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BRADFORD MEDICO-CHIRURGICAL SOCIETY.
1140 WIGAN MEDICAL SOCIETY. Some Recent Advanees in
the new photography. -Mr. PARKINSON, Dr. CAMPBELL, and Dr. GOYDER spoke on the subject and Dr. FARRAR
replied.
Surgery.-Exhibition of Specimens. ordinary meeting of this society was held on April 14th GLASGOW MEDICO-CHIRURGICAL SOCIETY.
AN in the board-room of the Royal Albert Edward Infirmary, Mr. C. R. GRAHAM, President, being in the chair. The PRESIDENT read an exhaustive address on Some Recent Advances in Surgery, reviewing the operations and treatment of middle-ear and intracranial disease, laminectomy in injuries to the spine, cholecystotomy, resection of the’intestines, operations for appendicitis, &c., and concluded with some remarks on the new photography and Roentgen’s rays. An interesting discussion then followed. The following cases and specimens were shown :— Dr. MILROY : Patient suffering from Elephantiasis of Both Legs. Specimens of (1) Encephaloid Cancer of the Gallbladder and Spigelian Lobe of the Liver; and (2) Fracture of the Body of the Third Cervical Vertebra with Hoemorrhage into the Cord caused by Indirect Violence in a Young Man ; death in twenty-four hours. Mr. BERRY : (1) Ununited Fracture (transverse) Wired with an excellent result; (2) Compound Fracture of the Elbow-joint ; and (3) Triple Osteotomy (both femora and one tibia) in a child aged three years. Mr. COWAN : Compound Depressed Fracture of the Skull in which he had trephined in three places. The patient was nearly well. Mr. HUGH E. JONES: (1) Coloboma Iridis; (2) Choroiditis Senilis ; and (3) Ophthalmic Demonstration of several ca-ses. Mr. MACDONALD : (1) Hydatid of Liver ; and (2) Uric Acid Calculus from a Boy aged two years which weighed
Exhibition
of Cases and Specimens,
A MEETING of this society was held on April 17th, Dr. NEWMAN being in the chair. Dr. R. M. BUCHANAN showed specimens from a case of The special feature of the case Cancer of the Pylorus. was provided by the secondary distribution of the malignant elements. This had occurred widely in the lymphatic glands in various parts of the body and some of the glands were observed to have undergone caseous changes-an unusual circumstance in malignant growths. The peritoneum, pericardium, and right pleura were dotted over with a large number of minute secondary malignant formations, though no symptoms during life had suggested the involvement of these serous membranes. Dr. WALKER DowNiE related eight consecutive cases in which he had opened the larynx (crico-thyrotomy) for the purpose of removing Intra-laryngeal Tumours and showed several of the patients. The series included only one death, that of an adult who was the subject of a chronic lung affection and who died from septic pneumonia. The most noteworthy of the other cases were:-1. An adult from whom the left vocal cord was excised three and a half years ago on account of malignant disease and who had now a somewhat rough but distinct voice ; in phonating the right cord would be seen to cross the middle line and rise up to meet the 134 grains. I left ventricular band, which acted, therefore, as a substitute Mr. WM. MITCHELL RoocCROFT: Mulberry Calculus for the vocal cord. The disease had not recurred. 2. A removed from a Boy aged ten years which weighed 220 boy aged five years on whom it was necessary to perform Tracheotomy for Attacks of Dyspnoea, one of which reduced grains. The PRESIDENT: Fifty-two Biliary Calculi removed by the patient to a state of coma. The laryngoscope failed to detect any new growths, but on peiformance of cricoCholecystotomy. thyrotomy a small mucous polypus was seen to spring by a long pedicle from the tracheal wall about the level of the second ring, and the length of the pedicle was BRADFORD MEDICO-CHIRURGICAL such as to allow the tumour to irritate the laryngeal SOCIETY. membrane and so lead to spasm of the mucous glottis. The removal of the polypus was followed by complete cessation of the symptoms. 3. A child two Exhibition of Cases and Specimens. years of age on whom Crico-thyrotomy had been perA MEETING of this society was held on April 14th, Dr Dr. Downie formed six times for recurring papillomata. ADOLPH BRONNER, President, being in the chair. expressed his conviction that growths within the larynx are Dr. S. LODGE gave a demonstration of Alicro-specimens much more satisfactorily dealt with by crico-thyrotomy than illustrating Pathological Conditions of the Nose, Throat, by an endo-laryngeal operation. He regards the operation as Mouth, and Orbit.-Dr. GOYDEE and Dr. HiME discussed an eminently safe one and has had no trouble with subsethe specimens. quent malposition of the cartilages leading to aphonia. In Dr. H. BRONKER showed a patient who had recently order to secure accurate readjustment he is in the habit of suffered from Tetanus and whom he bad treated with injec- making the incision in the thyroid cartilage, not in the tions of antitoxin. Recovery was complete. The patient middle line in its whole length, but commencing obliquely was a woman who was admitted into the Bradford Infirmary in one ala he reaches the middle line, continues downwards, suffering from trismus. There were no stiffness of the and then completes the division obliquely in the other ala. ’muscles of the neck and no dysphagia. The knee-jerks Then when the divided parts are replaced they dovetail into The pulse was 92, the respiration 24, one another and so accuracy of apposition is secured. For were present. and the temperature 1000° F. Fifteen grains of antitoxin malignant growths Dr. Downie considers an endo-laryngeal were injected and 20 grains of chloral hydrate and of operation quite unsuitable. Such growths are almost invariThe ably larger and more widely extended than appears in examinabromide of potassium were given by the mouth. patient had a spasmodic attack twenty-four hours after tion by the laryngoscope, and they cannot be properly attacked admission. At inteivals 40 grains (followed by doses of unless by an operation which renders complete access to 20 grains and 15 grains) of antitoxin were injected and them possible. The patient who had now been free from there were further spasms of the neck and jaw noted. On any sign of recurrence for three and a half years after exthe tenth day (after admission) pain in the back and legs tirpation of the vocal cord for epithelioma illustrated the was complained of; around the left knee-jint there was a advantage of operating thoroughly and in an early stage of roseolar rash, and the left wrist and shoulder were swollen the disease.-Dr. NEWMAN agreed generally with Dr. and tender. There was a sore throat and the temperature Downie’s views R ith regard to the crico-thyrotomy as cemwas 104°. The after progress of the case was one of pand with an endo-laryngeal operation. He quoted a case in gradual improvement. Two abscesses in the back required which he had extirpated both vocal cords for malignant to be incised and drained. The mode of action and the disease six years ago and in which there had been no recurmethod of administration of the antitoxin were described.- rence. His experience bad led him to the conviction that The case was discussed by Dr. GOYDER, Dr. FARRAR, Mr. early operation in malignant disease offered a very good GABRIEL, Mr. HORROCKS, Dr. HIME, and Dr. CAMPBELL, chance of complete cure, whilst when the disease had advanced to such a point that complete extirpation of the and Dr. H. BRONNER replied. Dr. J. HAMILTON CRAWFORD showed a man suffering larynx was necessary it was almost as well to refuse to from Idiopathic Muscular Atrophy. operate ; one of his cases, however, had survived the operaDr. FARRAR showed a Skiagraph of the Hand which tion fur eighteen months. disclosed a piece of Steel near the second Phalanx of the Dr. J. H. TEACHER showed two patients illustrating the Little Finger, and described the apparatus necessary for value of Skin Grafting in Promoting the Healing of Extensive
the new photography. -Mr. PARKINSON, Dr. CAMPBELL, and Dr. GOYDER spoke on the subject and Dr. FARRAR
replied.
Surgery.-Exhibition of Specimens. ordinary meeting of this society was held on April 14th GLASGOW MEDICO-CHIRURGICAL SOCIETY.
AN in the board-room of the Royal Albert Edward Infirmary, Mr. C. R. GRAHAM, President, being in the chair. The PRESIDENT read an exhaustive address on Some Recent Advances in Surgery, reviewing the operations and treatment of middle-ear and intracranial disease, laminectomy in injuries to the spine, cholecystotomy, resection of the’intestines, operations for appendicitis, &c., and concluded with some remarks on the new photography and Roentgen’s rays. An interesting discussion then followed. The following cases and specimens were shown :— Dr. MILROY : Patient suffering from Elephantiasis of Both Legs. Specimens of (1) Encephaloid Cancer of the Gallbladder and Spigelian Lobe of the Liver; and (2) Fracture of the Body of the Third Cervical Vertebra with Hoemorrhage into the Cord caused by Indirect Violence in a Young Man ; death in twenty-four hours. Mr. BERRY : (1) Ununited Fracture (transverse) Wired with an excellent result; (2) Compound Fracture of the Elbow-joint ; and (3) Triple Osteotomy (both femora and one tibia) in a child aged three years. Mr. COWAN : Compound Depressed Fracture of the Skull in which he had trephined in three places. The patient was nearly well. Mr. HUGH E. JONES: (1) Coloboma Iridis; (2) Choroiditis Senilis ; and (3) Ophthalmic Demonstration of several ca-ses. Mr. MACDONALD : (1) Hydatid of Liver ; and (2) Uric Acid Calculus from a Boy aged two years which weighed
Exhibition
of Cases and Specimens,
A MEETING of this society was held on April 17th, Dr. NEWMAN being in the chair. Dr. R. M. BUCHANAN showed specimens from a case of The special feature of the case Cancer of the Pylorus. was provided by the secondary distribution of the malignant elements. This had occurred widely in the lymphatic glands in various parts of the body and some of the glands were observed to have undergone caseous changes-an unusual circumstance in malignant growths. The peritoneum, pericardium, and right pleura were dotted over with a large number of minute secondary malignant formations, though no symptoms during life had suggested the involvement of these serous membranes. Dr. WALKER DowNiE related eight consecutive cases in which he had opened the larynx (crico-thyrotomy) for the purpose of removing Intra-laryngeal Tumours and showed several of the patients. The series included only one death, that of an adult who was the subject of a chronic lung affection and who died from septic pneumonia. The most noteworthy of the other cases were:-1. An adult from whom the left vocal cord was excised three and a half years ago on account of malignant disease and who had now a somewhat rough but distinct voice ; in phonating the right cord would be seen to cross the middle line and rise up to meet the 134 grains. I left ventricular band, which acted, therefore, as a substitute Mr. WM. MITCHELL RoocCROFT: Mulberry Calculus for the vocal cord. The disease had not recurred. 2. A removed from a Boy aged ten years which weighed 220 boy aged five years on whom it was necessary to perform Tracheotomy for Attacks of Dyspnoea, one of which reduced grains. The PRESIDENT: Fifty-two Biliary Calculi removed by the patient to a state of coma. The laryngoscope failed to detect any new growths, but on peiformance of cricoCholecystotomy. thyrotomy a small mucous polypus was seen to spring by a long pedicle from the tracheal wall about the level of the second ring, and the length of the pedicle was BRADFORD MEDICO-CHIRURGICAL such as to allow the tumour to irritate the laryngeal SOCIETY. membrane and so lead to spasm of the mucous glottis. The removal of the polypus was followed by complete cessation of the symptoms. 3. A child two Exhibition of Cases and Specimens. years of age on whom Crico-thyrotomy had been perA MEETING of this society was held on April 14th, Dr Dr. Downie formed six times for recurring papillomata. ADOLPH BRONNER, President, being in the chair. expressed his conviction that growths within the larynx are Dr. S. LODGE gave a demonstration of Alicro-specimens much more satisfactorily dealt with by crico-thyrotomy than illustrating Pathological Conditions of the Nose, Throat, by an endo-laryngeal operation. He regards the operation as Mouth, and Orbit.-Dr. GOYDEE and Dr. HiME discussed an eminently safe one and has had no trouble with subsethe specimens. quent malposition of the cartilages leading to aphonia. In Dr. H. BRONKER showed a patient who had recently order to secure accurate readjustment he is in the habit of suffered from Tetanus and whom he bad treated with injec- making the incision in the thyroid cartilage, not in the tions of antitoxin. Recovery was complete. The patient middle line in its whole length, but commencing obliquely was a woman who was admitted into the Bradford Infirmary in one ala he reaches the middle line, continues downwards, suffering from trismus. There were no stiffness of the and then completes the division obliquely in the other ala. ’muscles of the neck and no dysphagia. The knee-jerks Then when the divided parts are replaced they dovetail into The pulse was 92, the respiration 24, one another and so accuracy of apposition is secured. For were present. and the temperature 1000° F. Fifteen grains of antitoxin malignant growths Dr. Downie considers an endo-laryngeal were injected and 20 grains of chloral hydrate and of operation quite unsuitable. Such growths are almost invariThe ably larger and more widely extended than appears in examinabromide of potassium were given by the mouth. patient had a spasmodic attack twenty-four hours after tion by the laryngoscope, and they cannot be properly attacked admission. At inteivals 40 grains (followed by doses of unless by an operation which renders complete access to 20 grains and 15 grains) of antitoxin were injected and them possible. The patient who had now been free from there were further spasms of the neck and jaw noted. On any sign of recurrence for three and a half years after exthe tenth day (after admission) pain in the back and legs tirpation of the vocal cord for epithelioma illustrated the was complained of; around the left knee-jint there was a advantage of operating thoroughly and in an early stage of roseolar rash, and the left wrist and shoulder were swollen the disease.-Dr. NEWMAN agreed generally with Dr. and tender. There was a sore throat and the temperature Downie’s views R ith regard to the crico-thyrotomy as cemwas 104°. The after progress of the case was one of pand with an endo-laryngeal operation. He quoted a case in gradual improvement. Two abscesses in the back required which he had extirpated both vocal cords for malignant to be incised and drained. The mode of action and the disease six years ago and in which there had been no recurmethod of administration of the antitoxin were described.- rence. His experience bad led him to the conviction that The case was discussed by Dr. GOYDER, Dr. FARRAR, Mr. early operation in malignant disease offered a very good GABRIEL, Mr. HORROCKS, Dr. HIME, and Dr. CAMPBELL, chance of complete cure, whilst when the disease had advanced to such a point that complete extirpation of the and Dr. H. BRONNER replied. Dr. J. HAMILTON CRAWFORD showed a man suffering larynx was necessary it was almost as well to refuse to from Idiopathic Muscular Atrophy. operate ; one of his cases, however, had survived the operaDr. FARRAR showed a Skiagraph of the Hand which tion fur eighteen months. disclosed a piece of Steel near the second Phalanx of the Dr. J. H. TEACHER showed two patients illustrating the Little Finger, and described the apparatus necessary for value of Skin Grafting in Promoting the Healing of Extensive