Recent Literature A Textbook of Surgical Principles and Surgical Diseases of the Face, Mouth and Jaws . By H. Horace Grant, A.M., M.D. Philadelphia and London: W. B. Saunders & Co. 1902

1902 Boston Medical and Surgical Journal  
menstrual function. In only two cases is it definitely stated that the tumors gave rise to irregularity in the menstrual period. In 49% the statement is made that the patients were regular; six patients, or 12%, are recorded as having had painful periods, but there is no evidence to show that the pain was produced by the ovarian growths. The author thinks that neither menorrhagia nor metrorrhagia is a very constant accompaniment of fibroma of the ovary. It is more apt to occur where both
more » ... r where both ovaries are affected by the disease. Tho growth of an ovarian fibroma may exist for many years before the tumor reaches large proportions or gives rise to marked symptoms. In other cases the growth is more rapid, reaching considerable proportions and giving rise to noticeable symptoms in a comparatively short time, say a few months. Pain is present to a greater or less degree in nearly one-half the cases of ovarian fibromata. Preedom from pain means, as a rule, the absence of adhesions of the growth to the surrounding organs. Pain is more frequently met with in tumors of moderate size. Dysuria is a symptom in about 15.6% of the cases. The growths were described as fibromatous in sixty-three out of the eighty-four cases, or in 75%: forty-eight of these were fibromata; twelve pure fibromata, and fibroma with colloid infiltration, fibrous with mucoid degeneration, and fibroid with hyaline and myomatous changes, one each; seventeen, or 20%, were found to be libromyorna ; two were called myofibroma, and there was one each accredited to the myomas and to the myoiibromas with hyaline degeneration. Dr. Philander A. Harris of Paterson, N. J., read a paper on CLOSURE OF SUPPURATING ABDOMINAL WOUNDS FOLLOWING LAPAROTOMIES. When abscess forms in the abdominal incision, the skin is reopened in the line of incision to the upper and lower limits of the mural abscess. The wound is then treated as an open one until the flow of pus becomes greatly reduced in quantity. All the granulations are then removed with a sharp curette until the muscle, fascia, fat and other tissues are distinctly recognizable. The separated edges of the deep fascia are then drawn together by a series of silkworm gut sutures, which interlock with each other at the apposition line of the fascia. Each one of these sutures is introduced through the skin about one inch away from the incision, and each one is brought out either just above or below the point of its introduction. If the first suture both enters and emerges from the right of the median line, the next one is introduced and emerges at a point to the left of the incision, and is so introduced as to interlock the first or preceding suture. The third suture is introduced and brought out from the same side as the first suture and interlocks the second one. The fourth suture is introduced from the same side as the second suture and interlocks the third or preceding one. This singular suture has for its chief object the coaptation of the deep fascia, and, when properly introduced and tied, it is claimed that the fat and opposing edges of the skin fall in apposition, adhere and heal without additional sutures. Most of the few cases thus treated promptly heal and generally do so without suppuration. A not unimportant part of the technique of operation is the thorough and repeated washing with a solution of bichloride of mercury, always followed with a normal salt solution irrigation. The stitches are all removed on the twelfth and fourteenth day. Fifteen photographs, which were exhibited, illustrated much of Dr. Harris' work in this relation. A not uninterested part of the photographic illustration was the appearance of the wound after the sutures were introduced and tied, as they converted the area of the open and large wound into an elongated mound at whose base, on either side, there appears a row of knots, while at the summit of the mound the opposing edges of skin simply lie in apposition awaiting adherence and healing. Dr. Harris is of the opinion that the stronger solutions of carbolic acid or possibly other disinfectants might serve as good, if not better, purpose than the solution of bichloride of mercury which he has employed for this work. ELECTION OF OFFICERS. The following officers were elected for the ensuing year: President, Dr. Dental College, has condensed the entire list of surgical diseases of the face, mouth and jaws. Within this brief space are also given no less than G8 illustrations, all of them important, and many of unusual interest. The book is evidently written for the so-called busy practitioner and for the dental student. The mythical busy practitioner for whom condensed editions are written never reads a book, while the busy practitioner who is successful because he is thorough, despises any work that treats his
doi:10.1056/nejm190210301471808 fatcat:sjpy3vxenndkpbx6rm4577g7ba