TONSILLECTOMY AND A NEW GUILLOTINE.

TONSILLECTOMY AND A NEW GUILLOTINE.

400 by the Regulin Syndicate, Limited (15, Cullum-street, London, E. C.). Messrs. Parke, Davis, and Co. (50, Beak-street, Regentstreet, London, W.) of...

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400 by the Regulin Syndicate, Limited (15, Cullum-street, London, E. C.). Messrs. Parke, Davis, and Co. (50, Beak-street, Regentstreet, London, W.) offered for inspection a great number of preparations of pharmacological importance. They draw attention to the development of physiological standardisation initiated in their laboratories 20 years ago, citing examples of the importance of its application in digitalis and strophanthus. Their exhibits included a selection of serums and vaccines, sterilised solutions for hypodermic use, the phylacogens, glandular extracts (e.g., adrenalin), and a number of other scientifically prepared substances of ascertained pharmacological potency. Messrs. Fairchild Brothers and Foster (64-65, Holborn Viaduct, London, E. C.) exhibited chiefly preparations whose value depends upon enzyme activity. Such were, for example, enzymol, a solution of proteolytic enzyme prepared for external use for hydrolysing sloughs, &c. ; zymine, extract of pancreas ; holadin, of powerful tryptic activity, sometimes combined with bile salts. Lastly, they exhibited a valuable and permanent preparation of lecithin in glycerine, glycerole, which is available for use in impairment of general nutrition. "Antiphlogistine" was the subject of exhibition at the stall of the Denver Chemical

New Inventions. TONSILLECTOMY AND A NEW GUILLOTINE. WITHOUT wishing to enter in any way into the rival merits of tonsillotomy and tonsillectomy it must nevertheless be admitted that there are a number of cases which call for the latter procedure. To accomplish the enucleation or removal of the tonsil complete in its capsule there are two methods which are generally accepted, firstly, the dissection method, with its endless modifications, and secondly, the so-called Sluder or blunt guillotine method. A large experience of the latter method almost from the day of its introduction has convinced me that about 95 per cent. of all cases can be successfully dealt with by it, but it must be admitted that in a certain number of cases the operation to be successful must be accompanied by the exhibition of rather an undesirable amount of force. The reason for this is that after the blunt blade of the guillotine has been made

Manufacturing Company (St. Ann’s-road, Bow, London, E.), a scientific poultice, being besides powerfully absorptive antiseptic also. The Bayer Company, Limited (19, St. Dunstan’shill, London, E.C.), exhibited a large number of fine phar- to travel outside the capsule, maceutical products. These included the veronals, sulphonal, and the tonsil consequently inaspirin compounds, and so forth ; but attention was par- vaginated through the ring of ticularly directed to their soluble aspirin, a compound the guillotine, two layers of of the to which derivative with

acitrin, calcium ; mucous membrane remain to be the elimination of uric acid ; to elarson, cut or crushed through before an organic arsenic compound which is said to be nonthe tonsil can be taken out. In irritating ; and, amongst others, to istin, a synthetic laxative cases where peritonsillitis has said to be similar to the active principle of rhubarb and been a marked feature there are senna. often firm adhesions between the Messrs. Savory and Moore (143, New Bond-street, capsule and the superior conLondon, W.) exhibited some interesting preparations, strictor which must also be amongst which was a special magnesia compound consisting severed, and this may require a of an emulsion of true magnesium hydrate, which, of course. very considerable degree of force, and the tonsil may serves as an efficient antacid without the production of gas. To obviate have almost to be torn from the muscle. as with the carbonates ; fructole, a combination of glycerothis it has seemed advisable to add a sharp blade to phosphates and red bone marrow, free from syrup or sugar ; the ordinary blunt blade of the guillotine ; this is made fructolax, a laxative agreeable to take, its action depending very thin, rather like a "Gillette razorblade, and works upon the presence of pure petroleum. An interesting series under the blunt blade, and need not be used unless of pharmaceutical preparations was on view at the stall of required. The operation is performed in the ordinary way, The Saccharin Corporation, Limited (36 and 37, Queen- and the tissues as it were clamped by the blunt blade; street, London, E. C.). These included the already well- then a touch from the sharp blade will serve to cut through known local anassthetic novocaine, which does not contain the two mucous membrane reflections and any adhesions cocaine ; trivalin, claimed to be a non-nauseating, non-toxic, there may be. The blunt blade is worked by the usual and non-soporific substance whilst serving as a substitute modified Ballenger handle, and the sharp blade occupies the for morphia ; phytin, a natural phosphorus salt used ir position of the blade in the Mackenzie instrument. To neurasthenia ; and peristaltin, a glucoside from Rhamnus prevent the undesirable " rockingthat occurs in instrupurshianus acting as an intestinal evacuant and administered ments with detachable handles the handle and the bladeas a hypodermic injection from ampoules. The Charless bed have, at the instrument maker’s suggestion, been forged H. Phillips Chemical Company (14, Henrietta-street, Cover t in one piece. Garden, London, W. C.) will be remembered as the introducers Messrs. Mayer and Meltzer have made the instrument of an excellent liquid magnesia known as milk of magnesia. ror me. W. G. HOWARTH, M.A., M.B., .which, as our analysis has shown, is an elegant emulsion B C. Cantab., F.R.C.S. Eng. of the hydrated oxide of magnesium. It is, of course, powerfully antacid, and does not cause eructation of carbonic acid THE CANCER HOSPITAL.-The committee of the gas which occurs when the alkaline carbonates are given. It has a peculiar cleansing, but non-corrosive, action upon the Cancer Hospital, Fulham-road, London, having decided to This company teeth and lining membrane of the mouth. inaugurate a post-graduate course in radio-technology, a also exhibited a syrupy compound of the phosphates oj combined laboratory and lecture room is being included in the alkaline earths and potassium with quinine hydrochlorate the new extension now approaching completion. Owing to and strychnine. the prolonged strike in the building trades some further Messrs. Zimmer and Co., Limited (Frankfort-on-Main, delay must occur before the work is finished, but there is represented by Messrs. Widenmann, Broicher, and Co.. every prospect that the laboratory will be open by the 1, Fenchurch-avenue, London, E C.), made a feature oi autumn. It is proposed that the course shall extend over a euquinine and its preparations at their stall. Euquinine ie period of two months, the fees being moderate. The lecdescribed as a tasteless quinine and chemically as ethyl- tures, illustrated as far as possible by models and expericarbonate of quinine which possesses the same physiological ments, will include two by Dr. Robert Knox, director of the action as quinine itself but without the inconvenient after- electro-therapeutic department of the hospital, upon the effects which ordinary quinine salts produce in some clinical applications of radiations, and six by Mr. C. E. S. patients. It occurs also in the form of salicylate an6 Phillips, F.R.S.E., dealing with the physics of the subject. The same firm exhibited aponal, a hypnotic The electro-therapeutic department will be open on threetannate. claimed to possess the advantages that it produces no afternoons in each week, and experience may be gained ill-effects on the gastro-intestinal tract and causes no there in the treatment of cases under the supervision of Dr. sense of discomfort after the hypnotic effect has passed off. Knox. The laboratory course and experimental work wilt be under the direction of Mr. Phillips. A further announceChemically it is amylene-hydrate-carbamate. ment will shortly be made stating when the course begins. (To be concluded.)

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