The sheet would be of especial value for out-patient letters, and would save b)oth students andl registrars an immense amount of time. A form for ophtlhatlmic cases was shown, and specimens with key anid explanation were distributed. Mir. Abbott suggested that abbreviations or symiibols should be arranged for common diseases, after the manner of the chemical notation, for insertion in the next edition of the College of Physicians' Nomcncatiatre of Disea8e. Inguinal Colotomty.-Mr. REEVES read

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... es of eiglht cases of ingainal colotoniy, from hospital practice, and drew attention to the advantages of this proceeding over lumbar colotomy. Seven of these were womien, three of tlem lquite young, and they all recovered from the operation and left the hospital much relieved. Only one case was in a male, aged 61, wlho was operated on at Dorking after consultation with Messrs. Chaldecott. The operation was undertaken as a last resource for obstruction through a large cancerous mass in the rectum, and this proved, as expected, to be the only unsuccessful case in the series, The advantages claimed for the operation wvere, that it was sinyipler, that one could be sure of opening the sigmoid flexure, that there was no fear of unintentionally opening the peritoneum, as had occurred to all operators of any large experience, because this mem-