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Naphthaline in Ulcers....
Pancoast, Dinner to...
Pelvic Organs in the Female.
Permanganate of Potash in Burns, etc.
Philadelpbia County Medical Society, Report of Dele-
Phthisis, Iodine Carbolized.
Pilocarpine, Hepatic Abscess..
Uterine Appendages, Frequency of Disease.
Tube-Ovarian Abscess; Operation
Yellow Fever in Brazil....
CONTRIBUTORS TO VOLUME XIV.
ASHBY, T. A., Baltimore, MD.
The Influence of Pregnancy and Parturition upon
BARCLAY, ROBERT, St. Louis, Mo.
Noises in the Head and Ears..
CHENOWETH, W.J . Decatur, Ill.
A Case of Stenosis at the Mitral Cardiac Orifice
Illustrating the Advantage of Digitalis.... .566
Case of Cut Throat Involving the Larynx... .455
LOOMIS, A. L., New York.
The Effect of High Altitudes on Cardiac Disease....203
Artificial Alimentation and Medication.-Epider-
MARSHALL, S. W., Sparta, Ill.
MCKEE. E. S. Cincinnati, O.
Peristaltic Action of Muscular Blood Vessels, Es-
pecially in Assimilation and Digestion..
POWERS, CHARLES A., New York.
Compound Fractures.-An Abstract of Eighteen Con-
THOMHSON, JEROME, Evansville, III.
WETMORE, A., Waterloo, ul.
Fracture of Skull.
Hysterectomy for Removal of a Fibrocystic Tumor 7
Physiological Action of Cocaine, by Senor Brignon,
SELECTIONS IN VOLUME XIV.
CLOUSTON, T. s., Edinburgh, Scotland.
The Relationship of Bodily and Mental Pain........600
Laceration of the Os and Cervix Uteri and the Oper-
Lettsomian Lectures on Some Moot Points in the
.402, 429, 485
On the Early Diagnosis and Treatment of Syphilil..632
CORRESPONDENCE IN VOLUME XIV.
The Jefferson Medical College..
Abscess of the Brain....
LATTA, W. S., Lincoln, Neb.
Fracture of the Skull.......
LIELL, EDWARD N., New York
138, 321, 247, 334, 361, 416, 520,
MCLEAN, JOHN, Pullmann, II.
Dr. Bartholow vs. Egypt..
MULLANE, Jos., Lyons, Ind.
Malaria and Quinine in Pregnancy.
NEW YORK LETTER..........54, 109, 167, 250, 395, 390, 415, 474
SHOEMAKER, JOHN. S., Philadelphia, Pa.
Reply to Dr. Bartholow's Letter.
SOCIETY PROCEEDINGS IN VOLUME XIV
American Dermatological Association..
American Gynecological Society.
American Ophthalmological Society.
American Otological Society...
Association of American Physicians..
Baltimore Gynecological and Obstetrical Society..
50, 78. 648, 4
Chicago Gynecological Society, 82, 106, 133, 164. 189, 350,
.351, 443, 465, 525, 556, 683, 610, 725
Chicago Medical Society.... 135, 160, 272, 296, 357, 467, 500,
521, 581, 692, 718
Heidelberg University Celebration.
Medical Press and Library Association..
Medico-Chirurgical Society of St. Louis.
Obstetrical Society of Philadelphia......81, 500, 557, 616,641
Rolla District Medical Society..
Sanitary Convention at Big Rapids, Michigcan.. 722
Southern Illinois Medical Association..
26, 307, 260
St. Louis Medical Society, 350, 379, 410, 437, 464, 498. 520.
608, 649, 660, 687, 710
REPORTS ON PROGRESS.
and discussions, claims that have no founda
tion either in truth or in possibility, and that REPORT ON OBSTETRICS AND GYNE
are conclusively and finally vetoed by the COLOGY.
revelations of the dead-house, and by the BY W. L. BARRET, M. D.
examination of the
author asserts that of all of the extirpated 1. Is DiSEASE OF THE UTERINE APPEN- tubes he has examined, and he has examined DAGES AS FREQUENT AS IT HAS BEEN REPRE
a large portion of all of those removed in SENTED. – By Henry C. Coe, American Jour. New York, he has found pyo-salpinx in only nal of Obstetrics and Diseases of Women.
out of five; that in a large proII. SUCCESSFUL LABOR AFTER RECOVERY portion of the cases, there was no positive FROM RUPTURE OF THE UTERUS.—North Carevidence of pathological changes of a serious olina Medical Journal, April 1886.
nature in the ovaries. III. AN UNUSUAL SEQUELA OF OVARIOT
The inference to be drawn from his obserOMY.-Medical and Surgical Reporter.
vations, is that a large proportion of the
patients operated upon were in no way beneIV. A CASE OF VAGINITIS DUE TO
fited by the operation, while some of them PRESENCE OF RED ANTS IN THE VAGINA.
were made worse. Gillette, American Journal of Obstetrics. He does not, of course, undervalue the
V. MANAGEMENT OF PLACENTA Previa. importance of Tait's operation, nor of the -Dr. Malcolm McLean, K. C. Med. Rec. removal of the ovaries, when the necessity
exists. His objection is to operations based Is DISEASE OF UTERINE APPENDAGES
on insufficient data, and he adduces evidence AS FREQUENT AS IT HAS BEEN REPRESENTED?
to show that in many instances these operaThis is the title of an interesting and in with pernicious results. We regret our space
tions have been performed needlessly and structive paper by Dr. Henry C. Coe, the
prevents extensive quotations. accomplished pathologist to the Woman's
The author says in conclusion, the followHospital, New York. It deserves a careful
ing deductions may be regarded as legitimate: perusal from all who have any interest in the
1. Ovarian disease is not as subject, and no one can read it, except with
as it has been represented; the surgeons, pleasure and profit. It is a timely and well directed protest against the unreasoning
and not the pathologists, being responsible and unreasonable resort to Tait's operation, far the prevalence of the contrary opinion. ,
. and to oophorotomy which bas raged with 2. Because an ovary is partially diseased, the virulence and indiscrimination of an epi- it does not follow either that its functions demic.
have been materially impaired, or that its The doctor also denies, with the voice of removal is imperative. authority, the brazen claims set up to preci- 3. The expression“cirrhosis” and “cystic sion in the diagnostication of these lesions, degeneration” commonly applied to the ovary that we see so often paraded in the papers
are mischievious terms, which are too often
used in justification of unjustifiable opera- cessful labor after the recovery from ruptare tions.
of the uterus, viz., that by Dr. D. W. Moore, 4. Actual disease of the tubes is far less Milwaukee, Wis., 1881, in Transactions Wisfrequent than is generally believed. Lesser consin Medical Society, Vol. XV. p. 128. In degrees of inflammation, especially slight this case the uterus was ruptured the second “ catarrhal salpingitis,” are seldom apprecia. time, followed by recovery. ble to the pathologist, still less to the surgeon.
5. Many of the symptoms ascribed to dis- AN UNUSUAL SEQUELA OF OVARIOTOMY. eases of the uterine appendages are really due To the Clinical Society of London (March to localized peritonitis, and will not be removed 13), Mr. R. Barwell read a paper on by a removal of the appendages.
At the latter end of last October he removed 6. · The physiology of the ovaries and the left ovary of an unmarried woman, aged tubes is still imperfectly understood, their 29. The local results were perfect; but cerpathology must then remain sub judice, and tain sequela ensued which had not hitherto
, operations for their removal, on the ground been recorded, but, on questioning other sur
, of limited disease alone, must be regarded as geons, Mr. Barwell found the event not to be largely empirical. To which I would venture isolated, and notably that Dr. Keith, Mr. to add the prediction :
Thornton, Mr. Dent, Dr. Bantock and others, 7. The present enthusiasm in this country had met with a like complication. in favor of Tait's operation will not endure, tient was of fair complexion, and mobile tembecause it will eventually be discovered that perament. She came into Charing Cross Hosthe number of permanent cures is entirely out pital, and it was agreed that ovariotomy of proportion to the number of operations. should be performed. On October 28th, Mr.
Barwell removed the left ovary, first with
drawing twenty-three pints of fluid; the pediSUCCESSFUL LABOR AFTER RECOVERY FROM
cle was tied with silk, and allowed to fall RUPTURE OF THE UTERUS.
back into the abdomen. The usual mode of The remarkable case of rupture of uterus suture was employed. During the three suboccurring in the practice of Dr. D. W. Bul sequent days menstruation recurred, and some lock, of Whitaker's (North Carolina Med- hematuria was observed; it then ceased. On ical Journal, July, 1882, p. 8), will be the third day the thermometer stood for two remembered by most of our readers, but we hours at 102.4°, but with this exception she will hastily recapitulate the prominent fea. never had a temperature worthy of notice. tures : A colored multipara, 34 years
age, The deep sutures were removed after fortyhad rupture of the uterus after being in labor eight hours. The abdominal wound four hours. The head was “button-holed " healed on November 2d; there was hardly any through the uterus, as Dr. Bullock expressed tenderness in the left groin or elsewhere. The it, and a loop of intestine was prolapsed patient, who was naturally very docile and through the vagina. There was nothing amenable, showed, on November 3rd, a conwanting to show the correctness of the diag. tradictory and aggressive temper; on the 5th nosis. The woman made a good recovery in (eighth day of operation) this bad developed about seven weeks. We are now able to into insanity. On November 7th she had be. record the fact that this patient was recently come so violent that she had to be secured, safely delivered of a living child, and made a and this could only be effected by giving a a good recovery.
little chloroform. A subcutaneous injection Cases are on record of the safe delivery of four minims of solution of morphia only after Cesarean section, but after a consider calmed her for three hours. On the 21st, able hunt we found only one case of a suc- with various phases of comparative violence