Vol 11, No 4 (1897)

The proposed method for the treatment of diseases of the uterus, its appendages and pelvic peritoneum consists in injecting into the uterus (its cavity) a solution of alumnol'a (alumnol 2.5, iodine tincture and purified alcohol 25.0 each). The idea of such a method of treatment, like very much in modern medicine, is not new, for example, for a very long time, for endometritis, injections into the uterine cavity of iodine tincture, an aqueous solution of zinc chloride, etc. have been used. The use of alumnol for this purpose is of a very recent origin.

All those who entered in 9 3 were 550; of them were discharged before delivery 7. One was admitted with a dead child — the birth took place at home. Consequently, there were 542 that were disintegrated, which are distributed as follows.

In the Kezmarszk's clinic from 1882 to October 31, 1895 there were 11095 outpatients; 705 of them suffered from uterine cancer (6.35%). In 70 cases (10%), complete extirpation of the uterus was performed.

Investigation of a 45-year-old, married O para, behind the anteverted and attached uterus, found a tuberous, 2 elastic tumor, the size of a child's head, which filled the entire small pelvis.

Opinions differ about the pathological causes of menopausal bleeding; there are no exact data in the literature. In most cases, these bleeding is linked to endometrial inflammation. In many cases, such inflammation occurs, in no fewer cases, after curettage of the uterus, a healthy mucous membrane is obtained. With such a negative result, the cause of bleeding is sought in chronic metritis, especially when the uterus is slightly enlarged. For some cases this explanation is true, for others it is not. In the latter category of cases, there is often a disease of the vessels themselves, which prevents them from contracting. Such cases, taken from private practice and the Leopold's Clinic, are being discussed.

This article is polemical and directed against Theühaber.

Frank, director of the obstetric institute in Cologne, performed in 1894 on a patient who, due to a narrow pelvis, underwent symphysiotomy and who could hardly walk due to nonunion of the pubic articulation, a secondary operation, and he refreshed the articular surfaces of the joint and inserted a piece of bone taken between them them together with a skin flap from the right horizontal branch of the pubic bone.

In 1893, Freund, Jr. described a new method for uterine prolapse surgery, in which the vagina is narrowed by means of several silver wire ligatures applied in a ring-like manner under the vaginal mucosa.

In „Centralbl. f. Gyn. “In 1896, two cases of Caesar section were published.

An absolutely correct diagnosis of twin pregnancy is not as easy as many people think, and this circumstance is especially evident when the doctor's course of action depends on the correct diagnosis.

If the possibility of the existence of streptococci in the vagina is recognized more and more, then there are still authors who deny this possibility.

Pointing to the scarcity of our information about the very first stages of the development of the placenta, the scarcity depends, on the one hand, on the fact that the studied material, the products of miscarriages, in most cases has a pathological character, on the other hand, on the other a proper assessment of his age is not always possible - and prefaced by a description of seven apparently normal drugs, the author expresses the following view of the development of the placenta.

Without resolving the dispute about the origin of the elements of syncytium and only casually mentioning that some microscopic pictures make the doctrine of the transformation of the epithelium into multinucleated syncytial masses very plausible, the author, at the instigation of his teacher, Marchand only touches on the question of the further fate of these syncytial giants cells.

Last year on the pages of Dtscbe med. Wochenschr. there was a heated debate about the treatment of cancers with erysipelas between professors such as Bruns, Emmerich, Petersen, and others; accidental or artificially grafted erysipelas is known to have beneficial effects on cancer.

A woman in labor who contracted a puerperal infection, on the 5th day after giving birth, received subcutaneous (sub cutim) in the morning of 30 k. From. anti-chain serum Boger'a and Charrin'a in the evening another 20 to. page; the next day in the morning 20 k., - in the evening 15 k. from.; with the further use of such injections, there was an improvement in the general condition and local phenomena; and on the 11th day the patient could already leave the bed.

Dr. Fr. was invited to 1 woman in labor at 6 am, December 1, 1895. During the period of opening, the contractions were very strong, the woman in labor was very strained, holding her breath. An hour before the birth of the child, the face of the woman in labor was swollen, became tense; but she covered herself with a handkerchief and lay still and d-r Fr. did not pay attention to the said phenomenon.

Briefly, the case histories of 44 myomotomized according to the method introduced by prof. Cuzzi since 1890, A. indicates a significant simplification achieved when applying this method. The operation is performed as follows: an incision of the abdomen and peritoneum of the corresponding size is made; the uterus is freed from adhesions and, in its supravaginal part, is pulled over by a well-disinfected thin Nelaton catheter, the ends of which are folded crosswise and sutured with silk; the uterus is amputated an inch above the constriction; the stump is closed only by the peritoneum surrounding it, and finally, after the toilet, the abdominal wound is sutured.

On the basis of studies carried out on the uterus of people, dogs, cats and rabbits, A. comes to the following conclusions.