Vol 7, No 3 (1893)
- Year: 1893
- Published: 13.03.1893
- Articles: 18
- URL: https://journals.eco-vector.com/jowd/issue/view/2628
- DOI: https://doi.org/10.17816/JOWD73
Full Issue
Articles
TO THE TECHNIQUE OF CONSERVATIVE CESARIAN SECTION OPERATION
Abstract
Caesarean section, which in the previous pre-antiseptic time gave a staggering percentage of mortality, really seemed too risky an operation; according to statistics collected by Joulin in Traité d'Acouchements, this percentage, according to different authors, fluctuated between 44.5% and 66.6%. According to Lazarevich (Course of Obstetrics published in 1892), the mortality rate in the old days was 80%. After the introduction of antiseptics and mainly after the improvements in the surgical technique proposed by Sänger, the mortality rate can be so much that if the operation is performed in a good environment and by the hands of an experienced surgeon, then less than 10% is obtained; thus, Leopold's caesarean sections gave only 8% of the adverse outcomes.
TO THE CASUISTICS OF HEMORRHAGE IN THE BLADDER DURING LABOR
Abstract
Among the various complications of the birth act, which serve as an obstacle to the correct course of this last, the first place is undoubtedly occupied by anomalies in the birth canal itself, that is, both in the genitals of the woman in labor and in her pelvis itself.
OBSTETRIC GYNECOLOGICAL SOCIETY IN ST.-PETERSBURG
Abstract
Honorary member attended A.Ya. Krasovskiy, 34 members: Kidder, Brandt, Vasten, Vorobyov, Gavronskiy, Hermonius, Goraiskiy, Danilovich, Dobradin, Dranitsyn, Zheltukhin, Zabolotskiy, Krukovich, Liluev, Lichkus, Lopatinskiy, Massen, Ott, Piotrovich, Porshnyakov, Radetskiy, R.K., Rachinskiy, Ruzi, Rutkovskiy, Savchenko, Salmanov, Stravinskiy, Sutugin, Tarnovskiy, Fisher, A.R., Chagin, Shverdlov, Shtol, Shuttenbakh and 22 guests.
OBSTETRIC GYNECOLOGICAL SOCIETY in KIEV
Abstract
MA Voskresenskiy (from Chernigov) read "a report on 20 celiac cuts" (abstract). Despite the success of antiseptics and asepsis, gluttony seems to be a serious operation and the description of even a small number of cases deserves attention. The latest statistic of 5% mortality can be considered normal (Auvard). The situation in which he worked in the Chernigov province. Zemstvo hospital Voskresensky is as follows: a bright room, painted all with oil paint, the tools were washed before the operation in boiling water, sponges were not used, but only cotton balls were dry and soaked in a solution of mercury dioxide. The material for gluttony was very diverse: myomotomia was done 6 times (1 death), ovariotomia 6 times (1 cm), ventrofixatio 3 times — everyone recovered, graviditas extrauterina 1 — recovered, atresia hymen. 1 time — recovered, laparotomia simp. 3 times (2 deaths) for a total of 4 deaths and 16 recoveries.
On the issue of antiseptics in obstetrics
Abstract
On the basis of comparative observations on the use of antiseptics and asepsis in the labor and postnatal periods made in the Tiflis Olginsky Midwifery Institute, the author came to the conclusion that the use of decaying substances is not only not useful, but even partly harmful, as a circumstance that probably has a destructive effect on cells of healthy tissues.
Chloasma uterinum
Abstract
Chloasma uterinum consists of an abnormal deposition of skin pigment without dysfunction of the skin in the epidermis itself or immediately below it, and appears as large yellowish or blackish-brown spots on the face and trunk. Patients are almost always sure that they suffer from the liver and with complaints of an abnormal liver go to the doctor. It is very rare to observe the appearance of chloasma before puberty or after menopause. Usually it develops in the prime of sexual activity.
Some remarks on the treatment of puerperal eclampsia, from practical experience
Abstract
Douglas Ayres argues that early production of venesection not only protects against threatening attacks of eclampsia, especially in more or less obese individuals, but also favors complete healing and in any case prepares an excellent ground for further therapeutic measures. The method of treatment with venesections gave the author a much lower mortality rate than any other method.
About turning on the buttocks
Abstract
When the fetus spontaneously turns to the lower end of the body, the buttocks become the presenting part, while the head is directed up to the bottom of the uterus. An artificial turn on the buttocks is performed in imitation of a spontaneous one and is shown mainly in transverse positions.
Craniotomy upon the living foetus is not justifiable
Abstract
Craniotomy, causing fetal death with terrible disfigurement of its body, is often accompanied by severe damage to the vagina and surrounding tissues of the mother. The latest advances in abdominal surgery, applied to obstetrics and gynecology, have firmly established the fact that in case of pelvic irregularities, a timely Cesarean section will always be crowned with the desired success.
Porro surgery for uterine rupture during childbirth
Abstract
A woman in labor was taken to the hospital, whose labor pains began the day before in the morning, and by the evening of the same day, the water broke. She gave birth 5 times, and each delivery ended in an operative way - forceps, rotation, extraction and embryotomy. According to the patient, the fetal movement appeared about 3 months ago, and does not remember when the last menstruation was. Very strong and frequent contractions suddenly stopped shortly before admission to the hospital.
A case of childbirth complicated by rupture of the uterus and tumor in the small pelvis, with sequential Porro operation
Abstract
The patient, admitted in childbirth to the Elizavetgrad hospital on September 16, was healthy before her marriage, menstruated correctly after 4 weeks; she married at 18, and gave birth to a dead child in her second year. The second birth a year later ended with perforation due to narrowing of the outlet. After this birth she was ill; was treated, but unsuccessfully, for a tumor, and in view of the danger she was advised to beware of pregnancy. A year later, she became pregnant again and on time, September 15, labor began; the waters disappeared soon, the pain intensified, there was a breakdown, nausea and vomiting. Objectively: the subject is strong, the pelvis is correct, weak activity of the heart and pulse, t ° is normal, nausea and vomiting, constipation, bloating and pain in the lower abdomen, a sharp protrusion of the abdomen with the designation of the fetal position, fetal heartbeat is not audible, from the sleeve ichor with a smell.
Observation of the action of ichthyol in women's practice
Abstract
The author used ichthyol in 278 cases, using it not only in gynecological cases, but for the treatment of this organism in general, guided by the following pharmacological data: being the double salts of ichthyosulfinic sodium sodium with ammonium, zinc, lithium and containing mainly sulfur, greedily combines with water, what is the effect of reduction and drying; and the ability to irritate tissues less than other drugs has already been proven Unn, They constrict blood vessels, absorb the liquid parts of inflammatory products, (bloodless tissues, and quickly destroy their swelling).
On the use of thiol in gynecology
Abstract
Thiol C56Н36S6Na4О6, which has a fairly extensive application in dermatology, was first proposed by Gottschalk in Berlin for the treatment of female diseases (Centralblatt für Gynaecol., No. 12, 1891). The author used thiol in 47 cases of various diseases of the female genital area and came to the following conclusions.
Haematoma vulvae et vaginae и Morbus maculosus Werlhofii
Abstract
On October 12, 1891, a 22-year-old patient S. J. was admitted to the city hospital in Warsaw, who safely gave birth 12 days ago to a healthy girl, with signs of severe acute anemia and a colossal enlargement and swelling of the right large lip and pubic integument. The bladder is swollen and full of urine. With great difficulty, it was possible to find the opening of the urethra for catheterization through the mass of voluminous blood tumor. A foul-smelling discharge, yellowish in color, follows from the vagina. T ° - 40 ° C. Diagnosis — Endometritis puerpuralis et haematoma vulvae et vaginae post partum.
Vaginal cancer arising from cancer of the body of the uterus by autoinoculation
Abstract
On April 1, 1892, a 27-year-old patient F. S. was admitted to the gynecological department of the Jewish hospital in Warsaw, severely anemic and emaciated, with complaints of bleeding from the genitals. The last, 6th birth was 4 months ago, which ended well with a living full-term baby.
On the forms of cancer of the body of the uterus, emanating from the superficial epithelium, and on the concroid of the uterine cavity
Abstract
Studies by Rüge and Veit have established two forms of carcinomas of the mucous membrane of the uterine cavity (the first one begins with the expansion of the lumen of the glands filled with epithelial elements, and the second begins with the increased proliferation of the glands themselves), the existence of which has also been confirmed by other researchers, and which by many are considered the only cancer found in the uterus. Piering was the first to describe a case of a primary cavity cancroid developing on the uterine mucosa, completely covered by squamous epithelium, and giving metastases to the cervix.
The palliative treatemsnt of such cases of cancer of the uterus and its annexa, as are notamenable to radical operative measures
Abstract
The author ardently expresses the desire that in the suburbs of each big city special sanatoriums were established, designated for incurable sick women suffering from cancer of the uterus and appendages, where fresh air, full space and, in general, the proper environment would help the doctor in his difficult task.