Vol 8, No 9 (1894)

".... the description of even individual cases of this kind (gluttony) .... is of enormous scientific and practical interest."
("Two wombs", composition, Dr. V. N. Orlov, preface by Prof. A. I. Lebedev, 1893).
At present, laparotomy is often given in clinics and in some large hospitals (for example, there are reports of 200 cases, submitted by Prof. A. I. Lebedev), and about 300 - submitted by prof. G.E. Rein) that the description of seven cases proposed by me may seem completely uninteresting and not important; indeed, the number is not large, but it must be taken into account that these chavos were sent to a small out-of-town regional hospital, in an environment that is completely ordinary for our out-of-town hospitals, inherited from the Order of our Public Service: with labor, even a so-called intelligent person (not to mention a simple peasant woman) decides on any kind of operation, especially one in which it is necessary to open the abdominal cavity - this can be witnessed by any regional doctor!

In gynecology, asepsis is considered almost unanimously to be a method that gives the best results, and in obstetrics, antiseptic delivery is still very common. The doctrine of self-infection of women in childbirth contributes not little to this due to the immigration of pathogenic microbes from the sleeve into the uterine cavity or into other wounds of the genital canal that occurred during the labor act. Vaginal disinfectant douching is considered a necessary part on the basis of personal practical observations (Ahlfeld), partly on the basis of the results of bacteriological work proving the presence of pathogenic microbes in the sleeve (Winter), Steffeck), Döderlein), Williams), Masters).

1) Dr. I. M. Lvov showed a 10-year-old girl, whom he performed gluttonous surgery 4 weeks ago for tuberculous peritonitis. The patient was transferred to his department with the already established diagnosis. The little girl was very weak, there was swelling of the whole body and significant ascites; the urine is normal, the lungs are healthy - the tuberculosis bacillus was not found in the sputum, as well as in the ascitic fluid, which was released in 3 weeks before the day 1000 grams. This liquid was neutral, beats. in. 1020, yellowish-turbid, contained white and red blood corpuscles and endothelial cells, no bacillus was found in it either.

The 23-year-old virgin, who had not yet menstruated, could never commit coitus during her 3 months of marriage. In the course of the last 7 years, many times during each year, the patient feels in the lower abdomen an undetermined, gradually passing pain, which does not entail any consequences. Habitus patient is fully female, well developed and enjoys generally good health.

Living in Warsaw, a 23-year-old married woman who was not in good health, but who never suffered any serious illnesses before marriage, got married at the age of 17. A year later, she gave birth and was ill with postpartum fever. 18 months later, she gave birth again and was sick for half a year (septic parameter). 2 years ago I gave birth for the third time. Due to severe bleeding, the afterbirth was removed artificially, the postpartum period was normal. Last childbirth on March 9 of the current year. The patient felt well for the first two days.

A woman of 20 years old, married for 3 years, enjoying excellent health, from a healthy family. From 15 years of age, he menstruates correctly after 4 weeks 4-5 days. A year and a half ago, she gave birth on time safely; the pregnancy proceeded without any deviation from the norm. She is currently 7 months pregnant. 14 / I 94, the patient consulted the author about a felt extraordinary weakness in the lower extremities. Only insignificant swelling of the legs was ascertained; there was no plaque in the urine. Nowhere, in any organs, nothing special was found.

The teacher, a girl of 21 years old, already suffers from a high degree of debility. The external integument, in particular all the visible mucous membranes, are unusually pale wax color, edematous, the general appearance of the patient is puffy obese. Regulations were absent altogether, appetite was extremely poor, aversion to meat, nausea and constipation. Constant shortness of breath, ringing and noise in the ears, dizziness, tendency to faint.