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EDINBURGH OBSTETRICAL SOCIETY.
1767
,growths were present in other parts of her body-as, for body of the uterus and the left fingers fixed the uterus and .example, in the right palm. Several other spots were also kept the cervix stretched as contraction otherwise prevented the reposition. This gradually effected the replacepresent in the skin. The following specimens were also exhibited :— ment. A silk stitch was inserted through the lips of the Mr. WALLACE : (1) A Renal Calculus ; (2) Kidneys with cervix to prevent any tendency to recurrence and the vaginal Calculi in sito,; (3) Fibro-adenoma removed from the incision was also united with silk. The patient did well. Dr. HAULTAIN gave a Retrospect of a First Series of Prostate; .(4) Portions of Prostate removed from 3 Cases by Suprapubic Cystotomy ; (5) 4 Kidneys (3 tuberculous 110 Abdominal Sections for Pelvi-Abdominal Disease with ,and 1 carcinomatous) removed by operation; (6) Dermoid 2 deaths. The table included 35 ovariotomies with no deaths; Cyst from the Floor of the Mouth; (7) a Biliary Cyst removed their ages varied from twenty-one to eighty-one years. The by Cholecystotomy ; and (8) Microscopic Specimens of largest tumour weighed 83 lib. and after recovery the patient’s ’Tumours and of Prostate. weight was 84 lib., only lib. more than the tumour. Of Dr. LOGAN TURNER: A Skull showing unusual Develop- simple pedunculated cysts there were 18 unilateral and anent of Frontal Sinuses. 3bilateral; of simple sessile cysts 3 were abdominal and 4 Dr. DOWDEN: (1) Specimen of Plexiform Neuroma ; (2) were sub-peritoneal pelvic. There were 2 bilateral papillomata Microscopic sections of the same; and (3) Specimens of and 1 unilateral ; also 2 fibromata,1 oophoroma, and 1 dermoid. With 2 of the solid tumours of the ovary ascites was ’Hydatids. Mr. CATHCART : (1) Abdominal Aneurysm which caused present; with the cellular cöphoroma no peritoneal effusion ,difficulties in Diagnosis ; and (2) Multiple Abscesses in the was present. The presence of ascitic fluid with these Brain of a man convalescent from empyema treated by solid tumours of the ovary was a matter of considerable interest and was difficult to account for especially when - operation. Mr. CAIRD : Preparations and Drawing from an unsuc- one considered that similar tumours of the uterus were cessful case of Enterectomy and Suture for Carcinoma. not equally complicated. It was possibly due to the Dr. WILLIAM ELDER: (1) The Heart and Intestine from a fact that the uterine fibroids obtained their nutriment case of Dysentery with Ulcerative Endocarditis; (2) Brain from their capsule in which the inoculation was at all times ,showing Hsemorrhage into the Occipital Lobe ; and (3) easy, while the solid ovarian was nourished entirely by means Brain from a case of Word Blindness; the area of softening of vessels which entered within a limited area and ramified involved the supra-marginal convolution and the angular through its structure. It would thus be evident that in dense .gyrus, extending as far inwards as the posterior horn of the fibrous growths the blood-return would become gradually left lateral ventricle. impeded and a serous intra-peritoneal effusion result. As they Mr. CATHCART : Improvements in the Microtome. were often of comparatively small size and of slow growth Mr. CAIRD : Needle-case for Sterilising Needles and they would often remain undetected were it not for the sutures. accompanying ascites. The fungating papillomata were ’
EDINBURGH OBSTETRICAL SOCIETY.
associated with extensive ascites ; there had been no recurrence after removal in one of these patients, in this case no evidence of infection of the peritoneum could be found. Dr. Haultain’s list of operations included 2 broad ligaments cysts and 3 hysterectomies. In the latter case the stump
.Eae7ÛbUion of Specimens.-Chronic Inversion of the Uterus.- was treated by the intra-peritoneal method after ligature Pelvi-audorninal Disease.-Ectopic Pregnancy. of the uterine arteries. There were also 3 myomectomies. A MEETING of this society was held on Dec. 14th, Dr. In 2 patients there were mixed tumours1had an ovarian tumour on the left side and a broad ligament cyst HALLIDAY GROOM, President, being in the chair. on the right ; the other patient had a large ovarian cyst and The following specimens were exhibited :Dr. BREWIS: (1) An Ovarian Tumour and a Calcified a parovarian on the right side, numerous fibro-myomata of ’Fibroid Tumour removed from a patient aged seventy-four the uterus, and a large broad ligament cyst on the left. .years; (2) a Five Months Pregnant Uterus removed for Extra-uterine gestation occurred in 5 cases of the series. ’Cancer of the Cervix ; and (3) Specimens from Two Cases of 3 of these showed that the source of the bleeding was through the patent abdominal extremity of the tube. From Hysterectomy. Dr. J. W. BALLANTYNE : (1) Frozen Sections of a Faetus a close examination of the specimens after removal it would hardened in Formol; (2) Multilocular Ovarian Cyst ; seem that in the majority of the cases separation of the <(3) Vulvar Epithelioma removed by the Thermo-cautery (no ovum with necessary bleeding was the primary factor in irecurrence) ; (4) Twin Feetus (and Placenta) showing the the so-called rupture. This bleeding might take place .First Stage of Sympodia ; and (5) Secundines from Cases of through the ostium and also might be the source of the Placenta Prsevia. irregular uterine discharge with which ectopic gestation Dr. HAULTAIN : A Uterus successfully removed by Vaginal was so constantly associated at the time of so-called rupture. One of the extra-uterine operations was Hysterectomy for Deciduoma Malignum. The PRESIDENT: (1) A Missed Abortion; (2) an Ovarian rendered very difficult by the remains of an old ’Tumour complicating Pregnancy; and (3) a Parovarian appendicitis. Dr. Haultain performed ventro-fixation five times, twice for enlarged, congested, and fixed retroflexed ’Cyst. Dr. J. W. STRUTHERS read notes of a case of Chronic uteri which gave rise to marked symptoms unrelieved by Inversion of the Uterus replaced by Manipulation after other treatment. In 2 cases of prolapse the result was Posterior Colpotomy had been performed. The patient was satisfactory; in a third a secondary colporrhaphy had to be tthirty-eight years of age and when admitted to the hospital performed to rectify a pronounced rectocele. In performing ’Was suffering from menorrhagia and metrorrhagia Nineteen the operation he stripped off the parietal peritoneum from the months previously she had been delivered of her eighth edges of the abdominal wound and fixed the fundus to the ’child. Labour was precipitate, the child being born on the extra-peritoneal tissue by means of silkworm gut sutures floor. A medical man who was sent for removed the which included the skin and recti muscles as well as ;placenta without any difficulty and told the patient that her penetrated the anterior uterine wall. The Porro-Oaesarean womb had come down. There was no shock or excessive operation was performed on one patient. She was a dwarf iliaemorrhage after the labour or during the puerperium. On and in the second stage of labour. The pains were violent The conjugata vera ;admission a smooth, firm body of about the size of a hen’s egg and uncontrolled by anaesthesia. The stump was treated extra-peritoneally was found projecting through the cervix which was found to measured 2 in. ,constrict the tumour slightly to the cervix; the diameter was and was secured by the elastic tube. The child was .about 1 in., lower down at its widest part it was about saved and the mother recovered. Suprapubic cystotomy 1- in. ’No body of the uterus could be felt on bimanual was performed in 3 cases for new growths in the bladder, all -examination. Attempts were made to reduce it under papillomatous and freely hsemorrbagic. The ages of the .chloroform by hand and by Aveling’s repositor but with- patients were seventeen, fifty-one, and fifty-two years. The ’out result. Slow pressure by the repositor was also tried suprapubic method was preferable to urethral dilatation or but failed. The vagina was douched and packed with vaginal cystotomy. Urethral drainage was more comfortable ’iodoform gauze for eight days and then Dr. Berry Hart to the patient than through the wound. There were 10 cases ,operated by incising the posterior wall of the vagina for of exploratory incision with 1 death. These included opera1 in. Two fingers were introduced through this and tions for malignant disease of the peritoneum, tuberculous passed down into the infundibulum uteri. No adhesions infiltration for adherent ovaries, to fix up prolapsed ovaries, were found. The fingers of the right hand manipulated the and to release an adherent pedicle. The fatal case was an .
1768
exploratory incision on a post-uterine tumour which was causing pressure symptoms. It was found to be a sub-serous cervical fibroid and as the vaginal route for its removal seemed preferable the abdominal wound was closed. The patient succumbed from acute septic peritonitis on the third day before the second operation was undertaken. The appendages were removed in 41 cases. 2 of these were for dysmenorrhcea, all other treatment proving of no avail. This operation was also undertaken on a patient with a monthly mental aberration that she was harbouring a man inside her; the delusion was cured for a few months and afterwards returned. 4 cases of fibro-myomata were treated in this way ; 3 with excellent results; 1 is unimproved. In 23 cases this operation was performed for diseased ovaries or matted appendages. There were also 3 cases of hsematosalpinx, 1 of hydrosalpinx, 6 of pyosalpinx,
.m.
mmw
ucacuaucu
w
case
vt
nacauco
au
w
man,
wscu
forty-two years, which proved fatal in three months from it& earliest onset and for which paracentesis was required five times in the last three weeks, six and a half gallons of fluid being removed by simple drainage. The fluid from first to, last
was like blood in colour and on standing deposited % soft deep-stained sediment forming one-eighth or one-tenth of the volume. The patient was apparently up to the last fortnight of his life a healthy, well-nourished man, of a good fresh colour, a bright disposition, and of very active habits. At the post-mortem examination the liver was for nd to be healthy. The intestines were pressed to the right side by an enormous thickening of the transverse mesocolon and omentum and by a soft growth which filled up .the whole of the left side of the abdomen and was in parts 2 in. thick and which readily broke down on handling, blood oozing from every part.-Dr. PURSER pronounced the neoplasm to be
and 1 of tubercle of the tubes. The second death in the list was after operation on a pyosalpinx. As regards technique sarcomatous. Dr. J. KNOTT read a paper on a Country Herbalist’s Cure Dr. Haultain carried out asepsis in hospital practice but in private practice used antiseptic methods. Haemorrhage for the King’s Evil. The details had been procured from a should be fully controlled, especially by ligaturing the main sexton in the west of Ireland. The cure was carried out sources of the blood-supply, before proceeding to free in three stages : (1) the "sore" " was dressed with a adherent tumours. Drainage was not used unless excessive preparation of the leaves of the cuckoo sorrel ; (2) it hasmorrhage was feared and the vaginal route was was then dressed with a preparation of the root of the sweet preferred. In suturing the abdominal wound all the layers meadow ; and (3) the healing was completed under a plaster were included with silkworm-gut sutures. A nutrient enema compounded of bees’ wax, sheep suet, yelk of egg, and first flour. Dr. Knott had found on looking into the literature was always given after the operation and was repeated every few hours if sickness was present. Light food was of herbal simples that both the plants employed in this given whenever the stomach could retain it. Thirst was rural remedy had enjoyed a high reputation during the relieved by large saline enemata. As complications in this ages in which such remedies were specially prized. The series he had had a case of double suppurative parotitis. treatment of scrofulous ulcers by the application of these In one case a pair of forceps had been accidently left in the herbs is mentioned by Dr. Thomas Beddoes and the account peritoneum. The patient’s temperature was irregular for of it was quoted from this writer by Dr. T. M. Winterbottora. twenty days after the operation, the next three days it was who compares it with a very similar treatment of scrofulous practically normal, but she was distinctly and rapidly failing. sores which he had found in general practice among the At the second operation the forceps were found embedded in aboriginal African natives about Bassa, on the Grain Coast. plastic effusion and with difficulty were removed ; the patient Lengthy quotations were given from a number of authorities,. recovered slowly.-The PRESIDENT, Professor SIMPSON, Dr. showing the extensive employment of these remedies in the HART, Dr. BREWIS, and Dr. MILNE MURRAY made remarks herbals and pharmacologies of past ages.-Dr. Cox said that Dr. Knott had omitted to refer to a book written by Keogh, on the paper. Dr. HAiG FERGUSON read a paper on Repeated Ectopic a distinguished graduate of Trinity College in the last Pregnancy in the same patient with an account of a case century. There was formerly in Ireland much medical where Two Gestation Sacs (one a Lithopsedion) were success- literature and even at the present day a large amount fully removed from either side at one operation. In surveying existed not only in the Dublin museums but also> the published cases he found that in about 5 per cent. of all in the British Museum. They had to thank men like extra-uterine cases both tubes had been involved at the same Whitely Stokes for having enlightened the world as to the time or at intervals more or less prolonged. The shortest position of Irish learning bearing on this as on many other interval was six weeks and the longest was five years. Dr. subjects.-Dr. KNOTT, in reply, said he had, as Dr. Cox had Ferguson’s patient, after bearing 2 children, had menor- mentioned, omitted to mention the name of Keogh in con rhoea for 4 months. She was then suddenly seized with nexion with the extract which he had made. He hoped that pain on the right side with shivering and was confined to some day someone, under the auspices of the Royal Academy bed for many weeks. After 4 years her menses again of Medicine in Ireland, would give a translation of the Irish stopped. After 2 months she suffered from pelvic pain writers on medicine. He considered that there was one man and retention of urine. On examination a fluctuating especially capable of doing so and that was Dr. Cox himself. swelling was found of about the size of a goose’s egg on the leftt side of the uterus which was enlarged z, and pushed to the right. On the other side of the pelvis a hard, irregular body was found. A small GLASGOW OBSTETRICAL AND GYNÆCOLOGICAL piece of decidual membrane was passed from the uterus SOCIETY.-A meeting of this society was held on Dec. 21st, after the examination. On operating a tubal pregnancy with Mr. Alexander Miller, President, being in the chair.-Dr. the ovary was removed from the left side. It had ruptured showed : (1) Placenta Duplex from a case of Placenta Edgar into the broad ligament, fresh blood-clot being found there. Prasvia Centralis ; (2) Retroflexed Foetus ; (3) Anencephalic On the right side the tube was dilated to the size of the of four and (4) Exencephalic Embryo of Embryo small intestine and was filled with serum. Attached to it was four weeks.-The weeks; President gave an interesting address on a sac which was found to contain the bones of a four months Years’ Obstetric Practice. This embraced a con foetus. This lithopoedion sac lay in the peritoneal cavity Twenty sideration of 1000 cases. Of the many complications he attached to the tube by a narrow fibrous pedicle and looked referred to probably the most interesting was the one of acute as if it had been originally extruded through the peritoneal inversion of the uterus. This was produced by the woman covering of the tube. The right ovary was cystic and was in attendance dragging on the cord. Mr. Miller found no removed at the same time. The patient made an uneventful difficulty in reducing with his hand the inversion which was recovery. Appended to the paper was a list of all the complete. references to the literature on the subject.-Dr. CROOM, Professor SiMPSOXDr. HART, and Dr. HAULTAIN took part in the discussion. .11
PUBLIC ABATTOIRS FOR BRISTOL.-At the meeting
ROYAL ACADEMY OF MEDICINE IN IRELAND. OF MEDICINE. Ascites.-lIfedical Folk-lore. Hteniorr7iagic A MEETING of this section was held on Nov. 18th, 1898, Dr. J. W. MooRE, the President, being in the chair.
SECTION
Acute
of the Bristol Health Committee held on Dec. 20th there was a discussion on the question of public abattoirs which were strongly recommended in a report submitted some months ago by the medical officer of health (Dr. D. S. Davies). Apparently, however, the local tradesmen have some pre judice against municipal slaughter-houses and consequently, on the suggestion of the chairman, it was decided to have a conference between the committee and representative traders. ’
,growths were present in other parts of her body-as, for body of the uterus and the left fingers fixed the uterus and .example, in the right palm. Several other spots were also kept the cervix stretched as contraction otherwise prevented the reposition. This gradually effected the replacepresent in the skin. The following specimens were also exhibited :— ment. A silk stitch was inserted through the lips of the Mr. WALLACE : (1) A Renal Calculus ; (2) Kidneys with cervix to prevent any tendency to recurrence and the vaginal Calculi in sito,; (3) Fibro-adenoma removed from the incision was also united with silk. The patient did well. Dr. HAULTAIN gave a Retrospect of a First Series of Prostate; .(4) Portions of Prostate removed from 3 Cases by Suprapubic Cystotomy ; (5) 4 Kidneys (3 tuberculous 110 Abdominal Sections for Pelvi-Abdominal Disease with ,and 1 carcinomatous) removed by operation; (6) Dermoid 2 deaths. The table included 35 ovariotomies with no deaths; Cyst from the Floor of the Mouth; (7) a Biliary Cyst removed their ages varied from twenty-one to eighty-one years. The by Cholecystotomy ; and (8) Microscopic Specimens of largest tumour weighed 83 lib. and after recovery the patient’s ’Tumours and of Prostate. weight was 84 lib., only lib. more than the tumour. Of Dr. LOGAN TURNER: A Skull showing unusual Develop- simple pedunculated cysts there were 18 unilateral and anent of Frontal Sinuses. 3bilateral; of simple sessile cysts 3 were abdominal and 4 Dr. DOWDEN: (1) Specimen of Plexiform Neuroma ; (2) were sub-peritoneal pelvic. There were 2 bilateral papillomata Microscopic sections of the same; and (3) Specimens of and 1 unilateral ; also 2 fibromata,1 oophoroma, and 1 dermoid. With 2 of the solid tumours of the ovary ascites was ’Hydatids. Mr. CATHCART : (1) Abdominal Aneurysm which caused present; with the cellular cöphoroma no peritoneal effusion ,difficulties in Diagnosis ; and (2) Multiple Abscesses in the was present. The presence of ascitic fluid with these Brain of a man convalescent from empyema treated by solid tumours of the ovary was a matter of considerable interest and was difficult to account for especially when - operation. Mr. CAIRD : Preparations and Drawing from an unsuc- one considered that similar tumours of the uterus were cessful case of Enterectomy and Suture for Carcinoma. not equally complicated. It was possibly due to the Dr. WILLIAM ELDER: (1) The Heart and Intestine from a fact that the uterine fibroids obtained their nutriment case of Dysentery with Ulcerative Endocarditis; (2) Brain from their capsule in which the inoculation was at all times ,showing Hsemorrhage into the Occipital Lobe ; and (3) easy, while the solid ovarian was nourished entirely by means Brain from a case of Word Blindness; the area of softening of vessels which entered within a limited area and ramified involved the supra-marginal convolution and the angular through its structure. It would thus be evident that in dense .gyrus, extending as far inwards as the posterior horn of the fibrous growths the blood-return would become gradually left lateral ventricle. impeded and a serous intra-peritoneal effusion result. As they Mr. CATHCART : Improvements in the Microtome. were often of comparatively small size and of slow growth Mr. CAIRD : Needle-case for Sterilising Needles and they would often remain undetected were it not for the sutures. accompanying ascites. The fungating papillomata were ’
EDINBURGH OBSTETRICAL SOCIETY.
associated with extensive ascites ; there had been no recurrence after removal in one of these patients, in this case no evidence of infection of the peritoneum could be found. Dr. Haultain’s list of operations included 2 broad ligaments cysts and 3 hysterectomies. In the latter case the stump
.Eae7ÛbUion of Specimens.-Chronic Inversion of the Uterus.- was treated by the intra-peritoneal method after ligature Pelvi-audorninal Disease.-Ectopic Pregnancy. of the uterine arteries. There were also 3 myomectomies. A MEETING of this society was held on Dec. 14th, Dr. In 2 patients there were mixed tumours1had an ovarian tumour on the left side and a broad ligament cyst HALLIDAY GROOM, President, being in the chair. on the right ; the other patient had a large ovarian cyst and The following specimens were exhibited :Dr. BREWIS: (1) An Ovarian Tumour and a Calcified a parovarian on the right side, numerous fibro-myomata of ’Fibroid Tumour removed from a patient aged seventy-four the uterus, and a large broad ligament cyst on the left. .years; (2) a Five Months Pregnant Uterus removed for Extra-uterine gestation occurred in 5 cases of the series. ’Cancer of the Cervix ; and (3) Specimens from Two Cases of 3 of these showed that the source of the bleeding was through the patent abdominal extremity of the tube. From Hysterectomy. Dr. J. W. BALLANTYNE : (1) Frozen Sections of a Faetus a close examination of the specimens after removal it would hardened in Formol; (2) Multilocular Ovarian Cyst ; seem that in the majority of the cases separation of the <(3) Vulvar Epithelioma removed by the Thermo-cautery (no ovum with necessary bleeding was the primary factor in irecurrence) ; (4) Twin Feetus (and Placenta) showing the the so-called rupture. This bleeding might take place .First Stage of Sympodia ; and (5) Secundines from Cases of through the ostium and also might be the source of the Placenta Prsevia. irregular uterine discharge with which ectopic gestation Dr. HAULTAIN : A Uterus successfully removed by Vaginal was so constantly associated at the time of so-called rupture. One of the extra-uterine operations was Hysterectomy for Deciduoma Malignum. The PRESIDENT: (1) A Missed Abortion; (2) an Ovarian rendered very difficult by the remains of an old ’Tumour complicating Pregnancy; and (3) a Parovarian appendicitis. Dr. Haultain performed ventro-fixation five times, twice for enlarged, congested, and fixed retroflexed ’Cyst. Dr. J. W. STRUTHERS read notes of a case of Chronic uteri which gave rise to marked symptoms unrelieved by Inversion of the Uterus replaced by Manipulation after other treatment. In 2 cases of prolapse the result was Posterior Colpotomy had been performed. The patient was satisfactory; in a third a secondary colporrhaphy had to be tthirty-eight years of age and when admitted to the hospital performed to rectify a pronounced rectocele. In performing ’Was suffering from menorrhagia and metrorrhagia Nineteen the operation he stripped off the parietal peritoneum from the months previously she had been delivered of her eighth edges of the abdominal wound and fixed the fundus to the ’child. Labour was precipitate, the child being born on the extra-peritoneal tissue by means of silkworm gut sutures floor. A medical man who was sent for removed the which included the skin and recti muscles as well as ;placenta without any difficulty and told the patient that her penetrated the anterior uterine wall. The Porro-Oaesarean womb had come down. There was no shock or excessive operation was performed on one patient. She was a dwarf iliaemorrhage after the labour or during the puerperium. On and in the second stage of labour. The pains were violent The conjugata vera ;admission a smooth, firm body of about the size of a hen’s egg and uncontrolled by anaesthesia. The stump was treated extra-peritoneally was found projecting through the cervix which was found to measured 2 in. ,constrict the tumour slightly to the cervix; the diameter was and was secured by the elastic tube. The child was .about 1 in., lower down at its widest part it was about saved and the mother recovered. Suprapubic cystotomy 1- in. ’No body of the uterus could be felt on bimanual was performed in 3 cases for new growths in the bladder, all -examination. Attempts were made to reduce it under papillomatous and freely hsemorrbagic. The ages of the .chloroform by hand and by Aveling’s repositor but with- patients were seventeen, fifty-one, and fifty-two years. The ’out result. Slow pressure by the repositor was also tried suprapubic method was preferable to urethral dilatation or but failed. The vagina was douched and packed with vaginal cystotomy. Urethral drainage was more comfortable ’iodoform gauze for eight days and then Dr. Berry Hart to the patient than through the wound. There were 10 cases ,operated by incising the posterior wall of the vagina for of exploratory incision with 1 death. These included opera1 in. Two fingers were introduced through this and tions for malignant disease of the peritoneum, tuberculous passed down into the infundibulum uteri. No adhesions infiltration for adherent ovaries, to fix up prolapsed ovaries, were found. The fingers of the right hand manipulated the and to release an adherent pedicle. The fatal case was an .
1768
exploratory incision on a post-uterine tumour which was causing pressure symptoms. It was found to be a sub-serous cervical fibroid and as the vaginal route for its removal seemed preferable the abdominal wound was closed. The patient succumbed from acute septic peritonitis on the third day before the second operation was undertaken. The appendages were removed in 41 cases. 2 of these were for dysmenorrhcea, all other treatment proving of no avail. This operation was also undertaken on a patient with a monthly mental aberration that she was harbouring a man inside her; the delusion was cured for a few months and afterwards returned. 4 cases of fibro-myomata were treated in this way ; 3 with excellent results; 1 is unimproved. In 23 cases this operation was performed for diseased ovaries or matted appendages. There were also 3 cases of hsematosalpinx, 1 of hydrosalpinx, 6 of pyosalpinx,
.m.
mmw
ucacuaucu
w
case
vt
nacauco
au
w
man,
wscu
forty-two years, which proved fatal in three months from it& earliest onset and for which paracentesis was required five times in the last three weeks, six and a half gallons of fluid being removed by simple drainage. The fluid from first to, last
was like blood in colour and on standing deposited % soft deep-stained sediment forming one-eighth or one-tenth of the volume. The patient was apparently up to the last fortnight of his life a healthy, well-nourished man, of a good fresh colour, a bright disposition, and of very active habits. At the post-mortem examination the liver was for nd to be healthy. The intestines were pressed to the right side by an enormous thickening of the transverse mesocolon and omentum and by a soft growth which filled up .the whole of the left side of the abdomen and was in parts 2 in. thick and which readily broke down on handling, blood oozing from every part.-Dr. PURSER pronounced the neoplasm to be
and 1 of tubercle of the tubes. The second death in the list was after operation on a pyosalpinx. As regards technique sarcomatous. Dr. J. KNOTT read a paper on a Country Herbalist’s Cure Dr. Haultain carried out asepsis in hospital practice but in private practice used antiseptic methods. Haemorrhage for the King’s Evil. The details had been procured from a should be fully controlled, especially by ligaturing the main sexton in the west of Ireland. The cure was carried out sources of the blood-supply, before proceeding to free in three stages : (1) the "sore" " was dressed with a adherent tumours. Drainage was not used unless excessive preparation of the leaves of the cuckoo sorrel ; (2) it hasmorrhage was feared and the vaginal route was was then dressed with a preparation of the root of the sweet preferred. In suturing the abdominal wound all the layers meadow ; and (3) the healing was completed under a plaster were included with silkworm-gut sutures. A nutrient enema compounded of bees’ wax, sheep suet, yelk of egg, and first flour. Dr. Knott had found on looking into the literature was always given after the operation and was repeated every few hours if sickness was present. Light food was of herbal simples that both the plants employed in this given whenever the stomach could retain it. Thirst was rural remedy had enjoyed a high reputation during the relieved by large saline enemata. As complications in this ages in which such remedies were specially prized. The series he had had a case of double suppurative parotitis. treatment of scrofulous ulcers by the application of these In one case a pair of forceps had been accidently left in the herbs is mentioned by Dr. Thomas Beddoes and the account peritoneum. The patient’s temperature was irregular for of it was quoted from this writer by Dr. T. M. Winterbottora. twenty days after the operation, the next three days it was who compares it with a very similar treatment of scrofulous practically normal, but she was distinctly and rapidly failing. sores which he had found in general practice among the At the second operation the forceps were found embedded in aboriginal African natives about Bassa, on the Grain Coast. plastic effusion and with difficulty were removed ; the patient Lengthy quotations were given from a number of authorities,. recovered slowly.-The PRESIDENT, Professor SIMPSON, Dr. showing the extensive employment of these remedies in the HART, Dr. BREWIS, and Dr. MILNE MURRAY made remarks herbals and pharmacologies of past ages.-Dr. Cox said that Dr. Knott had omitted to refer to a book written by Keogh, on the paper. Dr. HAiG FERGUSON read a paper on Repeated Ectopic a distinguished graduate of Trinity College in the last Pregnancy in the same patient with an account of a case century. There was formerly in Ireland much medical where Two Gestation Sacs (one a Lithopsedion) were success- literature and even at the present day a large amount fully removed from either side at one operation. In surveying existed not only in the Dublin museums but also> the published cases he found that in about 5 per cent. of all in the British Museum. They had to thank men like extra-uterine cases both tubes had been involved at the same Whitely Stokes for having enlightened the world as to the time or at intervals more or less prolonged. The shortest position of Irish learning bearing on this as on many other interval was six weeks and the longest was five years. Dr. subjects.-Dr. KNOTT, in reply, said he had, as Dr. Cox had Ferguson’s patient, after bearing 2 children, had menor- mentioned, omitted to mention the name of Keogh in con rhoea for 4 months. She was then suddenly seized with nexion with the extract which he had made. He hoped that pain on the right side with shivering and was confined to some day someone, under the auspices of the Royal Academy bed for many weeks. After 4 years her menses again of Medicine in Ireland, would give a translation of the Irish stopped. After 2 months she suffered from pelvic pain writers on medicine. He considered that there was one man and retention of urine. On examination a fluctuating especially capable of doing so and that was Dr. Cox himself. swelling was found of about the size of a goose’s egg on the leftt side of the uterus which was enlarged z, and pushed to the right. On the other side of the pelvis a hard, irregular body was found. A small GLASGOW OBSTETRICAL AND GYNÆCOLOGICAL piece of decidual membrane was passed from the uterus SOCIETY.-A meeting of this society was held on Dec. 21st, after the examination. On operating a tubal pregnancy with Mr. Alexander Miller, President, being in the chair.-Dr. the ovary was removed from the left side. It had ruptured showed : (1) Placenta Duplex from a case of Placenta Edgar into the broad ligament, fresh blood-clot being found there. Prasvia Centralis ; (2) Retroflexed Foetus ; (3) Anencephalic On the right side the tube was dilated to the size of the of four and (4) Exencephalic Embryo of Embryo small intestine and was filled with serum. Attached to it was four weeks.-The weeks; President gave an interesting address on a sac which was found to contain the bones of a four months Years’ Obstetric Practice. This embraced a con foetus. This lithopoedion sac lay in the peritoneal cavity Twenty sideration of 1000 cases. Of the many complications he attached to the tube by a narrow fibrous pedicle and looked referred to probably the most interesting was the one of acute as if it had been originally extruded through the peritoneal inversion of the uterus. This was produced by the woman covering of the tube. The right ovary was cystic and was in attendance dragging on the cord. Mr. Miller found no removed at the same time. The patient made an uneventful difficulty in reducing with his hand the inversion which was recovery. Appended to the paper was a list of all the complete. references to the literature on the subject.-Dr. CROOM, Professor SiMPSOXDr. HART, and Dr. HAULTAIN took part in the discussion. .11
PUBLIC ABATTOIRS FOR BRISTOL.-At the meeting
ROYAL ACADEMY OF MEDICINE IN IRELAND. OF MEDICINE. Ascites.-lIfedical Folk-lore. Hteniorr7iagic A MEETING of this section was held on Nov. 18th, 1898, Dr. J. W. MooRE, the President, being in the chair.
SECTION
Acute
of the Bristol Health Committee held on Dec. 20th there was a discussion on the question of public abattoirs which were strongly recommended in a report submitted some months ago by the medical officer of health (Dr. D. S. Davies). Apparently, however, the local tradesmen have some pre judice against municipal slaughter-houses and consequently, on the suggestion of the chairman, it was decided to have a conference between the committee and representative traders. ’