Vol 9, No 3 (1895)
- Year: 1895
- Published: 20.03.1895
- Articles: 41
- URL: https://journals.eco-vector.com/jowd/issue/view/2678
- DOI: https://doi.org/10.17816/JOWD93
Full Issue
Articles
A few notes about the research of women in labor per rectum based on 25 cases of personal observations
Abstract
Die einführung der rectalen inneren Untersuchung in die Hebammenpraxis ist eine Bankrotterklärung der besthender Desinfections vorschriften.
Sänger.
While in surgery and operative gynecology, asepsis has already triumphed over antiseptics, in obstetrics, thanks to the special features of this science and the more complex organization of obstetrics, we are going through a transitional era.
About abdominal drainage
Abstract
The question of the use of drainage during operations on the abdominal cavity is far from complete, and the indication for its application and removal is subject to varied interpretations. Achieving unity in views on this issue would be highly desirable: it would indicate the greater accuracy of our practical knowledge of this powerful and reasonable surgical approach.
A case of ruptured uterus during pregnancy
Abstract
(Reported in the Society of Odessa Doctors on January 14, 1895).
On the evening of September 6, 1894, a pregnant woman was admitted to the gynecological department of Dr. Yuzefovich at the Odessa Jewish Hospital, which I temporarily supervised, with symptoms of septic peritonit on the 5th day after the onset of the disease. In the hospital, after the diagnosis of rupture of the pregnant uterus was made, laporatomia and amputation of the ruptured uterus were performed. The patient died on the 8th day after the operation. The gap in this case, as we will see further from the given history of the disease, occurred without any mechanical stroke, such as: fall, shock, etc. In view of the fact that the ruptures of the pregnant uterus occur extremely rarely and ethiology without ruptures occurring from outside — dark, I think it is not uninteresting to report the incident I have observed. This case is also of interest in the therapeutic relationship, the patient received proper help only on the 8th day from the onset of the disease. It can be said with more or less certainty that if this gap had been identified during the onset of the developing disease, then, with proper assistance, it would have been possible to prevent the onset of a lethal outcome.
A case of a repeated caesar section
Abstract
The case of the Caesar section, which I intend to report to a respected society, is of interest in the sense of the rarity of similar cases in Russian literature. Caesar's account was made by the second connector from the same woman. The first patient was operated on by prof. I. Fh. Balandin in March 1889 and again prof. D.O. Ott in October 1894. The outcome of the operation in both cases is favorable for the mother and children.
Choosing an Instrument for rapid dilation of the cervix
Abstract
The wealth of the instrumental arsenal of a modern gynecologist, in particular in relation to the instruments assigned for the expansion of the cervix, is so great that it can put a beginner in a difficult position regarding the choice of such an instrument, which could be limited.
Meeting of obstetric and gynecological societies. Protocol No. 10. Session on February 16, 1895
Abstract
V. I. Shtolts chaired.
Attended by: honorary member K.F. Slavyanskiy, 25 members: Vasten, Vertsinskiy, Viridarskiy, Dimant, Dobradin, Dolinskiy, Zabolotskiy, Kakushkin, Lichkus, Massen, Matseevskiy, Misevich, Rimshavichnikov , Fisher, A.R., Frank, Chagin, Chernyshev, Shverdlov, Eberman and 20 guests.
Meeting of obstetric and gynecological societies. Protocol No. X. Administrative meeting on February 16, 1895
Abstract
It was chaired by V. I. Stolts.
1) Protocols Nos. VIII and IX were read and approved.
2) The revision committee of the members of Goraiskaya, Zamshin and Frank reported to the Company that during the revision of the cash desk, the last one was found by them in full order.
3) Revision commission from members of Eberman, Vasten and A.R. Fisher reported to the Society that the receipts and expenditures and, in general, all the bookkeeping of the editorial office of the "Journal of Obstetrics and Women's Diseases", for the expired 1894, were kept correctly. The reporting financial year, concluded with a cash balance in the size of two hundred sixty seven rubles 32 kopecks (267 rub. 32 kop.).
A. Redlikh. On the question of the application of the depleting method in the case of wombs in private practice. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, (book 7, p. 161)
Abstract
The author conveys to the article the principles of efficiency, which prof. G.E. Rein. Recognizing the need to take care of the cleanliness of the air in the operating room, prof. G.E. Rein does gluttonous cuts in a private practice in a tent proposed by prof. Subbotin.
A. Redlikh. A case of radical surgery for hernia of the white line during pregnancy. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 153)
Abstract
A 39-year-old pregnant woman, for 3 months, has a tumor in the navel area of 39.5 cm. in the circle of the base. The skin of the tumor (hernia) is thinned; the hernia is not reparable. During the operation (cut along the white line), it turned out that the contents of the hernia were intestinal loops and an omentum.
D.A. Carr. The case of haematocolpos et haematometra unilateralis. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 149)
Abstract
Peasant woman 20 years old. Blood from 15 years, through irregular intervals, in the last time painful. In the abdomen of the patient, a swelling is felt, rapidly growing. It is shaped like a one-horned uterus. Continuing it into the vagina, there is a tumor along the right wall, extending to the very entrance to the vagina.
N. Grzhibovskiy. Rupture of the uterus during childbirth; gluttony; recovery. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 135)
Abstract
For 59681 childbirths collected by the author in Russian literature, ruptures were observed in 65 parts (1 in 1053 childbirths); for 2104061 genera collected in foreign literature, breaks were observed 1034 times (1: 1940). The author's case concerns a 25-year-old woman in labor who was pregnant at the seventh section. The previous childbirth was generally difficult. Real childbirth with violent contractions. After the release of a large amount of water, with the open for 3 fingers, contractions stopped and a slight bleeding appeared.
V.G. Klyachkin. A case of indomitable vomiting in a pregnant woman with infringement in the pelvis of the dermoid ovarian cyst. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, p. 169)
Abstract
Patient 26 years old. In the first month of pregnancy, vomiting began. On the left of the uterus, a tumor firmly sitting in the small pelvis with a middle apple was identified, which gave reason to assume an extrauterine pregnancy here. For almost 2 months, vomiting was not inferior to treatment.
V.S. Gruzdev. On the question of a single cord ligation. (Doctor, 1895, No. 7, 8 and 9)
Abstract
From the extensive literary essay given by the author, it is clear that at the present time, there are various views among obstetricians regarding the merits of this or that way of maintaining the last period. In general, the methods of conducting the last period are reduced to expectant processes (Ahlfeld) and to active intervention (Credé). The author, noting the shortcomings of both methods, asks the question, will it not be possible to have a single ligation of the umbilical cord (fruit end), smooth out the bad sides of the Credé method and Ahlfeld's method, while preserving their advantages.
M.O. Kleinman. A case of a vaginal septum that served as an obstacle during labor. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 67)
Abstract
Primipara 19 years old. Legs are presented (at the exit). When extracting by the leg, it turned out that the fleshy crossbeam, going from the anterior vaginal wall to the posterior one, fell into the gluteofemoral fold of the fetus and prevented the extraction of the trunk.
G.L. Grauerman. Regarding the case of rupturae uteri completae sub partu with the outcome in recovery. (Medical Notes, 1895, No. 4)
Abstract
The author was invited to a woman in labor, 26 years old, who had given birth safely 4 times before. Now her childbirth lasted unsuccessfully for 3 days. She was found by the author in a state of extreme decay, very anemic. External examination determined the presence in the abdomen of two tumors of unequal size. An inaccurate history and lack of fetal heartbeat made the author doubt the presence of pregnancy.
Y. Ansheles. To casuistry of female genital deformities in adults. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 125)
Abstract
Two cases are described: 1) Atresia ani vestibularis in a 19-year-old Jewish woman who was unsuccessfully operated on for 3 months of her life. The entrance to the rectum, covered by a valve, is located in the lower part of the vagina, almost at its entrance.
D. Abuladze. On the issue of cholera disease during pregnancy. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 111)
Abstract
Of the five cases observed by the author, in four the pregnancy was interrupted, and one mother died, in one case the pregnant woman died without being allowed to die; the fetuses in all cases died. Despite the fact that in all cases severe cramps of the calf muscles were observed, the uterus remained flaccid.
A. N. Afanasyev. On the issue of post-natal microorganisms. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 79)
Abstract
The author investigated the allocation of 29 puerperas, out of whom in 20 postnatal period proceeded correctly and in 9 with complications. The selection was studied on various days of the post-birth period. For collecting lochies from various sections of the genital canal, the author came up with his own device. Lochies were examined under a microscope, were grafted into animals and fed on nutrient media. Microscopic studies have shown that postnatal compartments in the vast majority of cases contain microbes in a greater or lesser amount and variety of forms.
A.I. Kraskovskiy and G.F. Pisemskiy. A case of uterine rupture during childbirth in a woman with a kyphotic pelvis. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, p. 177)
Abstract
Secondary, 27 years old. Births urgent. The contractions are painful, almost uninterrupted. With the weakening of pain and blood that appeared from the uterine cavity, a rupture of the uterus was noted with the exit of the fetus into the abdominal cavity. Gluttony. The gap turned out to be located on the back of the uterus with severely bruised edges. The uterus is amputated. The cervical canal is drained into the vagina with strips of iodoform gauze. On the 17th day after the operation, it was found that a descending intestinal loop was soldered into the cervical canal.
G.G. Levitsky. Kyphotic female pelvis. (Protocol of the meeting of the Obstetric and Gynecological Society in Kiev, book 7, 1894, p. 71)
Abstract
Jewish woman, 22 years old. She gave birth once (forceps). After delivery, a vesicovaginal fistula was formed. Height is 141 cm. The limbs do not represent traces of a rickety process. Lordosis of the upper thoracic part of the spine and right-sided scoliosis of the lower thoracic part. Kyphosis lumbosacralis.
A. Bondyrev. Essay on the cholera epidemic of 1893 at the factories of V. Morozov's Manufaktur in Pokrovsky district, Vladimir province. ("Medical Conversation", 1894, No. 21, 22, 23 and 24)
Abstract
The author had the opportunity to observe the sick partly in the factory hospitals, partly in free apartments. By the way, noting the conditions that somehow affect the individual predisposition to cholera, he suppressed that the female sex in general, among the predisposing moments, occupies a rather prominent place here.
Dr. J. C. Edgar. Prolonged, non obstructed Labor in the first stage; its Management. - (New-Iork medic. Journal, 12 / v 94, p. 582-585). - Carrying out a prolonged first period of labor without mechanical obstacles
Abstract
Prolonged first period of labor (uterine opening) is a very unpleasant complication of them, often accompanied by severe consequences; therapy of the named evasion during childbirth is one of the most serious tasks of the obstetrician.
Dr. W. S. James. Prolonged gestation. (New-Jork medical Journal, Sept. 15, 94, p. 343). Prolonged pregnancy
Abstract
Dr. James observed in Cleveland, America, a pregnancy lasting over 10 months in a 27-year-old woman in her 5th pregnancy. The last regulations were with her on April 22, 1893, and on February 3, 1894, labor pains began, recognized by her midwife as false pains; the last day, indeed, ended soon. Dr. James, invited to her on 24/2/1894, found the cervix smoothed with no pain at all.
Dr. Tucker. Caesarean section. Obstruction overcam by Washing out Stomach. (Britsh med. Journ., 1894, 28 / iv, p. 67) Caesar section. Intestinal obstruction, cured by gastric lavage
Abstract
A pregnant dwarf on demolition, 4 feet 10 inches tall, with conjug. extern. 5 inches, between the ischial tubercles 2 inches, childbirth ended with Caesar's decision. The child is 8 pounds in weight, removed from the imaginary dead and was not revived.
Dr. Bodilly. Puerperal Erythema simulating scarlat Fewer. (British med. Journ., 1894, 17 / w). Postpartum erythematous rash that appeared to be scarlet fever
Abstract
A woman who resolved from the 2nd pregnancy, on the 4th day after normal labor, developed a fever and a red rash on the legs and abdomen, similar to scarlet fever. The next morning, the rash spread all over the body. But the excellent state of health of the patient, the decrease in temperature to normal, the correctness of the postnatal separations, indicated that it was not scarlet fever. The rash quickly faded, the postpartum woman, who got out of bed on the 10th day, remained healthy. Anamnesis revealed that this lady had a similar spillage before her marriage; but during her first childbirth, nothing of the kind happened.
Morau. Experimental researches on the transmissibility of certain neoplasms. (Teratologie 1894, vol. II, № 1, p. 53). Экспериментальныя изслѣдованія о наслѣдственности нѣкоторыхъ новообразованій
Abstract
M. made an interesting series of experiments on the inheritance of the cylindrical epithelioma. He inoculated particles of the neoplasm to the white mice and after a while to the vaccinated mice that appeared on the day of the babies.
Gersuni's operation for incontinence of urine in women. (New-Iork med. Journ., 2 / VI 94, p. 704). Surgery Gersuni for the treatment of urinary incontinence in women
Abstract
This operation, as it is known, consists in separating the anterior part of the urethra from the surrounding parts, more or less twisting of the urethra around its longitudinal axis and strengthening it with sutures on the same place, which creates a mechanical replacement of the urethral tissue from the elastic tissue of the urethra, a mechanical replacement of the urethra bubble.
Dr. Gordon Cribb. 25 Cases of abdominal Section. (The Australasian medical Gazette, 1894, VII, p. 230 et seq.). 25 laporatomies
Abstract
Dr. Cribb, a surgeon at New-Castle Hospital, Australia, has produced 25 laporatomies during the year, of which he describes only three that seem interesting in terms of technique (1st and 3rd), and the 2nd, made for the sake of diagnosis, at the same time saved the life of the patient; Moreover, in the first two cases, the author made repeated laporatomies on the same patients.
D-r Way. (Adelaide, in Australia). Ectopic gestation, ruptured left Fallopian tube, haemato-salpynx of the right tube of same patient. (The Avstralasian medical Gazette, 1894, IX, p. 299). Ectopic pregnancy, rupture of the left Fallopian tube and hemorrhage in the right tube
Abstract
The young woman, who considered herself pregnant, developed blood and pain after 5 weeks of pregnancy and lasted for six weeks. She was admitted to the hospital for the operation. In the left side of the pelvis, an elastic tumor the size of an orange was hidden, displaced the uterus to the right, and a stretched tube was felt behind the uterus. During anesthesia, the patient's breathing suddenly became superficial and the pulse weakened, the patient turned pale.
D-r Strand. Submucous Fibromyoma together with tuboovarian desease mistaken for multiple fibroids of the uterus; hysterectomie; recovery. (The American Journ. Of Obstetrics etc., 1894, I, p. 112). Submucous fibroids with changes in the uterine appendages, mistaken for multiple interstitial fibroids. The operation, which ended in recovery
Abstract
Dr. Strand and two other well-known New York gynecologists examined the virgin and all three made the same mistake, not recognizing the tumor protruding from the thin uterine cervix and not finding the uterine mouth. With laparotomy, it became clear.
Walthard. Bacteriologische Untersuchungen des weiblichen Genitalsecretes in Graviditate und im Puerperium. (Arch. F. Gyn., Bd., XLVIII Hft., 2). Bacteriological research of the secret of female genital tract during pregnancy and in the maternity period
Abstract
The contradictory opinions prevailing in the sciences regarding the use of the so-called objective antiseptics in obstetrics forced W. to discuss the controversial issue of asepticity or non-asepticity of female genital tracts, and he came to some results. The genital tract of an unexamined pregnant woman breaks up in bacteriological relation into two sections: the lower one, rich in microorganisms, and the upper one, completely free of microbes. The border between both sections is located in the middle part of the cervical canal and is caused on the one hand by constantly renewing cervical mucus, which is a poor nutrient medium for microorganisms, and on the other hand, by phagocytosis, which has a place in the lower part of the uterine cervix, due to the property of the vaginal secretion of the vagina. from the surrounding tissues.
Beuttner. Zur Frage der Einleitung der künstlichen Fruhgeburt bei Beckenenge .— (Arch. F. Gynäkologie. Bd. VIII, Hft. 2) .— On the question of artificial premature birth with a narrow pelvis
Abstract
Based on the results achieved in the Berne Clinic, B. advocates the initiation of artificial premature births with a narrow pelvis, as one of the most beneficial obstetric operations. According to the author's opinion, neither the anamnesis of the previous labor, nor the absolute degree of pelvic narrowness play a significant role here, and the indication for the operation should be set only after orientation regarding the degree of discrepancy between the fetal head and the size of the pelvis.
Apfelstedt. Zur operativen Behandlung der Myome während der Schwangerschaft und Geburt. (Arch. F. Gynak., Bd. XLVIII, Hft. 1). To surgical treatment of fibroids during pregnancy and childbirth
Abstract
Preliminary description of a case of complications of childbirth by two myomas sitting in the lower segment of the uterus, in which a Porro operation was performed at the Göttingen Clinic with success, and a critical review recommended by many surgical interventions during pregnancy (the author comes to an artificial abortion, and to the conclusion that in case of complications of pregnancy with myomas, it is best to wait for the onset of labor and timely amputate the uterus, since this operation gives the best results both for the mother and the fetus.
Mertens. Beiträge zur normalen und pathalogischen Anatomie der menschlichen Placenta. (Zeitsch. F. Geb. und Gyn., XXX Bd., Hft. 1 and XXXI Bd., Hft. 1). About normal and pathological anatomy of the human placenta
Abstract
After detailed literary studies on comparative anatomy and based on the preparation of a very young human egg, the author resolves the controversial issue of the nature and origin of the cover of chiral villi in the following way. In humans, as in other animals, the cover of chorial villi of the dancer consists of two layers, one cellular layer originating from the embryo (ectoderm) and the other protoplasmic, which is a modified uterine epithelium (syncytium). Already at the beginning of the insertion of the egg, both of these layers are so tightly interconnected that they form, as it were, one tissue layer, on which it is not difficult, however, to distinguish its initial constituent elements.
Trantinroth. Klinische Untersuchungen und Studien über das Verhalten der Harnorgane, insbesondere der Nieren in Schwangerschaft, Geburt und Wochenbett. (Zeitschr. F. Geb. And Gyn., Bd. XXX, Hft. 1). Clinical research and study on the state of the urinary tract and mainly the kidneys during pregnancy, childbirth and childbirth
Abstract
On the basis of a hundred observations made at the Marburg clinic, the author comes to the following conclusions: in almost half of all healthy women, in whom the kidneys functioned completely before pregnancy, in the second half of pregnancy, a slight albuminuria appears, and this process is often affected by this process. as primiparous. This albuminuria gravidarum is only in very rare cases not renal, in most cases it is real renal albuminuria, caused by the suffering of the kidneys, which is known as the "kidney of pregnancy" (Schwangerschaftsniere) and is characterized by an anatomical pathological process.
Thorn. Zur manuellen Umwandlung der Gesichts-und Stirnlagen in Hinterhauptlagen. (Zeitsch. F. Geb. Und Gyn., Bd. XXXI, Hft. 1). On the question of the transformation of the facial and frontal positions into the occipital
Abstract
Baer's doctrine on the benefits of a wait-and-see manner of action in facial situations is generally not disputed, but it pays little attention to the life of the fetus to regret. This circumstance often forced obstetricians to deviate from the wait-and-see principle and undertake the transformation of these provisions into the occipital. The practices that were practiced at the same time did not always lead to goals, since when acting on the head (the Baudelocque method), the body was left without attention, and when the lordosis of the trunk was transformed into kyphosis (the Schatz method), they did not care about movement at all.
Kholmogorov. Zur Behandlung der Completen Uterus rupturen. (Zeitsch. F. Geb. Und Gyn., Bd. XXXI, Hft. 1). To the treatment of complete ruptures of the uterus
Abstract
Having given a critical assessment of various methods for treating uterine rupture, the author comes to the conclusion that the most rational way is to suture the rupture through the vagina, leaving a small opening through which a drainage replacement is introduced into the abdominal cavity.
Obstetric and gynecological notes
Abstract
I. Annular prolapse of the mucous membrane of the urethra (gangrenous); ripped out and seams; recovery.
Around November 20, 1894, a peasant woman Avdotya V — va, 21 years old, from the village of Usman came to the Usman outpatient clinic. A student with a complaint of frequent urination and that "there is a lump in the anterior external passage".