The circumcision forceps here illustrated consist of a pair of handles, not unlike those of the ordinary hemostatic forceps, terminating in circular jaws corrugated on their inner surfaces and having seven equidistantly placed indentations to permit the passage of sutures while the forceps are still in place. Various sizes may be had, and they are best employed in older children and in adults when no edema or swelling of the prepuce exists. The forceps may be used with any of the various

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... of performing a circumcision. The blades are opened and one ring is passed over the penis with the handles pointing toward the head of the patient. A dorsal slit is now made and the ring brought up to the level of this slit, with the handles between the cut edges of the prepuce. The latter is everted over the ring, the second ring passed over the head of the penis and the forceps clamped. The projecting prepuce is cut with a knife or curved scissors, sutures are inserted at the points of indentation, and the forceps are removed. It will be difficult to convince the reader of the full value of this little instrument, because of the fact that the. doing of a circumcision is already such a simple procedure that further simplification hardly seems possible. Certain facts, however, remain: , 1. The time taken to perform the operation is diminished considerably. 2. Perfect coaptation with earlier union and a minimum amount of scarring results. 3. The procedure is practically bloodless, all bleeding points being checked, through mere pressure, before the forceps are removed. Cilia forceps are not what they ought to be. I have tried several and I have bent and filed them; but they will not hold the slippery hairs in trichiasis. Some time ago I gave them up in favor of ordinary spring forceps, the kind opticians use in setting up eyeglass frames and known as tweezers. These served me well, and I still use them sometimes in the "corners"; but one day after working a long time on a particularly difficult case I happened to try a pair of cover glass forceps. These grasped the hairs better than anything I had ever tried, and I have used them satisfactorily ever since. Of course, they should be used only for this work, and they should be carefully sterilized. Medford Street. A Case of Quadruplets.\p=m-\Irecently delivered a woman, after a six months' pregnancy, of quadruplets. A reference to statistics shows that they occur once in every 371,126 deliveries, and for this reason I thought it worth while to publish my experience. This was a case of multiple impregnation of a single ovum, as there was a common chorion. Each fetus was within its own amniotic sac, and all were males. The placenta, if not a common one, was so anastomosed that it could not be differentiated. All the fetuses were dead at the time of delivery