated the spine in the lower cervical part, removed the lower part of the fetal body (with legs ), and then, having squeezed out part of the brain through the spinal canal, removed the head.
Two cases of ectopic pregnancy, successfully operated in extremis with gastrointestinal surgery
Abstract
The first case concerns a 24-year-old patient who was admitted to the Jewish Odessa hospital on June 8, 1893, in a state of severe acute anemia: cold extremities, cyanosis of the lips, intense deep breathing, deathly pallor, cold sweat on the forehead, barely noticeable, threadlike pulse, but at times completely disappearing, semi-unconscious, dilated pupils.
The consequences of resection and transection of the uterine horns in rabbits
Abstract
There is, as you know, a method of supravaginal amputation of the uterus, according to which the stump formed by the remaining uterine cervix is not sheathed by the peritoneum, but simply captured only in the ligature; while, according to H. Treub'u, the ligature is applied only around the neck, en masse, according to the method practiced by prof. DO Ottom, ligatures, number from 2 to 4, pass through the thickness of the uterine wall, without capturing the cervical canal and thus leaving it passable.
Postpartum psychoses
Abstract
Guided by the views of various authors, the author of the article tries to systematize various etiological moments, both predisposing to postpartum psychoses and producing the latter. The first place among the causes is heredity, a predisposing cause. Between the predisposing and producing causes, as something transitional, there are emotional disturbances and moral upheavals. Finally, among the causative causes, it is necessary to indicate infection and postpartum diseases of the genital organs (especially often subinvolutio uteri), as well as autointoxicapia (eg eclampsia, osteomalacia).
Menstrual condition and menstrual psychosis
Abstract
The author first of all briefly examines the influence of the first menstruation and established blood on the body of a nervously healthy woman, noting that "the menstrual period of a healthy woman is not a disease, but it is not complete health." Menstruation in such cases, to a greater or lesser extent, upsets the balance of the nervous system in a woman. The influence of menstruation on the body of a woman with a nervous predisposition is more complex. In these cases, the influence of the appearance of the first menstruation is especially pronounced, when sometimes an insignificant moment is enough only for the girl to develop epilepsy, hysteria, atrial melancholy, etc. It also happens the other way around: the onset of menstruation improves the course of already existing nervous suffering, for example, chorea. The influence of each menstruation is less pronounced, when menstruation has already been established, while painful menstruation (amenorrhoea, menorrhagia) affect the nervous state of women more sharply
To diagnostics of ectopic pregnancy in the early stages
Abstract
Case 1. Married, 26 years old. Gave birth once. Complaint - bleeding that began a week after urgent menstruation and continued for 26 days. Until this time, menstruation was correct. For five weeks, a growing tumor is seen in the left lower abdomen. Partly with a pipette, partly with a sharp spoon, part of the contents was removed from the uterine cavity, showing the presence of loheocytes and decidual cells. The suspicion of an ectopic pregnancy was confirmed by gastrointestinal surgery, and the entire sac (funnel, fallopian tube, omentum, ovarian wall) was removed. Recovery.
Migratio ovi et seminis extrauterina
Abstract
Case I. Peasant woman, 31 years old, giving birth; after a two-month absence of menstruation, sudden pain in the lower abdomen and loss of consciousness. Hemorrhage in the posterior Douglas space and general peritonitis. The posterior fornix was opened through the vagina (blood and pus). The patient died.
Physiological non-inflammatory disorders of the uterus. (False metritis)
Abstract
There is a known number of diseases of the uterus, depending on physiological disorders. They are manifested mainly by such signs as leucorrhoea, bleeding, etc., which are characteristic of true, that is, infectious metritis. The author divides all changes (diseases) in the uterus, excluding neoplasms and curvatures, into changes that depend on infection and do not depend on it. The name metritis, in his opinion, should be confined only to the first, that is, to the true inflammatory changes. Already in 1886, the author pointed out the difference between contagious metritis and physiological nutritional disorders that occur under the influence of disorders of the nervous, circulatory or lymphatic systems, or under the influence of trauma, incomplete reverse development, etc. These diseases include the names subinvolution, chronic hypertrophy, blockage, tide, etc., and the author calls them pseudo-metritis
Childbirth with buttock presentation. Hydrocephalic head, lingering in the uterus after separation of the trunk
Abstract
The author proposes, in order to facilitate the extraction of the subsequent detached hydrocephalic head and lingering in the uterus, the following method, which he used in one case, after preliminary futile attempts to extract the head by the lower jaw, forceps, etc.
Treatment of uterine evasion by faradization
Abstract
According to the author, electricity in most cases of uterine evasion is an excellent medical agent. It satisfies all three indications most often encountered in this suffering, counteracts the formation of dense exudates, promotes metabolism and restores the contractility of the ligaments that support the uterus. The author uses the apparatus of the Chardin system, the electrodes are a uterine probe with a carbon tip, described by Apostoli, and a zinc plate wrapped in felt and suede.
About the treatment of metritis with antiseptic
Abstract
The author attaches particular importance to the participation of the lymphatic apparatus in inflammatory diseases of the uterus and, by analogy with similar diseases of other parts, finds the local use of antiseptic agents especially useful.
Placental respiration in a normal state and following bleeding in the mother
Abstract
As for normal placental respiration, the author's research only confirmed the results already obtained earlier by Cohnstein and Luntz: it is known that the fetus borrows the oxygen it needs from the mother's blood and, in fact, the blood of the umbilical vein contains more oxygen, than the blood of the umbilical artery, while carbon dioxide, on the contrary, predominates in this latter.
Eclampsia treatment
Abstract
Nowhere has the study of bacteriology led to such brilliant successes as in obstetrics: thanks to antiseptics and asepsis, postpartum fever, which carried off a mass of women in labor to a premature grave, disappeared. But until now, eclampsia has remained invincible, resulting in many victims among pregnant women and women in labor. Although a number of recent studies have proven that seizures are caused by toxins that accumulate in the blood, as a product of the vital activity of special bacteria that develop in the body during pregnancy, we still do not know the conditions and reasons under which they develop.
A case of insanity following an ovariosalpingotomy
Abstract
The author first observed the case he described five months after surgery. The history, course of the disease, the course of the operation and the postoperative course were reported to him by Dr. Lou, to whom the patient consulted in April 1890.