Vol 11, No 6 (1897)

Mm. Yy! In embarking on the flattering and at the same time responsible duty of delivering a speech at the annual meeting, which is imputed by society to its elected representatives, I believe that the most appropriate topic for such speeches should be considered questions of principle, widely affecting one or another department of our specialty. Having outlined it comprehensively, the speaker's task is mainly reduced to comparing what is already firmly in the sense of scientific and practical with the side of the matter that, while still being controversial and open, awaits resolution and needs development or reform. Naturally, the broader the theme is, the more difficult it is to give it perfect lighting. Being fully aware of this position, I nevertheless outlined in my today's speech the question of "the guiding principles in the choice of methods for restoring the broken integrity of the pelvic floor and abdominal wall." Choosing such a question as a topic for my speech, I was guided by the following considerations: firstly, in essence, being, so to speak, general, it should be of interest to all those taking part in the meeting, especially since this issue is important not only for its purely scientific interest , but it also affects the practical aspects of life, with which the gynecologist has to meet at every step; in 2, those purely scientific foundations, not only clinical, but anatomical and physiological, which must inevitably be taken as the basis of practical conclusions and conclusions, are too ignored and the whole issue from the principled side is not covered to the extent that it is absolutely necessary for the success of practical conclusions: positions and conclusions based on hasty empirical conclusions are accepted too easily and are not sufficiently supported not only by scientific data, but represent large gaps in the sense of further clinical observations. In 3, I was guided by the desire to present in the system the rich material that is at my disposal in the Imperial Clinical Institutes, Midwife and V. Kn. Elena Pavlovna, mainly in the sense of the results achieved, especially since at different times I myself, as well as my assistants in clinical activities, have had occasion in recent years to speak to you with reports on individual particulars of the issue I have raised today.

In the gynecological department of the Imperial Clinical Midwifery Institute, a case of cystic formation was observed this year, which had the right labrum in its place; the description of this case is the subject of my report.

The complication of pregnancy and childbirth by acquired cicatricial narrowing of the sleeve belongs to the number of rather serious and even dangerous, although, to some extent, it does not occur very often. So, for 8860 births, who were in the clinic, prof. KF Slavyansky for the period from 8 / іх 1877 to 1/1 1896, the mentioned complication was observed only 3 times). In the Academic Obstetric Clinic) for 18 years from 1874 to 1892, not a single similar case was observed for 2275 births, as well as in many obstetric institutions, for example, the Gavan maternity hospital) (3215 births in 8 years) , the shelter of the Golitsinsky hospital in Moscow) (8193 births from 1 / I 1886 to 1 / I 1896), in the St. Petersburg Nadezhdinsky maternity hospital) (19396 births from 1873 to 1880 and 11857 ​​births from 1886 to 1888), in the obstetric clinic at Warsaw University) (1874-1892, 6100 births) and others whose reports were available to me. In the obstetric clinic prof. Phenomenov in Kazan during the period from 1887 to 1893 only one such case was encountered per 1005 births.

In the first half of his article, prof. Pryor describes the ramifications of art. il icae internae, based on research by Quain, Jastschinsky Kelly, Clark and their own works. 15 figures (two of them on the topography of the pelvis with painted and injected vessels) illustrate the text. For the impossibility of reproducing the drawings here, I will confine myself to indicating the original.

Dr. R. considers in this article the question of: 1) in what cases it is necessary to operate with suppuration in the pelvis by the abdominal route, and besides, 2) in which of these cases is it possible to simultaneously cut out the uterus? The author excludes from his analysis abscesses of puerperal origin with an acute course, without participation in the process of the Fallopian tubes or ovaries, and is limited to examining purulent or cheese-like accumulations in the pelvis with or without the participation of the Fallopian tubes and ovaries.

Dr. Gr. was hastily summoned to a 19-year-old 1 woman in labor, who had an attack of eclamptic convulsions. The pregnancy proceeded normally, the young woman, who had been completely healthy before, walked about a mile on foot, from her to her mother, where she felt sick, she fell to the floor and began to have convulsions. Dr. Gr. found her unconscious; the child is dead, lying between the legs of the parturient woman; by cutting the umbilical cord, the patient was taken to bed; a few minutes later came the afterbirth. The eclamptic attacks did not stop. G. chloroformed the patient, poured 1 drachma chloral-hydrate per rectum: nothing helped. Then Dr. Gibson bled the mother at 12 oz. The attacks became shorter and easier, and after 6 hours the postpartum woman regained consciousness, and the next day she was out of danger.

October 10, 1895 prof. Jrion was delivered by a lady of German descent. The newborn baby girl weighed 9 pounds. On October 17th, Dr Jrion was asked to examine the newborn due to her vaginal bleeding.

In theory, none of these instruments is anything new or original: the Donalde instrument, manufactured by Arnold and Son in Manchester, resembles the Fritsch-Bosemann catheter, whose beak is elongated in the form of a sharp spoon; its diameter is equal to No. 14 of Duncan's expander (approximately No. 8-9 Hegar).