scholarly journals Adolf Gessner. - Zwei Fälle von Spontaner Uterusruptur. (Centralbl. F. Gynäk., 1895, No. 2). Two cases of arbitrary uterine rupture

2020 ◽  
Vol 9 (5) ◽  
pp. 492
Author(s):  
N. Kakushkin

1) In 35-year-olds, multiparous, with the correct pelvis, the transverse position of the fetus, the prolapse of the handle and umbilical cord were recognized. During anesthesia and disinfection of the genital parts, a left-sided rupture of the uterus and an upper cut of the vagina was detected, with the exit of the fetal head into the abdominal cavity. Turning and ejecting the child (2600 grm., 48 cm) in asphyxiation, soon revived. After removing it is easy. The gap is tamped. The phenomena of internal bleeding with all the manifestations of acute anemia were soon discovered. Charevosuchenie. There was a large hematoma in the left broad ligament; there is no continuing bleeding. The abdominal wound was sutured. The patient recovered.

2020 ◽  
Vol 5 (5) ◽  
pp. 445-451
Author(s):  
S. V. Ter-Mikaelyants

Hysteropexia abdominalis anterior - suturing of the uterus to the anterior abdominal wall is a relatively new operation. Although it was first adopted by Koeberl) back in 1869, it was forgotten until the 80s. The free Coeberl suffered from strong constipation, which did not give in to any cure, the cause of which Koeberl saw in the pressure on the rectum of the bent back of the uterus. The patient reached such a state that energetic intervention was necessary. In view of these indications, Koeberl decided to make the womb and to strengthen the uterus in the abdominal wound in such a position that its body could not be thrown backwards. Opening the abdominal cavity, the operator removed the healthy ovary; the resulting leg, i.e. broad ligament, tube and lig. ovarii sewed it into the abdominal wound. The result was satisfactory. Ten years later, Schroeder) performed this operation on a patient with a posterior bend of the uterus and a small ovarian cyst, accompanied, in addition, by the dance of St. Witt. After removing the cyst, he sewed the leg to the anterior abdominal wall. In 1880, L. Tait) performed two operations, one in February, the other in April. In both cases, it was about the backward bends; In addition, the patients suffered from ovarian inflammation, which did not respond to any other methods of treatment. The operator removed the inflamed, slightly enlarged ovaries, lifted the uterus and, when suturing the abdominal wound, passed the needle so that it captured part of the tissue in the area of ​​the fundus of the uterus and, thus, sewed the fundus of the uterus to the abdominal wall. In both cases, the results were satisfactory, at least until 1883. In 1881, he also, in one case of persistent retroflexio uteri, performed a blanching and a ligament of the right ovary and a left wide ligament in the belly. This case is cited by Snger in Centr. f.Gyn. 1888, No. 2.


1927 ◽  
Vol 23 (2) ◽  
pp. 246-246
Author(s):  
I. Tsimkhes

For almost 20 years, in colorectal cancer, where the affected loop and adjacent healthy sections of the large intestine cannot be sufficiently mobilized, even after separation and ligation of the mesentery, the author has been cutting off the parietal peritoneum with fascia of the abdominal wound area and plunging them as deeply into the abdominal cavity as possible.


1937 ◽  
Vol 33 (5) ◽  
pp. 626-628
Author(s):  
N. S. Sokolova

Ovarian cysts are quite common among gynecological patients. Surgically available for small hospitals, they are undoubtedly of interest to the general practitioner. Often unnoticed for a long time, ovarian cysts nevertheless always pose for a woman a threat of either cancerous degeneration, or the possibility of twisting, with all its consequences: subsequent fusion with surrounding organs, hemorrhages into the tumor, suppurations, ruptures, peritonitis and lacing. The reason for such detachments is, in essence, still unclear. Franz, Slavyansky believe that the pedicle of the tumor often makes a 90 turn over the upper edge of the broad ligament. With greater twisting, the blood circulation of the tumor is disrupted until it stops completely. With a slow malnutrition of the tumor, the latter first stagnates and then shrinks. Its walls undergo reverse development, and the cyst, thus, can heal itself. With rapid twisting and severe circulatory disorders in the cyst, we have a clinical picture of an "acute abdomen", which requires immediate surgery. Sometimes the cyst leg, twisted with thrombosed vessels, from lack of nutrition, atrophies, becomes thinner and interrupted. The tumor is detached, made either completely free in the abdominal cavity, or feeds through adhesions with the surrounding organs.


2020 ◽  
Vol 5 (5) ◽  
pp. 504-507
Author(s):  
N. Aleksenko

Fusion of intestines and omentum after surgery, mainly with an abdominal wound, is a frequent phenomenon, proven by a number of clinical observations during repeated operations in the same subjects. Meanwhile, the question of the reasons for such a phenomenon, despite attempts to experimentally resolve it (Snger, Dembowski, Kelterborn), remains open to this day. According to the opinion of the last mentioned authors, the main cause of adhesions in the abdominal cavity after operations is infection, the accretion of the omentum to the middle line is caused by the release of air and the local inflammatory process; further - sloughing of the epithelium and scars of the peritoneum in uncomplicated cases do not give adhesions, ligatures in the abdominal cavity for the most part also do not cause adhesions, but show a tendency to encapsulate.


2018 ◽  
Vol 16 (2) ◽  
pp. 56-58
Author(s):  
Unan Sultana ◽  
Md Qumrul Ahsan

Body stalk anomalies are a group of massively disfiguring abdominal wall defects in which the abdominal organs lie outside of the abdominal cavity in a sac of amnioperitoneum with absence of or very small umbilical cord. Various hypotheses proposed to explain the pathogenesis of limb body wall complex include early amnion disruptions, embryonic dysplasia, and vascular disruption in early pregnancy. Body stalk anomaly is an accepted fatal anomaly and, hence, its early diagnosis aids in proper management of the patient. We present a case of LBWC, exhibiting combined cranial, abdominal & limb features.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 56-58


BMJ ◽  
1943 ◽  
Vol 1 (4294) ◽  
pp. 521-522
Author(s):  
D. R. Cairns

2012 ◽  
Vol 13 (2) ◽  
pp. 227-229
Author(s):  
F Wazed ◽  
N Sultana ◽  
S Ahamed ◽  
JH Khan ◽  
S Rouf ◽  
...  

Cornual pregnancy is rare form of ectopic pregnancy where implantation occurs in the cavity of a rudimentary horn of the uterus. It is the diagnostic and therapeutic challenge with potential sever consequence if uterine rupture occurs with massive intra abdominal haemorrhage .We report a case of misdiagnosed rupture cornual pregnancy occurring at 12 weeks gestation. First USG revealed intra uterine pregnancy. Repeat USG showed abdominal pregnancy sac but cornual pregnancy was not diagnosed and uterine anomaly was not detected. The correct diagnosis was made at emergency laparotomy. An intact pregnancy sac of 12weeks fetus was seen in abdominal cavity. Placenta and pregnancy sac was adherent to omentum and torn end of left cornu of the bicornuate uterus. Left sided cornu was resected keeping both the ovaries and tubes intact. DOI: http://dx.doi.org/10.3329/jom.v13i2.12763 J Medicine 2012; 13 : 227-229


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