Vol 8, No 12 (1894)

On the 20th of January of this year, I was invited to visit a sick woman, the sister of one of my Moscow comrades. A sick, intelligent person, 38 years old, came for treatment from the Chernigov province, comes from a very healthy family.

In this note, I meant to point out some modifications that have gradually entered the technique of curettage of the uterine cavity over the past time and which, as observations have shown, have some advantages over commonly practiced techniques and therefore deserve everyone's attention.

The question of improving obstetric care, from whatever side it is viewed, always deserves to be dwelled on with full attention and care. Therefore, one cannot but be grateful to the author of the aforementioned brochure for what he now recalls about one, perhaps the most important, side of this issue — the midwives.

The author disagrees with Leopold, who limited the indications for caesar section in favor of symphysiotomy. In his opinion, caesar section is a simple, typical operation, safe in the hands of an obstetrician who has fully mastered the laws of asepsis; symphysiotomy is not entirely safe.

The author considers symphysiotomy to be an unnecessary operation, not devoid of unpleasant consequences and dangers for the mother.

In a primiparous 20 years old, a tumor, the size of a child's head, was found 1 hour after childbirth, which lasted 3 days (ended arbitrarily).

Features of the case (4-month-old boy): hernia of the white line, splitting of the pubic arch, fusion, in the form of cords, between the rectum and the bladder and between the latter and the abdominal wall, and lengthening of the mesentery flexurae sigmoideae.

The author has previously treated this subject (Zeitschr. F. Geb. n. Gyn., Bd. XVI), and now objects to O. Engström, who reported his cases of uterine atrophy during breastfeeding (Festschrift d. Deutsch. Gesellschaft f. Gyn. u. Geb.).

These observations are based on 2 castrations for this purpose, published by the author 2 years ago, 3 Kessar sections according to Porro and 8 castrations described in this work.

Those who perform laparotomy experience the inconvenience of insufficient illumination of the operating field, not only with artificial light, but also with daylight.

Dr. F. was invited to 28-year-old first women on 16 / VI 94 g. During examination through the vagina, F. felt a wide, smooth spherical tumor of bone hardness protruding into the right anterior part of the pelvic cavity, giving the impression of a presenting head.

Dr. N. saved the lives of five patients who, due to severe bleeding, were threatened with rapid death.

V. Barnes considers the establishment of the correct indications for premature birth to be a brilliant proof of the progress of medicine in general and, in particular, of the conservative direction in obstetrics. To determine diseases that require an interruption of pregnancy, one should trace what occurs in such cases in the body of a pregnant woman spontaneously, that is, take a closer look at natural self-help.

The table of contents of the article is an American innovation. Instead of the usual long-term review of foreign clinics by Russian doctors, L. visited prof. Porro and his conversation with him makes the subject of an interesting report in a medical journal. I will briefly convey the essence of this message.

Having prefaced a few words about the small number of laparotomies published by him, Ow. justifies this by the fact that they were produced in a distant colony. The third case is interesting for the diagnosis and death due to sepsis, due to the needless search for a sponge in the abdomen.

Goelet performs the aforementioned dressing in order to reduce bleeding and the growth of fibroid tumors of the uterus and believes that this easy operation can replace the more risky one - removal of the entire uterus, or that the first, serving as a preparatory phase for the 2nd, may make the latter unnecessary.

Eclampsic and epileptic convulsions in postpartum women are similar only in external manifestations; but depend on completely different diseases. The following incident is instructive in many ways.