Vol 9, No 10 (1895)

On December 19, 1894, sick Eleanor M — ko, diagnosed with polypus uteri, was sent to me by a comrade of the land. Arriving to the patient at the hotel, I found her in a very bad state: deathly pale, with a very weak pulse, with t ° to 40.0 °; dirty blood with a strongly putrid odor was discharged from the vagina. The patient was immediately sent to the hospital, where a thorough examination gave the following: the patient is of medium height, the skeletal system is developed correctly, muscles and skin are flabby; the outer covers are very pale; the visible mucous membranes are very pale with a cyanotic tinge; heart, lungs, and urine are normal. External genitals, heavily soiled with a dirty red fluid, are normal; first degree perineal rupture; the genital gap gapes a little; 2 snt. from the entrance to the vagina, the finger comes across a round, rather soft and elastic body, reminiscent, at first impression, of a fibrous polyp; this body, the size of a slightly enlarged uterus, has only a round outline below; above it tapers and passes into a small groove, limited by the external os of the uterus. In place of the body of the uterus, a small solid formation is felt, the size of a slightly enlarged ovary; this formation closes a funnel, which in this case cannot be felt; nothing pathological is felt in the vaults. When viewed in mirrors, the described body appears to be a dirty gray color, in places even completely black; at the slightest touch, the body bleeds quite a lot. The patient's body temperature is 39.6 ° C., pulse 120, very weak and easily compressed; the patient cannot move without assistance.

These operations were performed by me in the village. Zemetchine, Morshansk district, over time from 1887 to 1891. They represent the continuation of those that I described in “Medic. Review. ", 1884 and 1886, and in" Surgeon. Vestn. ", 1887. The general conditions in which these operations were performed are indicated in the aforementioned articles, as well as in the report on eye operations (" Medicine ", 1895). However, I consider it necessary to describe these conditions in more detail, as applied to these operations, which represent the highest manifestation of the surgical business, a touchstone for the surgeon and the "environment".

Self-knowledge is the only correct way to resolve practical issues. The task of Russian medicine — to prevent and heal the diseases of the Russian people — will only be best resolved when it follows this path. From this point of view, the appearance of reports on the medical activities of medical institutions and individuals is desirable, if they (reports) contribute some material for such self-knowledge and, in part, outline ways to solve practical issues. These considerations prompted me to continue the report on my rural surgical activity, and after the report on the eye operations I propose a report on obstetric and gynecological.

Attended by: D. A. Abuladze, M. A. Voskresenskiy, D. A. Vorobiev, V. N. Gogotskiy, D. A. Karra, P. Yu. Krol, N. M. Zvinyatskiy, N. K. Neelov, P. T. Neishtube, G. F. Pisemsky, G. G. Levitsky, A. A. Redlikh, N. V. Untilov, N. V. Shuvarsky, A. P. Yakhontov and 60 guests.

Regarding the report of Dr. Shaw to the London Obstetric Society, the renowned gynecological surgeon Lawson Tait expressed his views on peritonitis, in fact, on the prognosis and treatment of more difficult cases of this disease.

Martin is undoubtedly one of the outstanding gynecologists in Germany. He was one of the first supporters of the operational direction in gynecology, a direction that has become dominant in the last 10-20 years. Martin's work, in almost all branches of gynecology, made him a reputation not only as an experienced and courageous operator, but also as an outstanding scientist.