Vol 3, No 3-4 (1903)

Statistical data usually have a known practical value only when they are developed and generalized directly after the events, in the footsteps, so to speak, of the occurring facts. Therefore, I deeply apologize to the highly enlightened collection for the fact that I will allow myself to bother his attention with a little belated, brief, statistical remarks about the 4184 history of illness I have reviewed, taken by me for 1) from the archives of Kazan 1880 to 1892. In view of the fact that the history of the disease belongs to the number of clerical documents, then I understand that I must stipulate that these histories of the disease, which were in my order, have already served their legal term, have become the property of the archive and, likewise, no relation to the present to the functional staff of the hospital now, do not have.

The study of the literature on this issue (Kahlbaum, Kiernan, Chizh, Alzheimer) leads to the conclusion that the evidence on the pathological anatomy of early dementia is extremely inadequate and unclear. The author introduces the history of illness to two patients who suffered from early dementia. Both cases ended in death; at autopsy with microscopic examination, they appeared on the face: in one case, the brain was full-blooded, slightly swollen, atrophy of the gyrus of the brain and atrophy of the cortical layer, expressed equally in all lobes of the brain. The lateral ventricles are slightly distended and contain a significant amount of fluid; in another - leptomeningitis sclerotica, Atrophia

The author describes one tumor of a sour-yellowish color, the size of a large chestnut, which was, as it were, interspersed into the kidney. A very detailed histological examination is reduced to the fact that the tumor in the center is the usual structure of the adrenal gland and along the periphery it has an epithelial character (papillary and alveolar adenoma). The author refers this tumor to the tumor, which is described by Gravitpem under the name "strumae lipomatodes aberratae renis" and, like Chiari, gives great diagnostic significance to the presence of special pigment cells in this tumor.

Under the influence of one reason or another, the part of the bladder located near the opening of the femoral canal enters into it and forms the so-called. cystic femoral hernia (cystocele crurale). Depending on the ratio of the dropped out part to the hernial mouse and the peritoneum, cystocele intraperitoneale, extraperitoneale and paraperitoneale are distinguished. The size of the hernia is usually insignificant.

The limited availability of operations of hepatic neoplasms forces the author to publish his case. In a 40-year-old, well-nourished woman, over the course of 10 years, a dense, lumpy tumor, the size of a chicken egg, has grown in the abdominal cavity.

Beneficial influence is so-called. sexual operations in persons with hypertrophy of prostatae was explained by the advancing atrophy of the last days. But the rapid onset of the result, on the one hand, and the negative data of the microscopic examination of the prostate after the operation, on the other, showed that the atrophy of the prostate was not very good here. In addition to the explanation of this fact, they put a decrease in the congestion of the urinary tract, which was considered an ethological moment for hypertrophy of the prostatae. smyavinoschago duct) on the tone of the sphincteris vesicae, in order to find out in this way partly the clinical significance of these operations.

Treatment of narrowing of the urethra was carried out according to different methods - dynamic, mechanical, by the method of chemical destruction of tissue (this includes electrolysis) and, finally, by the method of quick separation, which should include divulsion and urethrotomy - external and internal. The last one should take the first place among all other ways.

On December 18, at 10 am in the physical auditorium of the new building of the university, the meeting opened with a brief report of the chairman of the board of the society of Russian surgeons on the activities of the board for the past year.
Professor V.I. Razumovskiy, comrade-doctor of the Moscow zemstvo N.I. Orlkhov was again elected chairman of the congress.