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on account of scirrhus of the breast. Exci- healthy man, aged 37, was admitted into sion. Recovery. Case 9-A woman, aged St. Bartholomew's Hospital, under the care 62, under the care of Mr. Johnson, in St. of Mr. Skey, on account of great enlarge. George's Hospital, on account of scirrhus ment of the right testis, which had com. of the breast. Excision. Recovery. Case menced two years before and had been 10.—A man, aged 48, under the care of Mr. unaccompanied by pain. The gland was of Fergusson, in King's College Hospital, on stony hardness and more than four times account of a cancroid growth, involving the the size of the opposite one. The testis and outer commissure of the right eyelids, and spermatic cord were excised on February extending deeply between the eyeball and 10. The parts healed, and he was discharged lid. The man was in good health, and the from the Hospital in March, but was subse disease had existed for ten years. Mr. quently readmitted, and died of pleurisy. Fergusson excised the whole freely. The The diseased growth consisted of cartilage, wound is nearly healed. Case 11.-A man, as also did the numerous glandular and aged 41, under the care of Mr. Fergusson, other secondary ones. (The full particulars in King's College Hospital, on account of a { of this singular case were read by Mr. Pa glandular development of epithelial cancer get before the Medico-Chirurgical Society. in the submaxillary region. The disease was See Report in this Journal, page 634, June secondary on a cancer of the lip, which had 23.) Case 2.-A man, aged 37, in mode. been excised two years ago. The mass had rately good health, under the care of Mr. attained the size of a small orange, and was Cock, iu Guy's Hospital, on account of fast increasing; it did not involve the sub-great enlargement of the left testis. The maxillary gland itself. The man was in disease had commenced spontaneously, and good health. Excision. Doing well. Case there was no history of hereditary tendency 12.-A woman, aged 53, under the care of to cancer. The diagnosis was extremely Mr. Hillman, in the Westminster Hospital, difficult, as the man had no degree of on account of scirrhus of the breast. It had cachexia, and the condition of the testis was been noticed only three months. Excision. much masked by effusion into the tunica Recovery. Case 13.-A delicate woman, vaginalis. The first part of the operation aged 35, under the care of Mr. Skey, in St. was exploratory. The fluid having been Bartholomew's Hospital, on account of evacuated, the testis was found to be the ulcerated scirrhus of the left breast. She seat of medullary cancer, and was accordhad suffered from pain in the part for about ingly excised. The cord was sound. The fourteen months. The whole gland was gland after removal presented an excellent removed. Death from pleuro-pneumonia specimen of soft cancer. The man reco. followed on the fourth day. At the autopsy vered well. Case 3.--A man, aged 35, no cancerous deposit was found in any organ. under the care of Mr. Henry Thompson, in Case 14.-An unhealthy-looking man, aged the Marylebone Infirmary, on account of 44, was admitted, on February 7th, into St. enlargement of the testicle of seven months' Bartholomew's, under Mr. Lawrence's care, duration. After excision the disease was having a tumour the size of an egg over the found to consist of a combination of cystic, left parietal eminence. It had been grow. cartilaginous and cancerous deposits. The ing for twelve months, and was diagnosed gland was the size of a small fist. The man as malignant, and only removed at the recovered quickly. Case 4.-A man, aged patient's urgent request. The wound healed 30, under the care of Mr. Hillman, in the rapidly, and the man left the Hospital, but Westminster Hospital. The testis was exhe has since returned with a recurrence of cised on account of scrofulous disease, which the disease beneath the cicatrix. Case 15. had destroyed its structure. Recovered. -A woman of middle age, under the care of Mr. Chance, in the Metropolitan Free Hospital, on account of a small scirrhous tumour in the right breast. The whole gland was excised, as also an axillary lym phatic, which was enlarged and cancerous. Recovered. See also, "Amputations of the Penis," and Excision of the Testis."

Excision of the Testis.- Case 1.-A

Removal of Non-Malignant Tumours.Case 1.-A boy, aged 6, under the care of Mr. Cock, in Guy's Hospital, on account of a large tumour beneath the scalp of the occiput. It was said to have been of con. genital origin, but had recently increased much in size. At the operation it was found to consist of dense fat. It was without any definite boundaries, and connected itselt on

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formed in the perineum. Up to the sixth day the man was doing well in every respect, but subsequently the symptoms of pyæmia were developed, and death took place on the 22d (thirteenth day). At the autopsy it was with difficulty that the spot where the canula had passed could be found; all the tissues about it were perfectly healthy. In the lungs were local patches of pneumonia, with small deposits of pus. It seemed most probable that the perineal abscess had been the cause of the pyæmia, and not the wound made in the operation. Case 2-An unhealthy man, aged 65, under the care of Mr. Tatum, in St. George's Hospital, had puncture of the bladder by the rectum performed on account of impassable stricture. Death followed. The kidneys were extensively diseased.

all sides with the surrounding adipose tissue The wound healed well. Cases 2, 3, 4 and 5.- Fatty or sebaceous tumours, of not unusual size, successfully removed. Case 6 A robust young woman, aged 24, under the care of Mr. Ward, in the London Hospital, for a mammary glandular tumour of large size. It was excised, and during the opera tion was found to have no structural connection whatever with the gland by the side of which it lay. Its weight was nine ounces, and it possessed complete glandular develop ment, its tubuli containing milk. The patient is doing well, but the wound has been rather slow in healing. Case 7.-A man, aged 41, under the care of Mr. Critchett, in the London Hospital, on account of a large and deeply placed tumour in the thigh, overlying the middle of the femoral artery. The growth proved to be fibro-plastic in Operations for Urethral Stricture-A structure. During its excision the femoral man, aged 47, under the care of Mr. Skey, vessels were exposed for more than an inch in St. Bartholomew's Hospital, on account in length, but not otherwise disturbed. of a cartilaginous stricture of thirteen years' Secondary hemorrhage, from ulceration of duration. No instrument could be passed the artery, occurred about a fortnight after-through it. Mr. Skey accordingly introwards. and ligatures had to be applied above duced a large catheter down to it, and having and below the spot. Doing well. Case 8. cut into the urethra over its point, prolonged -A healthy girl, aged 10, under Mr. Law. the incision through the stricture. A fullrence's care, in St. Bartholomew's Hospital,sized catheter was immediately passed, and on account of an enchondroma developed in was subsequently retained for two or three connection with the fourth metacarpal bone.days. The man recovered perfectly; and It grew from nearly the whole length of the when he left the Hospital the sinus left by affected bone, was of six years' duration, and the wound was closed. had attained the size of a small egg. The Removal of Necrosed Bone.-Cases 1 and tumour was cut away, and that part which2.-The patients in these are both men projected into the substance of the bone under the care of Mr. Cock, in Guy's Hosgouged out. The wound healed readily, and the patient left the Hospital with perfect use of the hand.

{pital, on account of necrosis of the jaw. In one, the upper jaw, in the other, the lower is affected. Large portions of bone have Puncture of the Bladder.-Case 1.-A been removed. Neither of the men had man, aged 43, was admitted, on May 9, into worked in phosphorus. Under treatment. Guy's Hospital, under the care of Mr. Po- Case 3.-A strumous boy, aged 3, under the land, suffering from retention of urine. He care of Mr. Curling, in the London Hospital, had, previous to this attack, been in good on account of disease of the os calcis, conhealth; his stricture was of two years' dura- sequent on an injury. Mr. Curling gouged tion. Catheterism had been rather forcibly away some softened cancellous tissue, and attempted prior to admission, and a false laid the cavity freely open, but did not sucpassage had been made, Mr. Poland also ceed in finding any fragment actually nehaving failed in the endeavour to introduce crosed. The wound seems likely to heal. an instrument, and after twelve hours' wait-Case 4.-A healthy man, aged 23, under Mr. ing, the warm bath, etc., having been used, {Fergusson's care, in King's College Hosit was determined to puncture the bladder.pital, on account of necrosis of the tibia, of The operation was performed by the rectum twenty years' standing. The diseased porin the usual way. The canula was allowedtion has been removed. Doing well. Case to remain in four days, during which all 5.—A man, aged 25, under the care of Mr. the urine flowed by it. An abscess, attended Fergusson, in King's College Hospital, on with some sloughing, had in the mean time account of necrosis of the femur. A seques

part of the larynx, which did not prevent his going about. He went to bed at 10-30 the night before he came to the Hospital without any difficulty in breathing, and awoke at 5 A.M. with a feeling of suffocation. Leeches were applied to the throat, and

trum two inches in length, and including Tracheotomy.-A stout muscular man, the entire shaft, was removed from the lower aged 28, a seaman, of intemperate habits, third of the bone. Doing well. Case 6.- was brought to St. Bartholomew's Hospital A cachectic man, aged 30, under the care of at 5 30 A. M. (8th April) suffering from inMr. Holt, in the Westminster Hospital, on tense dyspnoea, which had come on during account of necrosis of the fifth metatarsal the night. Two days previously he had been bone of the right foot. It was excised. locked up all night in a police cell for drunkDoing well. Case 7.-A boy, aged 14,enness. He felt a slight pain in the upper under the care of Mr. Solly, in St. Thomas's Hospital, on account of necrosis of the humerus The whole upper half of the shaft was removed. A second operation will probably be required. Case 8.-A lad, aged 17, under Mr. Clarke's care, in St. Thomas's Hospital, on account of necro-blood taken from the arm. This gave him sis of the tibia. A small portion of bone was removed from the lower part. Doing well. Case 9.-A woman, aged 30. under the care of Mr. Cutler, in St. George's Hos-with immediate relief. He progressed most pital, on account of necrosis of the femur. A large sequestrum has been removed. Doing well.

temporary relief, but the urgent symptoms again came on, and tracheotomy was performed by Mr. Morris, the House-Surgeon,

favourably for ten hours, when he was
seized with a fit of delirium, and suddenly
expired. Post-mortem examination showed
the epiglottis to be in a state of slough with
serous effusions in the surrounding cellular
tissue; there was emphysema of the cellu-
lar tissue in the posterior mediastinum and
compression of the lungs.
Ligature of Arteries.

The following

Operations for Exostosis-Case 1.-A healthy lad, aged 13, under the care of Mr. Wormald, in St. Bartholomew's Hospital, on account of an exostosis from the lower third of the femur, close above the kneejoint. It had been noticed for the first time four months previously. It was removed case has been under the care of Mr. Skey, in the usual manner, and the wound, in St. Bartholomew's Hospital:-A man, although phagedenic for some time, ulti-aged 28, well nourished, though at the time mately healed well. Case 2.—A patient, of the operation much reduced by frequent under the care of Mr. Prescott Hewett, in hemorrhage from a wound in the palm, acSt. George's Hospital, has had a small ex-cidentally inflicted on Jan. 17. A ligature ostosis removed, and has recovered.

had, on the day of the injury, been placed on a bleeding vessel in the palm when he applied at the London Hospital. On his admission the edges of the wound were sloughing, and the tips of the index and middle fingers in an almost gangrenous con

Plastic Operations —Three cases of cleft palate are under the care of Mr. Pollock, in St. George's Hospital, in which the opera tion of staphyloraphy has been performed. In one, complete union has followed, and the other two are yet under treatment, anddition. The radial and ulnar arteries were will be partially successful. One case of contraction after burn, and one of hare lip, have been successfully operated on in St. Bartholomew's Hospital. Two cases of hare lip, under the care of Mr. Fergusson, in King's College Hospital, have been operated on, and have resulted in cures.

Ligature of Varicose Veins.-A healthy man, aged 30,under the care of Mr. Partridge in King's College Hospital, on account of a large varicose vein in the leg. A ligature was applied in the usual manner, by passing a needle beneath the vessel, and twisting the thread over its projecting ends. A cure, without any troublesome complications, followed.

tied, and the hand enveloped in a linseedmeal poultice. On Feb. 12th, the ulnar ligature separated and hemorrhage com. menced from the proximal end of the ulnar {artery. It was deemed advisable to again cut down upon and tie the vessel higher than before. On Feb. 16th, hemorrhage from the distal and proximal ends of the ulnar artery, and oozing from the palm came on. The brachial was tied on this day at the point where it crosses the insertion of the coraco-brachialis muscle. Much difficulty met with in consequence of the number of large venous trunks in that situation. On Feb. 18th, the distal end of the ulnar artery again poured forth a large quantity of blood.

M. D., of the District of Columbia, request. ing the members to assemble at Newport, on Tuesday, the 14th day of August; and on that day, in the Redwood Library, Drs. Thomson of Delaware, Smith of New JerPerkins of Vermont, Mauran of R. Island, and Shattuck of Mass., were present. The meeting was called to order, at 10 A. M., Dr. Thomson was chosen chairman, and Dr. Mauran, Secretary.

On motion, it was voted, unanimously, that Drs. Dunn and King, of Newport, and Dr. Steiner, of Baltimore (all permanent members of the Association), be invited to participate in the discussions of the com

Some bleeding also from the brachial wound. The axillary was tied by Mr. Skey on this day. The patient has been discharged quite well, though hemorrhage several times occurred after the ligature of the axillary, evi. dently from the whole calibre of that vessel.sey, Operations for Enlarged Bursa.- Case 1-A woman, aged 22, was admitted, under the care of Mr. Cock, into Guy's Hospital, having an enlarged bursa, the size of a walnut, beneath the tendon of the flexor carpi ulnaris muscle. It had occasioned great pain by pressure on the ulnar nerve, and had caused contraction of the little ring finger. Mr. Cock laid it freely open, removed some small melon seed-like bodies,mittee. and left the cavity to fill by granulation. There has been no undue inflammation, and the healing is now all but complete. Case 2-A man, aged 26, was admitted into Guy's Hospital, under the care of Mr. Birkett, on account of a ganglion in connection with the tendon of the peroneus tertius, which had given him much trouble It had been twice laid open, but when healed After the reading and due consideration the fluid had on each occasion resecreted. of these communications and a free interMr. Birkett dissected it out, together with change of opinions, a sub-committee was some fibres of the tendon to which it adhered. constituted by the appointment of Drs. PerThe suppuration which followed extendedkins, Smith, and Shattuck, to take the subup the leg, but it subsided after a time, and ject of the communications and views of the wound healed.-Med. Times and Gaz., members into consideration, and to report June 23 and 30th, 1855. at the next meeting; and the committee adjourned to meet at the same place at 5 o'clock P. M.

MEDICAL NEWS.

DOMESTIC INTELLIGENCE.

It was voted-that the first business in order be the reading of communications from members of the committee not able to be present, viz: Drs. Weston of Maine, Peaslee of New Hampshire, Mendenhall of Ohio, Sutton of Kentucky, Beech of Michigan, Haskins of Tennessee, and Wroth of Maryland.

The committee came together at the appointed time, when the following report was made and adopted:

:

Report of the Sub-Committee." The written communications of those absent and Committee on Medical Topography and the expressed opinions of those present, Epidemics, of the American Medical Asso-show there is but one opinion on the part of ciation.—At the last annual meeting of the all as to the importance of prompt and effectAmerican Medical Association in Philadel.ive measures being at once taken to secure phia, May, 1855, a committee was appointed the collection of such facts and histories, of one member from each State and Terri- as may enable the committee to draw up tory, and one from the Army and one from their reports satisfactorily. The subjectthe Navy of the United States, to report matter is so vast, that many collaborators upon the medical topography and the epi-are needed. Each member of the committee demic diseases of the United States, and the most successful treatment of the latter.

has the power to associate with him any professional brethren who may be able and willing to take part in the work. Very valuable aid can be rendered by State and County Societies, whose co operation it is advisable to invite. At the same time some members of the Committee are mistaken in

A circular was issued, signed by several members of this committee, viz: by James W. Thompson, M. D., of Delaware; Jacob M. Gemmil, M. D., of Pennsylvania; G. Mendenhall, M. D., of Ohio; J. H. Beech, M. D., of Michigan: Joseph Mauran, M.supposing that the reports must first be made D., of Rhode Island; and Thomas Miller, to, and adopted by a State or County So

ciety. A proposition to this effect was made, which due credit will be given to each colbut was not adopted by the Convention-laborator, and his name mentioned in conone, obvious reason for this refusal being nection with facts and histories furnished by found in the fact that there are no such him. societies in many States and Counties.

Please mention everything that has been "Your Sub-Committee think it desirable printed or published about the medical histo try to get the histories of all epidemicstory of your district, any topographical which have prevailed since the settlement account of histories of particular epidemics, of the country. Our reports must be made and say how far your own observation enaby the first of May, 1858, but we must atέbles you to vouch for facts therein presented. once set about seeing what materials we can Geological and physical charts are very get together. A general appeal to all mem-desirable, as well as descriptions of peculiar bers of the profession seems desirable, and features of country or city. a form of circular is subjoined, which it is proposed to send out as extensively as possible. Each member will make his own researches according to time and facilities, and in this way, when the Committee next come together, they may hope to have a mass of material, from a careful examination of which, shape and direction may be given to the reports."

Please mention all epidemics of which you may have any knowledge, being particular to assign limits of time and space as exactly as possible, giving, in connection with each disease, the peculiar features of the country, city, ward, or street where it prevailed, with slope of rocks, character of soil, meteorologi. cal records and observations, altitude above the ocean or adjacent bodies of water, chaAt a meeting of the Committee at the racter of the water, artificial changes as by same place, on the 15th of August, Doctors eultivation, cutting down or planting of trees, Mauran and Shattuck were appointed a Sub-sewerage, drainage, &c. &c. Committee to print and send the circulars to the absent members, with an account of the proceedings.

Any supposed causes of disease, peculiar symptoms, post-mortem appearances, prevention, therapeutical influences, and all

On motion by Dr. Smith, seconded by details of age, sex, nativity, occupation, &c., Dr. Shattuck, it was of individuals, and of the duration and seveVoted, That the thanks of this Committee rity of disease at different periods, propor. are hereby cordially tendered to the proprie-tion of mortality, &c. &c., should be given. tors of the Redwood Library, for the free An early answer to this communition is use of their commodious rooms, and also to desired. our medical brethren at Newport, Doctors [This circular will be signed by the Dunn and King, for their continued courte respective members of the Committee of the sies and elegant hospitality extended to all several States through which it is to be disthe members of the Committee whilsttributed.] --Boston Med. and Surgical Jr., sojourning in their city.

Voted, That the proceedings be signed by the Chairman and Secretary.

Sept. 6, 1855.

Mortality from Yellow Fever at New Or Voted, That this meeting is now adjourn-leans.-The total number of deaths in New ed to the first Wednesday in May, 1856, at Orleans for the week ending Sept. 9, was the city of Detroit.

JAMES W. THOMSON, M. D.,
Chairman.

JOSEPH MAURAN, M. D., Sec'y.

Circular. The Committee of the American Medical Association "on Medical Topography, Epidemic Diseases, and most successful treatment thereof," address you this circular in their endeavour to get toge. ther materials for a medical history of the country. Please communicate to the address of the undersigned, any and all information which may enable him to make a report, in

373. Yellow fever 255, other diseases 118. It is stated that the epidemic reached its culminating point on the week ending the 20th of August, when the number of deaths was 394. For the next week, ending the 27th August, the deaths from yellow fever had fallen to 357; for the week terminating September 3d, they were 301, and for the last week, ending on the 9th, they were 255.

The whole number of deaths from yellow fever, reported by the Board of Health for the present season. amount to 1.950. The yellow fever deaths in 1854, numbered 2,508. The following table of yellow fever deaths

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