Vol 6, No 2 (1892)
- Year: 1892
- Published: 13.02.1892
- Articles: 30
- URL: https://journals.eco-vector.com/jowd/issue/view/2543
- DOI: https://doi.org/10.17816/JOWD62
Full Issue
Articles
APPLICATION OF ASEPTICS IN SURGERY OF THE ABDOMINAL AND PELVIC CAVITY
Abstract
The widespread use of the antiseptic or anti-rotting method in the last 20 years, which has yielded brilliant results both in general surgery, and especially in the surgical treatment of diseases of the abdominal and pelvic organs, also has its disadvantages, the main one of which undoubtedly should be considered poisoning when using various anti-rotting medicines. In the literature there is already a rich casuistic material of deadly poisoning when used as an anesthetic, iodoform, carbolic acid, mercuric chloride, etc., etc. antiseptics or antiseptic method of treatment, despite the quick and brilliant success, still left much to be desired and made, during this entire 20-year period, both in laboratory and at the bedside of the patient, to look for means to disinfect the wound, with on the one hand, and not having a harmful effect on patients and those around them, on the other. Carbolic acid was replaced by iodine preparations, iodine preparations with mercuric chloride preparations, mercuric chloride boric acid, copper sulfate, creolin, lysol and many others, some of which have already been abandoned, some are still being tested. The degree of concentration of solutions changed, the time of their contact with the early was limited, and nevertheless, cases of poisoning, which, however, became less common, nevertheless did occur.
21 OVARIOTOMY
Abstract
№ 152. Colloid unilocular cyst of the right ovary without adhesions. Recovery.
A.N. Shch., A peasant woman in the Yaroslavl province, was admitted to the Maryinsky Gynecological Department on March 17, 1888 with a complaint of heaviness in the abdomen and pain in the lower back.
THE CASE OF ABORTION AT THE 5TH MONTH WITH A LIVING CHILD
Abstract
On October 3, 1891, at 5 o'clock in the afternoon, a pregnant L.G., 24 years old, was admitted to the maternity hospital at the Hospital of the Society of Kremenchug Physicians, with complaints of pulling pains, as well as minor bloody expirations for 2 weeks. L. G. married 21/2 years, pregnant for the 3rd time: the 1st pregnancy ended in miscarriage in the 3rd month, 2nd urgent delivery 1 year and 3 months ago. The last regulations were in early May; L. G. felt fetal movement 5 days before admission to the clinic. Throughout her last pregnancy, L. G. suffered from time to time puffy pains and leucorrhoea, the latter, however, even before pregnancy. A pregnant woman is of good build, nutrition is not entirely satisfactory, thin, anemic, when listening to the heart, a noise is heard instead of the first tone. The abdomen is soft, the uterus is hard, sensitive to pressure, the bottom of it is 2 transverse fingers below the navel; the neck is soft, passes a finger; a little blood is shown from the genital tract.
PROTOCOL No. 17. Meeting on December 19, 1891
Abstract
31 members were present: Balandin, Batsevich, Vasten, Virinarsky, Vorobyov, Hermonius, Goraisky, Danilovich, Dobradin, Dobrovolsky, Zabolotsky, Lileyev, Lichkus, Maslovsky I., Ott, Polonsky, Popov, Rachinskiy, Savchenko, Salmanov, Smolenskiy. Stelmakhovich, Stravinsky, Strogonov, Tarnovsky, Fisher, Shverdlov, Shmidt, Shtol, Stolts, Yanpolsky and 14 guests.
Demonstration of the osteomalytic pelvis
Abstract
The author managed to obtain an osteomalacia pelvis from a woman in labor who died on the 8th day after a cesarean section. The author considers it to be the fifth basin out of all similar basins described and available in Russia.
The old pregnancy calendar as a new invention
Abstract
The author complements the article by R. Nickel, which appeared in No. 37 Cntrbl. f. Gyn. and indicating that the pregnancy calendar published in the American Journal of obstetrics (November 1889) and in the Archives de tocologie (May 1890) is far from new, as he found it in one of the Prussian textbooks published in 1838 or 1840
Influence of the mother on the fetus
Abstract
The influence of maternal impressions on the fetus has long been subjected to ridicule and belonged to the "woman's tales". However, in recent times, this issue is again gaining scientific interest, and since a scientific solution to it is probably not yet close, it is necessary, at least according to Ballantyn's opinion, to prove that this influence really exists.
Further additions to the clinical significance of nephritis during pregnancy
Abstract
After the report made by Fehling at the Strasbourg Congress of Naturalists in 1886, about the influence of nephritis on the habitual death of the fetus, as a result of the formation of numerous heart attacks in the placenta, this question was repeatedly investigated (Cohn. L. Meyer, Wiedow, as well as with clinical and from the anatomical side. Nevertheless, the connection between nephritis, illness of the child's place and the death of the fetus has not yet been fully clarified, therefore Fehling now reports information on this issue, obtained by him in recent years since the Strasbourg Congress.
Two cases of ectopic pregnancy, successfully operated
Abstract
Mrs V. N., 27 y., Regulations with 13 y., Married, 11-para, had two miscarriages. After the second miscarriage (1890), the regulations became incorrect: they were late in time, in smaller quantities and were accompanied by severe pain. The last blood was in May 1891 and appeared after 5 weeks, in small quantities.
About subcutaneous emphysema during childbirth
Abstract
In view of the rarity of the case, the author reports the clinical fact of the appearance of subcutaneous emphysema during childbirth in a primiparous woman, 24 years old, who does not have any pulmonary phenomena. After long and difficult periods of opening the throat and smoothing the neck, which lasted about 30 hours, almost at the end of the expulsion of the fetus, which lasted about 2 hours, the woman in labor suddenly had a swelling on her right cheek, of a soft consistency, which, when palpated, gives a sensation of subcutaneous tissue, characteristic of emphysema following a rupture in any part of the airways. Before the end of labor (voluntary), the tumor enlarged and spread to the neck and lower face on both sides. After holding on for 3-4 days, the tumor began to gradually subside and by the 6th day it disappeared completely without any treatment.
A case of rare injury during childbirth
Abstract
All authors agree that isolated vaginal tears during labor are extremely rare. Excluding transverse tears of the vagina from the cervix (Colpoparrhexis), they are usually longitudinal and, in normal childbirth, are very small and limited by the mucous membrane, and are more often observed during surgical procedures, cicatricial formations and, in general, with narrowing of the vagina, when they can reach large sizes and even penetrate the perivaginal tissue. In the adjacent cavity, these tears, especially during normal childbirth, do not penetrate, as is the case with the so-called, for example, necrosis from pressure or damage by bone fragments, when the breaks have a more rounded outline. In the cavity of the rectum, in view of its mobility and the absence of a hard and sharply limited lining, these breaks do not penetrate at all.
Comparative evaluation of different methods of care for the umbilical cord
Abstract
At the suggestion of the author in the Maternity Department of the Transcaucasian Midwife Institute since 1887, the following method of caring for the umbilical cord has been used: 1) bandaging the umbilical cord with an antiseptic paper or silk cord (preserved after an hour of boiling in an aqueous solution of mercuric chloride 1: 500 in alcohol 1: 500. 1000): 2) washing the remainder of the umbilical cord with a 21/2% solution. carbolic acid, wrapped in absorbent cotton wool (the remainder is then placed on the left side of the abdomen, covered with carbolic acid gauze, with two layers of plain cotton wool and bandaged).
On the question of retroperitoneal peduncle care according to Chrobak
Abstract
The extraperitoneal method of treatment with the pedicle in supravaginal amputations of the uterus has significant advantages over intraperitoneal; however, there are also dark sides behind it that fully justify the desire to combine the immersion of the legs (Stielversenkung) with the favorable results of the extraperitoneal method.
On the statistics of cases of native healing of complex uterine fibroids
Abstract
Nun L., 43 years old, in the monastery since the age of 14. Monthly from 15 years, after 3 weeks for 8-4 days, the day before the curves and during their severe pain: blood is scarce and pale. The author has known the patient since 1884; She turned to him many times for advice about severe abdominal pain, constipation, bleeding and throat pain, but did not allow herself to be examined. The author could only notice that the patient's abdomen was enlarged and that this enlargement was progressing.
To casuistry of treatment of uterine fibroids according to the Apostoli method
Abstract
Having pointed out that the Apostoli method is far from complete either from the theoretical or from the technical point of view, and that the results of its treatment are not the same not only in different cases, but also among the same observers in homogeneous cases, the author considers it necessary to further development and improvement of this empirical method.
About methods of treatment of an extrauterine blood tumor
Abstract
In a brief historical essay, the author deals with the study of a hematopoietic tumor, and examines its ethiology, outcomes and treatment. Having examined all the proposed methods of treatment, the author draws the following conclusions:
A case of sarcomatous ovarian degeneration
Abstract
Mrs G., 1-para, 40 p. The last menstruation, very profuse and within 15 days, 6 months. back. Soon after stopping the regulation, I noticed an enlargement of the abdomen, which gradually reached a significant size, and various painful symptoms appeared: a feeling of heaviness in the lower abdomen, persistent constipation and severe shortness of breath.
About the meaning of gynecological massage
Abstract
The number of opponents of gynecological massage is quite large, despite the fact that the latter in many cases gives brilliant results. This circumstance, in the opinion of the author, does not in the least harm the case, since it forces the use of massage with caution, on the basis of firmly established indications.