A MANUAL OF OTOLOGY
American Journal of the Medical Sciences
705 varieties due to the bacillus of Friedlander or of Eberth, are presented. Next the operative procedures, the different varieties of thoracentesis, of aspiratory drainage, of pleurotomy, each discussed under the titles of its proposer, are briefly and satisfactorily described. To this point we find simply a resume of existing literature, covering 100 pages. The real value of the work lies in the next one hundred and fifty pages. Of these fifty are occupied with the consequences and accidents
... ences and accidents after opera¬ tion. Aside from the accidents of operation, properly so called, and which are sufficiently well described in text-books, such accidents com¬ plicating infectious (abscess of brain) or nervous accidents, described under the clinical forms of syncopal, convulsive or hemiplegic, ex¬ plained as toxic, mechanical or dynamic, are fully presented, and their treatment and prophylaxis briefly outlined. To the results of, and indi¬ cations for, operations, an entire division is assigned. Here, again, thoracentesis, aspiratory drainage, and pleurotomy are taken up and their respective value in given cases determined. Still further, the indi¬ cations from the bacteriological and anatomical stand-points are consid¬ ered. On substantially the same plan the chronic empyemas receive attention. It is not often that a monograph so thoroughly satisfies the reader as this has done. The extensive acquaintance with existing literature as it has been made by the French, German, British, and, by no means the last or least, the American workers in the field, the broad view of the subject independent of school or theory, the carefully studied deductions all tend to make this a work of value to the physician as well as the surgeon. He who wishes to know the subject as it is to-day should study this book, and he who believes that one method is appli¬ cable to all kinds and conditions of empyema will learn that certain ends are best accomplished by varying means, of which this work gives full variety. While we must assent in general to the conclusions reached so carefully and painstakingly, we do not agree with the laudation of the phonendoscope as found on pp. 293 et seq., and " which should be carried as well as the ordinary stethoscope." Nor do we believe that it should " be preferred to radiography." We are of the opinion that the slight importance attained by the phonendoscope after months of ex¬ ploitation is not likely to be increased. In closing this brief review we commend the book to the practitioner as complete, in general sound, and containing much that is helpful.