Reviews and Notices of Books
The President in a short speech reviewed the discussion and remarked that from the evidence laid before them the conclusion seemed to be that only to a limited extent could phthisis pulmonalis be regarded as a curable disease. ROCHDALE AND DISTRICT MEDICAL SOCIETY.-A meeting of this society was held on April 3rd.-Mr. Herbert Lund read a paper on Failures and Successes in Urinary Surgery. He described cases illustrating the difficulty caused by a large lacuna magna in catbeterising and also in
... ising and also in the treatment of gonorrhoea, the distensibility of the female urethra for the removal of calculus, the evils of white wax in urethral bougies, and the advisability of sounding the bladder when performing circumcision in children. The dangers attendant upon even such a simple operation as circumcision were emphasised by reference to the case of an elderly man who had cerebral haemorrhage with hemiplegia the day after the circumcision was performed. As regarded enlarged prostate careful catheterism was usually sufficient to give relief. The advantage of operation was immediate and only transient. Freyer's operation probably really consisted in the removal of an adenomatous mass which compressed the prostate. The suprapubic operation was the best in all cases of vesical calculus. Syphilitic ulceration of the bladder might be difficult to diagnose but it yielded to grey powder and iodide of potassium. Varicocele was best treated by the open method with excision of a length of vein. The most certain cure for hydrocele was excision of the sac. All these points were illustrated by reference to actual cases, and Mr. Lund also mentioned cases of renal calculus, hydatids of the kidney, and a case of intermittent hydronephrosis treated bv nephrorrhaphy in which a large granulating surface was left and the patient was kept at rest in the dorsal position for three weeks with a successful result.-The President (Mr. R. Burdett Sellers), Dr. remarks, and Mr. Lund was warmly thanked for his interesting paper. ÆSCULAPIAN SOCIETY.-A meeting of this society was held on April 4th, Dr. Arthur T. Davies, the President, being in the chair.-The President showed a specimen of urine from a healthy man which gave in a marked degree the nitric acid reaction with potassio-indoxyl sulphate. -Dr. H. P. Miller showed a specimen of Thoracic Hernia removed from a child, aged two and a half years, who died 10 hours after the initial symptom, vomiting. The hernia consisted of eight feet of large and small intestine that occupied the left thorax, displacing the heart to the right side of the mesial line. It occurred through an oval, smooth-edged, elastic opening, about one and a half inches in its longer diameter and about threequarters of an inch in its smaller diameter, in the left leaf of the diaphragm about the lateral centre and towards the spine. There was no known strain to account for this condition. The small bowel was deeply congested.-Dr. B. G. Morison opened a discussion on the Management of the Third Stage of Labour. He held that no time-limit could be fixed before the uterus should be pressed to extrude the placenta, supposing that haemorrhage did not take place then. But, roughly, a wait of 20 minutes was advisable before an attempt should be made to express the placenta. He objected to traction on the cord as a means of removing the placenta. Douching, vaginal or uterine, after a simple confinement he held to be unnecessary, while if a lacerated perineum were present he believed that the procedure was positively harmful. If the latter state were present a suture should be put in deeply. The suture he used was one of strong carbolised catgut. He held it to be important that when sutures were used they should be left for a week.-A general discussion followed.