Vol 12, No 6 (1898)

After Virchow had accurately established the concept of sarcomas in general, and in 1860 at the Berlin Gynaecological Society, the first undisputed case of uterine sarcomas was presented, confirmed by a thorough microscopic examination, a number of works on uterine sarcomas have appeared in the literature, some of which are purely caustic in nature and some provide a detailed description of the pathological and anatomical structure of tumours.

I continue my notes on midwifery from the Zemstvo practice for 1895 in the Pyryatinsky district of the Poltava province, in the Teplovsky medical district 1). Cases, except for a few gynecological ones, were mostly still obstetric, and were observed mainly in various villages of the huge Teplovsky district and partially in theTeplovka hospital itself.

In both cases, very similar one to the other, there was a cicatricial narrowing of the vaginal lumen and cicatricial destruction of the urinary duct in a space of about 3 cm., in the section adjacent to the bladder; the end (outlet) part of the urinary duct was whole.

Having listed the conditions under which bleeding usually occurs and is maintained during presentation of the child's place, the author examines various benefits, usually directed towards stopping bleeding.

The author looks at menstruation as a secretory process that exists for the liberation of the female body from unnecessary substances accumulating in the blood.

On 308 cases, absolutely correct menstruation in the first year of puberty was observed in 176 girls, in the rest there were observed: absence of menstruation 56 times, sick menstruation 34 times and increased menstruation 42 times.

In one case, in 44 years of age, the uterus was removed, the upper border of which was 3 transverse fingers below the xiphoid process (the diameter of the uterus is 40 cm, its sheer length is 36 cm). It has been suggested that this is a fibromyoma.

Antipyrine was offered by Chouppe in 1877 against painful contractions after childbirth. Since then, Rivière, Touin, Philips, Guïbert, Roncaglia, Tenin, Pinzani, Boissard studied the effect of antipyrine on the composition and separation of milk and came to very different conclusions.

A 57-year-old patient, who has not worn blood for 2 years and has never had abdominal pain or uterine bleeding, was operated on to remove the uterus and appendages completely (from the vagina), because the doctor who had heard of the patient preceded her with uterine fibromia.

In 59 cases of miscarriage, Doléris provided surgical assistance 33 times, the rest were spontaneous. The author spontaneously had 176 miscarriages in 275 cases. From the beginning to the end of these (176), 145 miscarriages were observed.

The author's work is divided into three parts. In the first, he draws the physicochemical properties of milk. By the way, he notes the mistake of his predecessors in the study of milk - they did not quite confuse the study of colostrum (in the first 15 days of the postnatal period) with the study of real milk.

The first case of this kind of illness was described in 1875 by Thomas and A. Weir, under the names folliculitis vulvaris and psoriasis vulvaris. Naibolee's detailed treatment of this suffering belongs to Reclus and Weir (1887 and 1888). Pozzi and Michaux see this sickness only as a type of senile changes in the mucous membrane. The authors, on the contrary, think that there is no relation between catarrhal changes and leucoplasia.

Since 1890, the authors investigated 19 cases of liver damage in eclamptics. From this number, the authors believe, however, it is necessary to exclude five cases in which death caused a summer, so that the rapid decomposition of corpses prevented the use of autopsy material in proper conditions.

A woman who had previously presented long-term tuberculosis suppuration of the right talus and the third metacarpi of the right hand, on the 5th month of pregnancy showed strong albuminuria and severe manifestations of uremic dysnea.

In a primiparous pregnancy at the 5th month, it was complicated by a huge dropsy of the egg, which required a puncture of the membranes, and about 7-8 liters of fluid leaked out.

The first case concerns a 25-year-old woman who was admitted to the hospital on February 3, 1896 due to vomiting and rather severe abdominal pains, which coincided with profuse pains.

The author gives a detailed history of a patient in whom during childbirth a fibroma was diagnosed, which completely impeded delivery.

Above, I have sent a letter to the under-ranked throughout the Zemsky District Administration. Fully aware that the drafting of such a difficult task as the organization of obstetric care for the rural population is beyond the power of one person and that the indications that can be made by comrades who are in close contact with the population are especially valuable, I allow myself, in addition to Zemsky to doctors, especially employees in zemstvos, with a request not to refuse to report their opinion, as well as to send statistical materials and, in general, everything directly related to the matter. It goes without saying that the copyright will be preserved, and the sent documents, if necessary, will be returned, if such a desire is declared.