Dr. James Murphy. — Abdominal Section during Pregnancy .— (Lancet., 1895, 19 / i, p. 148). - Gluttony during pregnancy.

A 22-year-old woman with a left ovarian cyst, which caused her considerable pain, considering herself to be 2 months pregnant, turned to Dr. Murphy for advice; he did not find a reason for the immediate production of the operation. After a short time, the patient suddenly developed a collapse, a liquid was felt in the abdomen. Murphy immediately made a cut in the abdomen with chloroform, at which up to 20 ounces of liquid blood had escaped from the last day, and rinsed the peritoneal cavity with boron solution. The uterus turned out to be enlarged, the tubes and ovaries were healthy, but near the right ovary, a bleeding place was found in the ruptured pseudo-membrane, by which the ovary was attached to the Douglas space. When the pregnant uterus was lifted up, the membrane ruptured and gave profuse bleeding, probably not long before the operation. After bandaging the bleeding membrane, the operation is over; recovery is smooth. Pregnancy continued and the patient was destroyed in time by a living child.

Dr. O'Sullivan. - (Melbourne, Australia). Cases (50) of abdominal Section. - (The Australasian Medical Gazette, 1895 15 April., P. 154). - 50 wounds (with notes on some issues of gynecological surgery).

O'Sullivan has performed a number of large gynecological surgeries in recent years. The outcomes of the operations were very favorable, but the numbers of recovery are not shown.

1. Two Cases of abdominal Section for intraperitoneal Haemorrhage due to ruptured ectopic gestation 2. Three fatal Cases of ectopic Gestation 3. Ectopic Molar pregnancy 4. A Case of plural ectopic gestation

To the Vorrat l. a woman was brought in a state of collapse with a diagnosis of an ectopic pregnancy; pulse 144, barely perceptible. The rupture occurred in 18 hours, there were fainting, vomiting. The abdomen is not distended, soft, the tumor cannot be felt from the outside, and per vaginam examination is not done to speed up the operation. When the abdomen was opened, the tissues were found bloodless: none of the vessels showed blood; a few pounds of liquid blood spilled out of the peritoneal cavity; clamps were placed on the stretched right fallopian tube and broad ligament, and the fallopian tube was excised along with the ovary; the rupture was near the uterus. The operated woman recovered, although W. did not count on it.

Treatment of Pelvic Suppuration by abdominal section without Hysterectomy

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. Davenport Parry (Murrumburrah in N. S. W. in Australia). - The Absorption of Fibroid Tumors of the Uterus after abdominal Section. - (Australasian Med. Gaz., 1894, x, p. 329). Dissolution of uterine fibroids after laparotomy

A 28-year-old woman who gave birth to 6 times was sick in January 1891, typhoid with severe intestinal bleeding in February; after which she did not recover from her health before the operation. 21 / IV 91, she first diagnosed a tumor up to 4 inches thick and the same amount above the pubis.

Gifford Nash. Tubal gestation; rupture in to peritoneal cavity; abdominal section; recovery. (Brit. Med. Journ. Inly 23, 1892). Tubal pregnancy; rupture in the peritoneal cavity, ventricular; recovery.

Married, 40 years old, mother of 8 children, of which the youngest is 5 years old. All labor is urgent and normal. Two years ago, she covered up a mobile tumor in the right half of the abdomen, which caused pulling pains and irregularities in the intestines. When examined on January 13, this tumor was recognized as a right mobile kidney; but on the left side of the retroverted uterus, another very sensitive tumor was palpated from a pigeon's egg, which was mistaken by the author for the left hyperemic displaced ovary.

Dr. Paul Swain. - The Treatment of uterine Fibroids by abdominal section. (British Medical Journal., 21 / VII, 1894, p. 116), Treatment of uterine fibroids by gastrointestinal surgery

There was a time when women with uterine fibroids were left without surgical assistance. Experienced doctors certify that many women who suffered from uterine fibroids recovered without surgery. Subperitoneal or interstitial tumors, further huge in size, are often not accompanied by any severe seizures; small tumors often disappear during pregnancy. Submucous tumors burst into polyps or, after a spontaneous rupture of their bursa, are excreted in pieces. With the onset of climacteric age, many of these tumors atrophy.

Dr. Gordon Cribb. 25 Cases of abdominal Section. (The Australasian medical Gazette, 1894, VII, p. 230 et seq.). 25 laporatomies

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.

Dr. Owens (Brisbane in Australia). Three cases of abdominal section. (The Avstralasian medical gazette, Sydney, April, 1894). Three laparotomies.

Having prefaced a few words about the small number of laparotomies published by him, Ow. justifies this by the fact that they were produced in a distant colony. The third case is interesting for the diagnosis and death due to sepsis, due to the needless search for a sponge in the abdomen.