Basadre en más de una oportunidad se refirió al Perú como al país de las oportunidades perdidas. Una infausta guerra en 1879 nos privó de la senda de progreso que la riqueza del salitre avizoraba para nuestro país, una guerra que nos destrozó económica y moralmente, que nos quitó a muchos jóvenes brillantes y útiles para nuestro patria y donde dieron su cuota de sacrificio, de entrega total e inclusive de su vida, jóvenes alumnos de la Facultad de Medicina, al igual que sus Profesores, González Prada en sus Pájinas Libres nos muestra esta realidad trágica y nos impulsa a salir del marasmo espiritual. Son esos años de la guerra y los posteriores a ella los que forjan a una generación de brillantes médicos, profesores ilustres como Lino Alarco y Néstor J. Corpancho, Constantino T. Carvallo, Ricardo L. Flores, Leónidas Avendaño, Juan M. Byron, Ernesto Odriozola, Julián...

There are dates that can not be forgotten from the obstetricians, one is August 17. 100 years ago, Professor T. Constantino Carvallo, modest and illustrious San Marcos began teaching professor of gynecology for medical students of the Faculty of Medicine of San Fernando. The start of this apostolate was in a small room called Las Mercedes, built with his own money at the former Royal Hospital of Santa Ana, located where now the Maternal Perinatal Institute (Lima Maternity Hospital).

The treatment of placenta previa, before the introduction of cesarean section, abdominal, was based on a series of methods whose purpose was to restrain, reduce or eliminate bleeding. There is no single mode of treatment; good way depends on the variety, the importance of bleeding, their impact on the general state, the state of the cervix integrity, ease of access to the membranes, the degree of infection, the viability of fetus, the time and environment in which they act.

The beginning of gynecology in Perú

Editorial

At present, the scientific knowledge is changing so rapidly that, every five years preceding obsolete. Midwifery is no stranger to these changes. The concepts we had about some topics, just over twenty years ago to leave medical school, are different today. A simple example concerns the management of postpartum women, both those who have had vaginal childbirth as those that have undergone surgery. A few years ago, our new mothers of normal birth, remained hospitalized more than three days; fifth day after the three candidates to withdraw yarn points which tears or episiorrafias sutured; the speakers had a cesarean section did not rise until the second or third day; They are receiving antibiotics almost 100% of cases and were not given high until the seventh or eighth day after the removal of stitches.

I thank the Executive Committee of the First Peruvian Congress of Obstetrics and Gynecology for the honor you have given me to entrust the study of Obstetrics Official Theme entitled Forceps: Present Value; work of the greatest interest in obstetric practice and seek to develop by following a simple plan, classic, recalling that the application of forceps should be a very reasoned act and not a series of mechanical movements learned in a kind of military manual. It should then before applying the forceps in practice to know exactly the services he may or may not pay; enter reasoned discussion of their role and know the purpose of the modifications that have been made to an instrument that day by an advanced degree of perfection reached today.

A detailed clinically study of 14 of Hydatidiform Mole has been reported. The diagnosis was made clinically and by Galli Mainini test. Toxemias of pregnancy was predominant in five cases. with a serious and poor condition of the patients. In the other nine cases the hemorrhage was profuse and acute Anemia has been established. One of them died by this condition. Ten were multiparas, the other four were primiparas. As soon as the diagnosis is made the uterus must be emptied. In most instances this can be accomplished easily by dilatation with Hegar dilators followed by curettage. Curette and placenta forceps should be used with the utmost caution because of the danger of perforating the uterus. In any case the curettage should be associated with pituitary extraer and ergonovine. The patients was kept under close observation by a long time -no less of two years- and no anyone developed cho...

This is a review of the indications, possibilities and limitations of the segmentarian cesarean operation, The author introduced this type of procedure in Peru in 1937; on the basis of his personal experience he has prepared this article directed not to the obstetrician but to the general surgeon faced with the necessity of this surgical treatment. Dr. Bazul remarks that this procedure has its better indication in the cases of placenta previa centralis, and advices about the type of anesthesia according to the status of both the mother and fetus.

In summary, three cases of dystocia are presented by circular lace: the first was an multiparous, with embedded vertex presentation, regular contractions, which in the course of work presents alterations in fetal heartbeat leading down to the minute and 84 the clinical examination suggests circular lace, and in which the acceleration of labor with Pitocin injection early rupture of the membranes allows the expulsion of a live fetus with a cord round the neck and the left upper limb. The second case is a primípara with embedded head, which begins its work with irregular contractions and abnormal fetal heart rate of 154 a minute, climbing to 170 irregular, barely noticeable, which is suspected of circular, that to be starting the work force in defense of the fetus to practice segmental cesarean live fetus extracted with two circular level left leg; the third refers to sew headed primípar...

The beginning of gynecology in Perú

This is a review of the indications, possibilities and limitations of the segmentarian cesarean operation, The author introduced this type of procedure in Peru in 1937; on the basis of his personal experience he has prepared this article directed not to the obstetrician but to the general surgeon faced with the necessity of this surgical treatment. Dr. Bazul remarks that this procedure has its better indication in the cases of placenta previa centralis, and advices about the type of anesthesia according to the status of both the mother and fetus.

The treatment of placenta previa, before the introduction of cesarean section, abdominal, was based on a series of methods whose purpose was to restrain, reduce or eliminate bleeding. There is no single mode of treatment; good way depends on the variety, the importance of bleeding, their impact on the general state, the state of the cervix integrity, ease of access to the membranes, the degree of infection, the viability of fetus, the time and environment in which they act.

A detailed clinically study of 14 of Hydatidiform Mole has been reported. The diagnosis was made clinically and by Galli Mainini test. Toxemias of pregnancy was predominant in five cases. with a serious and poor condition of the patients. In the other nine cases the hemorrhage was profuse and acute Anemia has been established. One of them died by this condition. Ten were multiparas, the other four were primiparas. As soon as the diagnosis is made the uterus must be emptied. In most instances this can be accomplished easily by dilatation with Hegar dilators followed by curettage. Curette and placenta forceps should be used with the utmost caution because of the danger of perforating the uterus. In any case the curettage should be associated with pituitary extraer and ergonovine. The patients was kept under close observation by a long time -no less of two years- and no anyone developed cho...

Editorial

There are dates that can not be forgotten from the obstetricians, one is August 17. 100 years ago, Professor T. Constantino Carvallo, modest and illustrious San Marcos began teaching professor of gynecology for medical students of the Faculty of Medicine of San Fernando. The start of this apostolate was in a small room called Las Mercedes, built with his own money at the former Royal Hospital of Santa Ana, located where now the Maternal Perinatal Institute (Lima Maternity Hospital).

I thank the Executive Committee of the First Peruvian Congress of Obstetrics and Gynecology for the honor you have given me to entrust the study of Obstetrics Official Theme entitled Forceps: Present Value; work of the greatest interest in obstetric practice and seek to develop by following a simple plan, classic, recalling that the application of forceps should be a very reasoned act and not a series of mechanical movements learned in a kind of military manual. It should then before applying the forceps in practice to know exactly the services he may or may not pay; enter reasoned discussion of their role and know the purpose of the modifications that have been made to an instrument that day by an advanced degree of perfection reached today.

In summary, three cases of dystocia are presented by circular lace: the first was an multiparous, with embedded vertex presentation, regular contractions, which in the course of work presents alterations in fetal heartbeat leading down to the minute and 84 the clinical examination suggests circular lace, and in which the acceleration of labor with Pitocin injection early rupture of the membranes allows the expulsion of a live fetus with a cord round the neck and the left upper limb. The second case is a primípara with embedded head, which begins its work with irregular contractions and abnormal fetal heart rate of 154 a minute, climbing to 170 irregular, barely noticeable, which is suspected of circular, that to be starting the work force in defense of the fetus to practice segmental cesarean live fetus extracted with two circular level left leg; the third refers to sew headed primípar...

The progress of obtetricia recently, shows a strong orientation toward surgery, prone, as expected, to replace old methods, inspired not only by the desire to save the life of the mother and the fetus, but also in preventing serious accidents and serious complications of pregnancy or childbirth, often consequences of the application of non-surgical procedures.

The malformations of the genito urinary organs of women, the subject of this work include the study of irregular features that can be considered not only as away from the rule, but as upsetting and being also more or less dangerous to the health of the wearer.