- Email: [email protected]
OBSTETRICAL SOCIETY OF LONDON. OCTOBER 5TH, 1864.
465 no appetite, a quick weak pulse, and complains cut. The incision was prolonged upwards, and the larynx slightly of sore-throat and of difficult deglutition. The pellicle opened. The man had ceased to breathe, but a catheter was is heaped up on the wound, looking like very overboiled mac- passed through the wound in the larynx, and the lungs in-
tenance,
flated. The man, however, did not revive. The whole of the isthmus and front of the thyroid was occupied by a mass of cancer pressing the trachea towards the right side, and causing great pressure on its left wall. The incision into the windpipe was above the seat of obstruction, but there was no means of diagnosing the latter. Mr. Smith dwelt upon the impossibility in some cases of diagnosing the seat of obstruction, and on the propriety in all cases of tracheotomy of going to the operation provided with an elastic catheter, which could always be passed beyond the obstruction. Some members doubted the cancerous nature of the disease, and the specimen was referred for examination to Dr. Harley and Dr. Murchison. Dr. HARLEY exhibited a
and left tonsil are more or less covered by a similar exudation. Ordered to continue the bath; to take solution of cinchona, tincture of opium in ten-minim doses, with five grains of chlorate of potash, every twohours ; and a solution of nitrate of silver (one drachm to two drachms of water) to be at once thoroughly applied to the throat. 18th.-Feels better, countenance much improved, and no exudation to be seen on the fauces. From this moment the patient gradually improved, and left the hospital in a fair way towards recovery on Sept. 13th. During the diphtheritic inroad the wound on the back of the hand was covered with a thin exudation, but was otherwise almost passive. This peculiar condition of wound appears to be attended by two processes-one of production, the other of destruction : the former exemplified in the accumulation of exudation matter upon the surface of the sore, without loss of substance; the latter shown by an extension of the area of the by ulceration of its integumental border. The special wound interest attaching to this case is the coexistence of a diphthe. ritic condition of a wound and of the fauces; but it will be well to record that the patient himself deemed the sore-throat of very little moment. In two cases of diphtheria of wounds subsequently treated by Mr. Maunder, similar remedies (without the bath) were employed, with the desired effect.
caroni ; while the velum, uvula,
SERIES OF GALLSTONES.
The first
point he dwelt on was that the danger was not in proportion to the size of the stone. He showed a very small stone which had set up fatal peritonitis. A second point was, that sometimes excruciating pain was produced by the passage of a very small stone which could not be discovered, and which ought rather to be called a small collection of inspissated bile. He referred to a case in which very numerous attacks had taken place, but no stone was ever found. After death, a collection of very small calculi was found in the gall-bladder. Dr. HARLEY also showed a SERIES OF BLOOD-CRYSTALS.
Medical Societies.
He dwelt on the different opinions which prevailed on the subject of blood-crystals, and on the confusion of names so produced. Dr. Harley believed that there are three different PATHOLOGICAL SOCIETY OF LONDON. forms of crystals. The first is that produced by chemical reaction on the blood. Glacial acetic acid being applied to dry TUESDAY, OCT. 18TH, 1864. blood, of any animal, and a little common salt added, a certain MR. PRESCOTT HEWETT, PRESIDENT. definite crystal of invariable size is produced-Teichmann’s crystals, or hasmin. The second kind is that met with in old THE PRESIDENT congratulated the Society on the successful clots (apoplectic &c.), which are also definite in size and shape; volume which had been issued by the Society, and announced broader in shape and lighter in colour than the hæmin-crystals, that an index to the first fifteen volumes of the Society’s almost rhomboid—hæmatoidin-crystals of Virchow. The third " Transactions" had been prepared, and was now in the press. form is found in healthy blood, as the splenic, when crystalMr. BALMANNO SQUIRE exhibited a coloured photograph of lized. These crystals can be obtained also by shaking up Psoriasis Diffusa and of Impetigo of the Face. He dwelt on the healthy blood with ether. They are very much larger ; may fact, that in the first case the disease was cured by local treat- be in groups like spicula; and may be either colourless or ment, and that in the second the patient used salt-water baths coloured. These, Dr. Harley thought, were better termed hsematin. both in the sea and at home with great benefit. Dr. WILKS called the attention of the Society to the time Dr. MURCHISON showed specimens of for the formation of the second form of crystals in required ULCERS OF THE INTESTINE AT A VERY EARLY STAGE OF clots. He had found them in apoplectic clots of more than a TYPHOID FEVER, fortnight’s standing, but not earlier. where the deposit was only just breaking down into ulceration, Dr. HARLEY said that this was also his experience. the disease proving fatal on the tenth day; and another, where! Dr. SANDERSON stated that he had made experiments on this the disease was very extensive, and death occurred on the subject, published in the Edinburgh Medical Journal for 1851, twenty-fifth day. In another specimen the fever was typhus, showing such crystals formed in clots experimentally produced but complicated with diarrhoea. Here the intestine was quite in animals in about three days. The phenomena of corpora free from ulceration. The character of the fever was shownL lutea also supported this opinion. by the rash, and the case proved fatal on the eighteenth day. Dr. CRISP showed the Stomach of a Patient poisoned by In a fourth specimen, where death occurred on the sixth day, Butter of Antimony, with a cast of the stomach taken soon after there was distinct ulceration on the ileo-csecal valve and deposit death. Three ounces of the poison had been taken, and about in Peyer’s patches. The patient was a child, aged six years,’ two-thirds of it was found adhering to the interior of the and the mother also suffered from typhoid fever. which was very black, and the mucous membrane Dr. BRISTOWE remarked that in the late epidemic many cases stomach, The prominent symptoms were thirst, pain, vomiting of typhus at St. Thomas’s were complicated with diarrhoea, but sloughy. after ten hours, and diarrhoea shortly before death. none presented the characteristic eruption. He attributed the Dr. CRISP also showed the Lung from a species of Antelope diarrhcea to the exhibition of tartrate of potash. occupied by a very copious deposit of tubercle. Dr. PEACOCK had met with cases of typhus complicated with1 Mr. CAYLEY showed a very large Liver affected with Amydiarrhoea, in which tartrate of potash or purgatives had beenl loid Degeneration. A large globular projection from the suradministered. In all these cases no ulceration of the bowels3 face caused at one time a suspicion of hydatids. The spleen was fonnd. and kidneys were also in a state of amyloid degeneration. Mr. H. SMITH showed a specimen of .
’
’
CANCER OF THE THYROID
GLAND, the The trachea. causing pressure patient (aged forty-three) had suffered from difficulty in breathing for some months, but had been in no danger till a few days before admission into hospital, when he had some severe fits of dyspncea. He had a severe fit soon after admission, which passed over in a few minutes. Mr. Smith directed that if possible a laryngoscopic examination should be made. This revealed that the parts above the glottis were healthy. About five hours after admission tracheotomy became necessary. After superficial incision, a hard mass was reached, through which it was impossible to
OBSTETRICAL SOCIETY OF LONDON.
on
OCTOBER 5TH, 1864.
DR. OLDHAM, PRESIDENT,
IN THE CHAIR.
THE following gentlemen were elected Fellows: Dr. M. Bright; J. S. Gaunt, Esq.; Dr. Hoffmeister; J. H. Salter, Esq. CÆSAREAN SECTION.
of Cæsarean section which occurred in 1837, from the papers of the late T. E. Bryant, Esq., was read. The patient A
case
466 A description of a case of Deformed Arms was read, from four feet seven inches in height, and rachitic; the anterodiameter of the pelvis was two inches and a quarter Dr. Shortt, accompanied by photographs. in the dry state, and the transverse diameter four inches. The Dr. WYNN WILLIAMS then read a paper on operation was accomplished without difficulty; but the mother MISSED LABOUR. died about thirty-six hours afterwards, of low peritonitis. The child lived some weeks, when it died of erysipelas. The author alluded to the little notice the subject had received Dr. GREENHALGH said he was deeply interested in the hitherto, and thought the profession indebted to Dr. M’Clintock Cæsarean operation, of which he had had some experience, for his collection of cases. He wished, however, that some having performed it four times, having been present in three more practical rules were laid down. He then detailed two cases where other practitioners bad operated, and having recases which he considered were of this class. He ventured to cently, through the kindness of Dr. Winckel of Gummersbacb, suggest that, as soon as attention was called to a case, the examined three women who had been the subjects of this pro- accoucheur should, after satisfying himself of the escape of the ceeding. He expressed a conviction that in difficult cases of liquor amnii, the death of the fœtus, and the dilatability of the craniotomy, which were necessarily fatal to the children and os, proceed (after allowing a reasonable delay, and after emtoo often to the mothers, the lives of most of the former would ploying the recognised means adopted to cause contraction of be spared, and the latter would stand equally as good a chance, the uterus) to turn and deliver. Dr. BARNES said there was a perfectly ready and safe way by the timely performance of the Cæsarean section ; in proof of which he detailed the case of a poor woman upon whom he of dilating the cervix should the case require it. Should the had operated, who was reduced to such an extreme degree of cervix be rigid, besides the dilators, he would use incisions, debility by mollities ossium that those present considered it which plan he had employed in a case he detailed. Dr. GREENHALGH did not consider that Dr. Williams’ oases impossible that she could survive the operation; notwithstanding, she lived three weeks afterwards, and then died from could be placed under the head of missed labour, and asked rupture of the transverse colon, owing to the distortion occa- the President, who was the first to use the expression, what sioning occlusion of the rectum. The child was born alive, and he considered the correct definition of the term. He (Dr. continued to live. Dr. Greenhalgh strongly urged the early Greenhalgh) had never met with a case of missed labour. Dr. OLDHAM said that he had used the term as the most performance of the operation, before the membranes were ruptured or the mother exhausted. He considered that the inci- appropriate he could find. It was a case in which the time sions should be made in the linea alba, and as nearly as possible of natural labour passed by without any pains, and the child through the centre of the body, and not through the neck, of was not expelled. the uterus, in which, although he admitted there were fewer Dr. BRAXTONHICKS thought it highly important to be cerlarge vessels, yet there was far less contractile power, and con- tain that the full term had really expired, as it was very diffisequently a greater liability to hæmorrhage, as happened in cult to say whether it had been reached in any case before a one case which he witnessed. He recommended that the ab- month at least had elapsed. In the cases recited, he thought dominal and uterine wounds should be held together by the that probably, although the children were dead, they would in fingers of an assistant placed within the extremities of the due time have been expelled by natural efforts. Further discussion arose, in which Dr. Fox, Dr. Eastlake, and incisions; that, immediately after the extraction of the fcetus and secundines, the finger should be passed from within through Mr. Owen joined, and to which Dr. Williams replied. the neck of the uterus into the vagina, so as to secure a free Mr. GANT then gave a careful Dissection of the Pregnant exit for the discharges; that the uterus should be firmly grasped Uterus in a person who had died from accidental hæmorby the hand, so as to obtain its firm contraction; and when all fear of haemorrhage had passed, that the abdominal wound be rhage." brought together by the interrupted suture, and still further secured by broad strips of adhesive plaster. As a rule he administered no medicine, but met each symptom by its appropriate remedy. He mentioned one extraordinary case where the patient was up and about five days after the operation; she was, however, the subject of an enormous umbilical hernia. Nouveau Dictionnaire de Médecine et de Chirurgie Pratique. Dr. BARNES observed that summaries of most of Dr. Winckel’s Illustré de Figures intercalés dans le Texte. Tome Premier, cases would be found in the British and Foreign Medico-Chi. Parties I. et II. Paris: J. B. Baillire et Fils. London:rurgical Review. H. Baillière. Dr. PLAYFAIR said that in the only case of Caasarean section THIS is the first volume of a great work which is in process which he had witnessed, a difficulty was met with which he had not seen alluded to in descriptions of the operation, and of publication by the Messrs. Baillire, and which is to appear which certainly had not occurred in the case under discussion, in twelve or fourteen volumes octavo, of eight hundred pages. nor apparently in any of those described by Dr. Greenhalgh. It is designed to assemble and co-ordinate the scattered works, In the case in question the uterus was opened near the fundus, and monographs published in France and and although no time was lost in removing the child, still the special treatises, a complete account of contemporary surto abroad ; present uterine parietes contracted with such rapidity and force that the head was caught in the incision, and some difficulty oc- gery and medicine; to help to put in general circulation the curred in extracting it and the placenta. This was doubtless numerous and recent acquisitions of science ; and to prepare a fault on the right side, as it diminished the risk of hæmorfor the future by establishing the fixed landmarks of the past, rhage ; but still it would be well to know how to avoid incon- and indicating the starting-points of further enterprise. venience from it. He had thought this might be done by comthe proprietors To enable them to out this mencing the incision near the lower part of the uterus, instead have secured a staff carry some programme, of the best names in France, of at the fundus, when the head might be extracted first. The including and all men of proved capability, yet not too numerous for discase to which he alluded also showed the risk of delay before operation. The patient was a healthy woman who might have cipline and uniformity. To those who may propose to obtain done well, but she was allowed to remain so many days in for themselves this important publication, the names of the labour before further advice was sought, that when seen the intended contributors will have interest, as affording a neces. vagina was found in a state of slough. is Dr. Jaccoud, well known as a The editor sary guarantee. Dr. OLDHAM recommended the incision to be made towards the lower part of the uterus. young physician who possesses all the qualities and the previous training which the editor of such a book should needs Dr. EASTLAKE showed an Obstetric Binder, for immediate have. His last reports to the Minister of Education on the use after parturition, which he had constructed, and which of medical teaching on the Continent gave evidence of had been made by Mr. Salmon, of Wigmore-street. It was system intended to supersede those which lace up like stays. The remarkably sound judgment, candour, impartiality, and apprebinder was very simple in its arrangement. It consisted of ciative power. These qualities are just what an editor wants. two parts, which were fastened in front with the greatest ease With him are MM. Bernutz, Boeckel, Buignet, Cusco, Denuc6, in less than a minute by means of four lappets with hooks and Alf. Fournier, H. Gintrac, Desormeaux, Desnos, Devillers, eyes. It had also a tail bandage which fastened before and behind, and was able to support the diaper and keep the binder Giraldès, Gosselin, Alph. Guerin, A. Hardy, Hirtz, Koeberlé, in its place. Dr. Eastlake had tried it several times with S. Laugier, Liebreich, P. Lorain, Maree, A. Nélaton, Ore, V.-A. Racle, Richet, Ph. Ricord, Jules Rochard (de Lorient), great satisfaction. The price was from five shillings.
was
posterior
,
Reviews and Notices
of
Books
tenance,
flated. The man, however, did not revive. The whole of the isthmus and front of the thyroid was occupied by a mass of cancer pressing the trachea towards the right side, and causing great pressure on its left wall. The incision into the windpipe was above the seat of obstruction, but there was no means of diagnosing the latter. Mr. Smith dwelt upon the impossibility in some cases of diagnosing the seat of obstruction, and on the propriety in all cases of tracheotomy of going to the operation provided with an elastic catheter, which could always be passed beyond the obstruction. Some members doubted the cancerous nature of the disease, and the specimen was referred for examination to Dr. Harley and Dr. Murchison. Dr. HARLEY exhibited a
and left tonsil are more or less covered by a similar exudation. Ordered to continue the bath; to take solution of cinchona, tincture of opium in ten-minim doses, with five grains of chlorate of potash, every twohours ; and a solution of nitrate of silver (one drachm to two drachms of water) to be at once thoroughly applied to the throat. 18th.-Feels better, countenance much improved, and no exudation to be seen on the fauces. From this moment the patient gradually improved, and left the hospital in a fair way towards recovery on Sept. 13th. During the diphtheritic inroad the wound on the back of the hand was covered with a thin exudation, but was otherwise almost passive. This peculiar condition of wound appears to be attended by two processes-one of production, the other of destruction : the former exemplified in the accumulation of exudation matter upon the surface of the sore, without loss of substance; the latter shown by an extension of the area of the by ulceration of its integumental border. The special wound interest attaching to this case is the coexistence of a diphthe. ritic condition of a wound and of the fauces; but it will be well to record that the patient himself deemed the sore-throat of very little moment. In two cases of diphtheria of wounds subsequently treated by Mr. Maunder, similar remedies (without the bath) were employed, with the desired effect.
caroni ; while the velum, uvula,
SERIES OF GALLSTONES.
The first
point he dwelt on was that the danger was not in proportion to the size of the stone. He showed a very small stone which had set up fatal peritonitis. A second point was, that sometimes excruciating pain was produced by the passage of a very small stone which could not be discovered, and which ought rather to be called a small collection of inspissated bile. He referred to a case in which very numerous attacks had taken place, but no stone was ever found. After death, a collection of very small calculi was found in the gall-bladder. Dr. HARLEY also showed a SERIES OF BLOOD-CRYSTALS.
Medical Societies.
He dwelt on the different opinions which prevailed on the subject of blood-crystals, and on the confusion of names so produced. Dr. Harley believed that there are three different PATHOLOGICAL SOCIETY OF LONDON. forms of crystals. The first is that produced by chemical reaction on the blood. Glacial acetic acid being applied to dry TUESDAY, OCT. 18TH, 1864. blood, of any animal, and a little common salt added, a certain MR. PRESCOTT HEWETT, PRESIDENT. definite crystal of invariable size is produced-Teichmann’s crystals, or hasmin. The second kind is that met with in old THE PRESIDENT congratulated the Society on the successful clots (apoplectic &c.), which are also definite in size and shape; volume which had been issued by the Society, and announced broader in shape and lighter in colour than the hæmin-crystals, that an index to the first fifteen volumes of the Society’s almost rhomboid—hæmatoidin-crystals of Virchow. The third " Transactions" had been prepared, and was now in the press. form is found in healthy blood, as the splenic, when crystalMr. BALMANNO SQUIRE exhibited a coloured photograph of lized. These crystals can be obtained also by shaking up Psoriasis Diffusa and of Impetigo of the Face. He dwelt on the healthy blood with ether. They are very much larger ; may fact, that in the first case the disease was cured by local treat- be in groups like spicula; and may be either colourless or ment, and that in the second the patient used salt-water baths coloured. These, Dr. Harley thought, were better termed hsematin. both in the sea and at home with great benefit. Dr. WILKS called the attention of the Society to the time Dr. MURCHISON showed specimens of for the formation of the second form of crystals in required ULCERS OF THE INTESTINE AT A VERY EARLY STAGE OF clots. He had found them in apoplectic clots of more than a TYPHOID FEVER, fortnight’s standing, but not earlier. where the deposit was only just breaking down into ulceration, Dr. HARLEY said that this was also his experience. the disease proving fatal on the tenth day; and another, where! Dr. SANDERSON stated that he had made experiments on this the disease was very extensive, and death occurred on the subject, published in the Edinburgh Medical Journal for 1851, twenty-fifth day. In another specimen the fever was typhus, showing such crystals formed in clots experimentally produced but complicated with diarrhoea. Here the intestine was quite in animals in about three days. The phenomena of corpora free from ulceration. The character of the fever was shownL lutea also supported this opinion. by the rash, and the case proved fatal on the eighteenth day. Dr. CRISP showed the Stomach of a Patient poisoned by In a fourth specimen, where death occurred on the sixth day, Butter of Antimony, with a cast of the stomach taken soon after there was distinct ulceration on the ileo-csecal valve and deposit death. Three ounces of the poison had been taken, and about in Peyer’s patches. The patient was a child, aged six years,’ two-thirds of it was found adhering to the interior of the and the mother also suffered from typhoid fever. which was very black, and the mucous membrane Dr. BRISTOWE remarked that in the late epidemic many cases stomach, The prominent symptoms were thirst, pain, vomiting of typhus at St. Thomas’s were complicated with diarrhoea, but sloughy. after ten hours, and diarrhoea shortly before death. none presented the characteristic eruption. He attributed the Dr. CRISP also showed the Lung from a species of Antelope diarrhcea to the exhibition of tartrate of potash. occupied by a very copious deposit of tubercle. Dr. PEACOCK had met with cases of typhus complicated with1 Mr. CAYLEY showed a very large Liver affected with Amydiarrhoea, in which tartrate of potash or purgatives had beenl loid Degeneration. A large globular projection from the suradministered. In all these cases no ulceration of the bowels3 face caused at one time a suspicion of hydatids. The spleen was fonnd. and kidneys were also in a state of amyloid degeneration. Mr. H. SMITH showed a specimen of .
’
’
CANCER OF THE THYROID
GLAND, the The trachea. causing pressure patient (aged forty-three) had suffered from difficulty in breathing for some months, but had been in no danger till a few days before admission into hospital, when he had some severe fits of dyspncea. He had a severe fit soon after admission, which passed over in a few minutes. Mr. Smith directed that if possible a laryngoscopic examination should be made. This revealed that the parts above the glottis were healthy. About five hours after admission tracheotomy became necessary. After superficial incision, a hard mass was reached, through which it was impossible to
OBSTETRICAL SOCIETY OF LONDON.
on
OCTOBER 5TH, 1864.
DR. OLDHAM, PRESIDENT,
IN THE CHAIR.
THE following gentlemen were elected Fellows: Dr. M. Bright; J. S. Gaunt, Esq.; Dr. Hoffmeister; J. H. Salter, Esq. CÆSAREAN SECTION.
of Cæsarean section which occurred in 1837, from the papers of the late T. E. Bryant, Esq., was read. The patient A
case
466 A description of a case of Deformed Arms was read, from four feet seven inches in height, and rachitic; the anterodiameter of the pelvis was two inches and a quarter Dr. Shortt, accompanied by photographs. in the dry state, and the transverse diameter four inches. The Dr. WYNN WILLIAMS then read a paper on operation was accomplished without difficulty; but the mother MISSED LABOUR. died about thirty-six hours afterwards, of low peritonitis. The child lived some weeks, when it died of erysipelas. The author alluded to the little notice the subject had received Dr. GREENHALGH said he was deeply interested in the hitherto, and thought the profession indebted to Dr. M’Clintock Cæsarean operation, of which he had had some experience, for his collection of cases. He wished, however, that some having performed it four times, having been present in three more practical rules were laid down. He then detailed two cases where other practitioners bad operated, and having recases which he considered were of this class. He ventured to cently, through the kindness of Dr. Winckel of Gummersbacb, suggest that, as soon as attention was called to a case, the examined three women who had been the subjects of this pro- accoucheur should, after satisfying himself of the escape of the ceeding. He expressed a conviction that in difficult cases of liquor amnii, the death of the fœtus, and the dilatability of the craniotomy, which were necessarily fatal to the children and os, proceed (after allowing a reasonable delay, and after emtoo often to the mothers, the lives of most of the former would ploying the recognised means adopted to cause contraction of be spared, and the latter would stand equally as good a chance, the uterus) to turn and deliver. Dr. BARNES said there was a perfectly ready and safe way by the timely performance of the Cæsarean section ; in proof of which he detailed the case of a poor woman upon whom he of dilating the cervix should the case require it. Should the had operated, who was reduced to such an extreme degree of cervix be rigid, besides the dilators, he would use incisions, debility by mollities ossium that those present considered it which plan he had employed in a case he detailed. Dr. GREENHALGH did not consider that Dr. Williams’ oases impossible that she could survive the operation; notwithstanding, she lived three weeks afterwards, and then died from could be placed under the head of missed labour, and asked rupture of the transverse colon, owing to the distortion occa- the President, who was the first to use the expression, what sioning occlusion of the rectum. The child was born alive, and he considered the correct definition of the term. He (Dr. continued to live. Dr. Greenhalgh strongly urged the early Greenhalgh) had never met with a case of missed labour. Dr. OLDHAM said that he had used the term as the most performance of the operation, before the membranes were ruptured or the mother exhausted. He considered that the inci- appropriate he could find. It was a case in which the time sions should be made in the linea alba, and as nearly as possible of natural labour passed by without any pains, and the child through the centre of the body, and not through the neck, of was not expelled. the uterus, in which, although he admitted there were fewer Dr. BRAXTONHICKS thought it highly important to be cerlarge vessels, yet there was far less contractile power, and con- tain that the full term had really expired, as it was very diffisequently a greater liability to hæmorrhage, as happened in cult to say whether it had been reached in any case before a one case which he witnessed. He recommended that the ab- month at least had elapsed. In the cases recited, he thought dominal and uterine wounds should be held together by the that probably, although the children were dead, they would in fingers of an assistant placed within the extremities of the due time have been expelled by natural efforts. Further discussion arose, in which Dr. Fox, Dr. Eastlake, and incisions; that, immediately after the extraction of the fcetus and secundines, the finger should be passed from within through Mr. Owen joined, and to which Dr. Williams replied. the neck of the uterus into the vagina, so as to secure a free Mr. GANT then gave a careful Dissection of the Pregnant exit for the discharges; that the uterus should be firmly grasped Uterus in a person who had died from accidental hæmorby the hand, so as to obtain its firm contraction; and when all fear of haemorrhage had passed, that the abdominal wound be rhage." brought together by the interrupted suture, and still further secured by broad strips of adhesive plaster. As a rule he administered no medicine, but met each symptom by its appropriate remedy. He mentioned one extraordinary case where the patient was up and about five days after the operation; she was, however, the subject of an enormous umbilical hernia. Nouveau Dictionnaire de Médecine et de Chirurgie Pratique. Dr. BARNES observed that summaries of most of Dr. Winckel’s Illustré de Figures intercalés dans le Texte. Tome Premier, cases would be found in the British and Foreign Medico-Chi. Parties I. et II. Paris: J. B. Baillire et Fils. London:rurgical Review. H. Baillière. Dr. PLAYFAIR said that in the only case of Caasarean section THIS is the first volume of a great work which is in process which he had witnessed, a difficulty was met with which he had not seen alluded to in descriptions of the operation, and of publication by the Messrs. Baillire, and which is to appear which certainly had not occurred in the case under discussion, in twelve or fourteen volumes octavo, of eight hundred pages. nor apparently in any of those described by Dr. Greenhalgh. It is designed to assemble and co-ordinate the scattered works, In the case in question the uterus was opened near the fundus, and monographs published in France and and although no time was lost in removing the child, still the special treatises, a complete account of contemporary surto abroad ; present uterine parietes contracted with such rapidity and force that the head was caught in the incision, and some difficulty oc- gery and medicine; to help to put in general circulation the curred in extracting it and the placenta. This was doubtless numerous and recent acquisitions of science ; and to prepare a fault on the right side, as it diminished the risk of hæmorfor the future by establishing the fixed landmarks of the past, rhage ; but still it would be well to know how to avoid incon- and indicating the starting-points of further enterprise. venience from it. He had thought this might be done by comthe proprietors To enable them to out this mencing the incision near the lower part of the uterus, instead have secured a staff carry some programme, of the best names in France, of at the fundus, when the head might be extracted first. The including and all men of proved capability, yet not too numerous for discase to which he alluded also showed the risk of delay before operation. The patient was a healthy woman who might have cipline and uniformity. To those who may propose to obtain done well, but she was allowed to remain so many days in for themselves this important publication, the names of the labour before further advice was sought, that when seen the intended contributors will have interest, as affording a neces. vagina was found in a state of slough. is Dr. Jaccoud, well known as a The editor sary guarantee. Dr. OLDHAM recommended the incision to be made towards the lower part of the uterus. young physician who possesses all the qualities and the previous training which the editor of such a book should needs Dr. EASTLAKE showed an Obstetric Binder, for immediate have. His last reports to the Minister of Education on the use after parturition, which he had constructed, and which of medical teaching on the Continent gave evidence of had been made by Mr. Salmon, of Wigmore-street. It was system intended to supersede those which lace up like stays. The remarkably sound judgment, candour, impartiality, and apprebinder was very simple in its arrangement. It consisted of ciative power. These qualities are just what an editor wants. two parts, which were fastened in front with the greatest ease With him are MM. Bernutz, Boeckel, Buignet, Cusco, Denuc6, in less than a minute by means of four lappets with hooks and Alf. Fournier, H. Gintrac, Desormeaux, Desnos, Devillers, eyes. It had also a tail bandage which fastened before and behind, and was able to support the diaper and keep the binder Giraldès, Gosselin, Alph. Guerin, A. Hardy, Hirtz, Koeberlé, in its place. Dr. Eastlake had tried it several times with S. Laugier, Liebreich, P. Lorain, Maree, A. Nélaton, Ore, V.-A. Racle, Richet, Ph. Ricord, Jules Rochard (de Lorient), great satisfaction. The price was from five shillings.
was
posterior
,
Reviews and Notices
of
Books