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Uterine rupture after cesarean section
Owing to large doses of the drug in some cases there was elevated temperature, cyanosis of the face and extremities, and slight reduction in the red cell count and percentage of hemoglobin, for a few days. There were, however, no renal complications, and in one case the drug was used despite the presence of hypertension and 1.5 per cent albumin in the urine. J. P. GREENE‘ILL.
KletzhLndler, Geburtsh.
M. : n. Gynak.
Uterine Rupture 113: 305,1942.
After
@esarea~n
Section,
Monatsch.
f.
In the Zurich Clinic from 1920 to 1938, there were 512 cesarean sections. During this time three uteri ruptured following eesarean sections performed in this clinic, and three additional cases of rupture of t,he uterine scar from operations performed elsewhere were also encountered. The author reviewed 265 articles dealing with 408 cases of rupture of the uterus. In this review of the literature there were 141 ruptures of the scar following classical operations, 55 after the transverse fundal incision, 87 after the cervical longitudinal incision, 5 after the cervical transverse incision and in 104 cases information was not given. About four-fifths of all the mothers were saved by operation and about the same proportion of babies died as a result of uterine ruptures. The same results were obtained with hysterectomy as with suture of the laceration. J.P.
Ribeiro, Sanat.
Eurico Sao
Bramo:
Lucas
3: 179,
Intramurti 1942.
Pituitrin
ti
Gesarean
GREENHILL.
operation,
Dol.
do
had used intramural pituitrin Eurico Branco Ribeiro (Sanatorium Sao Lucas) for ten years with very satisfactory results. Contraction of the uterus follows immediately, separation of the placenta is facilitated, hemorrhage is greatly reduced, the operative field is cleansed, the visibility of the edges of the uterine incision is enhanced and suturing can be carried out with more precision and security; all these facts lead to a more speedy conclusion of the operation. The technique is simple. Before the operation the contents of two ampoules of pituitrin are drawn into a syringe and the injection held ready. Immediately after extraction of the fetus, the pituitrin is injected into the anterior wall of the uterus. a. P. GREENHILL.
Bazul, Victor tion, Thesis
Manuel: for M.D.
Gontribution degree, Peru
to ;ehe Study 1: 189, 1941.
of
Segmental
Cesarean
Opera-
Victor Manuel Bazul discusses the history and indications of cessrean section and stresses the importance of the cervical method. He describes the extraperitoneal and transperitoneal methods, with their indications, disadvantages and complications, and cites a number of cases in which these methods were used. The method may be Cervical cesarean seetion is safest for mother and fetus. used in clean, suspected and infected eases without jeopardizing the general oondition of the woman or exposing her to peritonitis. It allows the use of trial labor and avoids embryotomy of the living fetus. It permits the development of The extraperitoneal subsequent pregnancies without fear of uterine rupture. method is preferred despite the complexity of its technique, because of its excellent results: 13 eases gave no maternal mortality and a fetal mortality of 7.05 per cent. The transperitoneal method is the best for the practitioner because
KletzhLndler, Geburtsh.
M. : n. Gynak.
Uterine Rupture 113: 305,1942.
After
@esarea~n
Section,
Monatsch.
f.
In the Zurich Clinic from 1920 to 1938, there were 512 cesarean sections. During this time three uteri ruptured following eesarean sections performed in this clinic, and three additional cases of rupture of t,he uterine scar from operations performed elsewhere were also encountered. The author reviewed 265 articles dealing with 408 cases of rupture of the uterus. In this review of the literature there were 141 ruptures of the scar following classical operations, 55 after the transverse fundal incision, 87 after the cervical longitudinal incision, 5 after the cervical transverse incision and in 104 cases information was not given. About four-fifths of all the mothers were saved by operation and about the same proportion of babies died as a result of uterine ruptures. The same results were obtained with hysterectomy as with suture of the laceration. J.P.
Ribeiro, Sanat.
Eurico Sao
Bramo:
Lucas
3: 179,
Intramurti 1942.
Pituitrin
ti
Gesarean
GREENHILL.
operation,
Dol.
do
had used intramural pituitrin Eurico Branco Ribeiro (Sanatorium Sao Lucas) for ten years with very satisfactory results. Contraction of the uterus follows immediately, separation of the placenta is facilitated, hemorrhage is greatly reduced, the operative field is cleansed, the visibility of the edges of the uterine incision is enhanced and suturing can be carried out with more precision and security; all these facts lead to a more speedy conclusion of the operation. The technique is simple. Before the operation the contents of two ampoules of pituitrin are drawn into a syringe and the injection held ready. Immediately after extraction of the fetus, the pituitrin is injected into the anterior wall of the uterus. a. P. GREENHILL.
Bazul, Victor tion, Thesis
Manuel: for M.D.
Gontribution degree, Peru
to ;ehe Study 1: 189, 1941.
of
Segmental
Cesarean
Opera-
Victor Manuel Bazul discusses the history and indications of cessrean section and stresses the importance of the cervical method. He describes the extraperitoneal and transperitoneal methods, with their indications, disadvantages and complications, and cites a number of cases in which these methods were used. The method may be Cervical cesarean seetion is safest for mother and fetus. used in clean, suspected and infected eases without jeopardizing the general oondition of the woman or exposing her to peritonitis. It allows the use of trial labor and avoids embryotomy of the living fetus. It permits the development of The extraperitoneal subsequent pregnancies without fear of uterine rupture. method is preferred despite the complexity of its technique, because of its excellent results: 13 eases gave no maternal mortality and a fetal mortality of 7.05 per cent. The transperitoneal method is the best for the practitioner because