Vol 9, No 6 (1895)

Ectopic pregnancy, in which the fetus reaches full development, as with the correct urgent pregnancy, is a relatively rare phenomenon; more often it is encountered that the fetus dies after reaching only more or less significant development; The greatest percentage of non-self-conception falls on those cases when the embryo dies in the very beginning of its life. This form of disease by extrauterine pregnancy, that is, when the egg ceases to exist in the early periods and, therefore, when there is a regressive process, so to speak, an extrauterine incomplete miscarriage, is at the same time the greatest difficulty in the diagnostic relationship. The latter, perhaps, was the reason that in the past this kind of painful process was diagnosed less often than in the present, and comparatively only very recently it attracted due attention of gynecologists and underwent scientific development.

Recently, the question of finding microbes in various parts of a woman's genital canal again takes the attention of researchers. I will point out, for example, the work of Krönig, Menge, Walthard, and Winter, so much earlier in this area. This question is really extremely important and is of great importance not only in practical, but also in biological relations. Since my work on this subject, published only in Russian in 1893, is cited by Walthard and Winter) and, unfortunately, the last time not quite exactly, then may I be allowed here to pay attention to these inaccuracies, and the main thing is to point out the difference in the methods of research, due to which various conclusions were obtained by the indicated authors and me.

There was a time when women with uterine fibroids were left without surgical assistance. Experienced doctors certify that many women who suffered from uterine fibroids recovered without surgery. Subperitoneal or interstitial tumors, further huge in size, are often not accompanied by any severe seizures; small tumors often disappear during pregnancy. Submucous tumors burst into polyps or, after a spontaneous rupture of their bursa, are excreted in pieces. With the onset of climacteric age, many of these tumors atrophy.

Dr. A. H. Buckmaster. — The Vaginal Anus and its Treatment, as illustraded by the Report of a Case and a Suggestion for a Method of Forming an artificial Sphincter. (New-Iork Med. Journ., 1894, 11 / VIII, pp. 168-176). Anus vaginalis and its treatment from one case report and a plan for the formation of an artificial sphincter

In 45-year-old women,I woman in labor, labor was completed by one young doctor with difficult forceps in 1867. Prof. Keith saw her after 2 weeks. Vagina and rectum represented one cavity; the ruptured bowel extended several inches; the edges of the gap seemed uneven, the suppuration was terrible, some parts of the sleeve were close to necrosis. The doctor, who removed the child with forceps, performed the operation, being sick, why the damage was so extensive. After 6 months, the patient did not recover and the feces were spilled out involuntarily with every movement of the patient.

Dr. Stavely collected 33 cases of this operation. Mortality - 8 or 24.25% of mothers; from them in 2, in the presence of bleeding, in 1 - from aortic disease, in 1 - from inflammation of the peritoneum; 3 died after an abortion, 1 — from an unexplained cause. Of these operations, 24 were produced from 1884; excluding 9 cases operated before 1884, the mortality rate will drop to 16.66%; and in 17 cases, operated on since 1889, the mortality rate is 11.75%.

Having reminded the members of the London Midwifery society of the existing disagreement regarding the spatial change of the cervical canal during menstruation, which, according to some, shrinks and swells its mucous membrane, and according to others—expands, Herman outlined the results of his research, namely: 1) During menstruation, there is a slight dilation of the canal. 2) the largest amount of expansion is closed on the 3rd or 4th day of regulation. 3) dilation is observed equally in women with abundant or scanty menstruation, with or without pain, and there is no mutual relationship between these phenomena and the degree of dilation.

Hydrocele in large lips in women - very rare disease; it is often confused with a hernia. As is known, the peritoneal process descends along with the round ligaments along the inguinal canal in the third month of the fetal life of the embryo, the canal overgrowth occurs after the birth of the child. The lack of a canal along its entire length leads to a hernia, on the lower branch - hydrocele lab. pudend. major.

This form of paralysis occurs even more often with hemiplegia, paraplegia, and personal paralysis due to kidney damage, depending on pregnancy. Some of them deny such an origin of paralysis (Churchill); others, without denying their existence, attribute the paralysis not to the pressure of the head, but to the forceps. The erroneousness of the last opinion is proved by the case of Bianchi, in which a woman in labor complained of an onset of her legs 4 hours before the imposition of forceps. Burns and Jaccoud observed similar paralysis and post-normal childbirth.