Vol 35, No 4 (1939)

In the spring of 1939, XXX years of scientific, medical and social activity of one of the prominent professors of the Kazan State Medical Institute and the Institute for Advanced Training of Physicians were celebrated. V. I. Lenina—N. In Sokolova

Nikolai Vladimirovich Sokolov was born in 1882. In 1908, he graduated with “distinction” from the medical faculty of Kazan University. After working for 6 months as a zemstvo doctor (in the Birsk district of the former Ufa province), N.V. became a resident, first at the propaedeutic and then at the faculty surgical clinic, headed by Prof. N.A. Gerken. During his residency, N.K. published his first scientific work, “On the anatomy of the parathyroid glands,” and passed his doctoral exams.

The issue of treatment of burns receives great attention in the medical press, at congresses, and conferences. A number of new ways to treat burns are being proposed.

The relevance of this issue is quite understandable. Burn injury occurs frequently in peacetime; in wartime it occupies a significant place.

What requirements must local treatment of burns satisfy? Local treatment should promote healing of the burned surface, the best restoration of the wound defect with the least pronounced scar; it should be as painless as possible. Therapy should restore the patient's ability to work.

The term Hallux valgus (H. v.) refers to abduction contracture of the first toe.

A relatively small area of the human body occupied by deformation has long attracted the attention of surgeons due to its significant prevalence, unclear etiology and unsatisfactory treatment results. Shklovsky in his dissertation points to 219 works by Russian and foreign authors on this issue. Friedland considers the disease “a typical vestimental disfigurement.”

During the last imperialist war at the front, the mortality rate from amputations performed under general anesthesia reached 30%, while with local anesthesia for the last 1600 patients, Kreill did not have a single death (Vishnevsky).

According to the observations of Prof. Flerov, during the World War, high amputation of the hip gave about 50% mortality, and for some other authors it was even higher. It must be assumed that general anesthesia played a significant role in such high mortality rates. Therefore, the desire of many surgeons to use the safest methods of anesthesia, among which the advantage of local infiltration anesthesia over other types is beyond doubt, is understandable.

The purpose of this report is to present our experience in relation to infiltration anesthesia according to Vishnevsky for amputations of limbs.

Clinical experience shows that existing methods of treating stomach and duodenal ulcers, designed for local effects and referring only to the diseased organ, do not always solve the problem of treating this suffering.

The ideas of modern clinics, their ideas about the integrity of the body and the role of the nervous component in the pathogenesis of diseases, which have switched our concepts and ideas from organ pathology to broader concepts of anthropopathology, outline new paths in therapy and in particular in the treatment of peptic ulcer disease.

Most obstetricians are of the belief that the expectant method of releasing the placenta is the safest for the mother. The method is so ingrained in the practice of all obstetric medical institutions that in my 20 years of medical practice, visiting many maternity wards of clinics and hospitals, I have never seen any other method of releasing the placenta during normal childbirth.

In our Union, sterilization of women is limited to strict medical indications and is performed in very rare cases. It is indicated where future pregnancy and childbirth are dangerous to the health or life of the woman. With this formulation of the question of sterilization, its importance especially increases and the need for gentle and reliable methods of sterilization is revealed. Among these methods, the most effective are surgical sterilization methods.

Quite a large literature is devoted to the issue of intestinal obstruction. Many aspects of this serious disease, which gives from 25 to 70% mortality, have been clarified (Sholkov, Spasokukotsky, Shapiro, Melnikov, Perelmon, Vik, Vidgof). A number of clinical and experimental studies have established that with intestinal obstruction, a sharp disturbance of metabolism (water-salt, gas) occurs, vascular disorders, intoxication, and shock occur. A number of theories have been proposed to explain the pathogenesis and cause of death in intestinal obstruction.

Blood transfusion, as a method of treatment for various diseases, is becoming available to an increasing number of surgeons. The method has become available for use in many peripheral medical institutions of our Union. Blood transfusions are especially often used in cases of acute blood loss. The question of reinfusion is of great interest because with reinfusion the question of donation is removed, which has not yet been definitely resolved everywhere.

The case of lymphosarcomatosis of the retroperitoneal lymph glands and stomach that we describe is not only clinically interesting, but also from the point of view of the pathological changes in the nerve apparatus of the solar plexus, which has grown into the tumor.

In 1876, the English surgeon Paget first described peculiar changes in the bone skeleton. This disease, named after the author, was considered especially rare. Currently, in the literature there are already over 600 cases of Paget disease a (b.P.)

At a meeting of the Kazan State Council. Medical Institute on November 19, 1938, the defense of dissertations for the degree of Candidate of Medical Sciences took place.

The dissertation of private associate professor A.P. Paskhalov on the topic: “On syphilitic superinfection and reinfection” was completed at the Department of Skin and Venereal Diseases of the Astrakhan Medical Institute (director Prof. I.N. Perevodchikov).

From 25.XII. 1938 to 1.1.39 in the city. The XXIV All-Union Congress of Surgeons took place in Kharkov. The program issues of the congress included reports on defense topics, of which reports on the treatment of infected wounds, the treatment of burns and frostbite aroused great interest and lively debate.