Transactions of the Medical Society of the State of Pennsylvania at Its . . . Annual Session Volume 41 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1891 Excerpt: ...by a uterine tampon of iodoform gauze and by hydrastin (Lersteff26) and hypodermic injections of caffeine dissolved in a solution of benzoate of soda.19 Koch inverts the uterus and puts an Indiarubber band around the neck of the inverted part. A few hours afterward he removes the band, reduces the inversion, gives ergot and kneads the uterus to insure contraction.18 In case transfusion is indicated it may be supplanted, with just as good results, by injecting into the cellular tissue a solution of common salt (a teaspoonful to a pint of water). The injection is made between the scapula.20 In the treatment of rupture of the uterus, whether the child has been delivered or not, laparotomy is now conceded to be eminently proper,21 and if the rent is very irregular Porro's operation will be perhaps indicated. Prof. W. S. Stewart says in a properly managed case of labor rupture of the uterus should not occur. Ectopic Pregnancy is of more frequent occurrence than was formerly believed. Parvin says it occurs once in about five hundred pregnancies, and his assertion is confirmed by the reports of Dr. X. O. Werder, Prof. Formad, Lawsou Tait, Joseph Price, and many others.22 The occurrence of primary abdominal pregnancy has not been proven. In treatment Winckel and a few others still cling to injections of morphia into the sac, and before rupture electricity has some warm advocates. Prof. Parvin in general terms recommends removal of the gestation cyst as soon as the diagnosis is made. He does not deny that some cases have been brought to a successful issue by electrical treatment. Prof. Goodell would restrict electricity to cases where abdominal section is refused or where no one can be found capable of doing the operation. Werth says, "Its removal must be the u...