PARIS

1910 The Lancet  
Oct. 24th in reference to the matter. The King Edward FZZ. Memorial in Belfast. The sum now subscribed for the King Edward VII. Memorial (which is to take the form of an additional block to the Royal Victoria Hospital) amounts to £13,046. Oct. 19th. ___________________ PARIS. (FROM OUR OWN CORRESPONDENT.) Congress of Surgery. THE first subject of discussion at the recent Congress of Surgery was the Surgical Treatment of Exophthalmic Goitre. It was introduced by M. Delore, who dealt chiefly with
more » ... dealt chiefly with the various methods of operating, and by M. Lenormand, who described the indications for surgical treatment and the results that had been obtained. Sir Victor Horsley explained ' , the views of English surgeons on several points of the question. He said that in the majority of cases medical treatment was insufficient. When a patient had been under observation for six weeks, and had undergone medical treat-, ment, without benefit, an operation might be-undertaken. M. Forgue of Montpellier said that in his opinion an operation ' , ought not to be too long delayed. M. Girard of Geneva spoke only on the application of thyroid ligatures previous to a more extensive operation. M. Ceci of Pisa advocated local anaesthesia in operations on the thyroid gland. The subsequent speakers were M. Tavel, M. Doyen, M. Jonnesco, i the latter of whom was emphatic as to the danger of general ' i anaesthesia, and said that he always preferred local anæsthesia in these operations. M. Broeckaert of Gand said that in Belgium operations for exophthalmic goitre were not common. M. Lucas-Championniere spoke of cerebral decompression by opening the cranium. He said that his ' ' numerous operations had led him to think that this valuable procedure had not been sufficiently taken advantage of. The operation which he performed was a very simple one and not serious ; it consisted in trephining, enlarging the aperture with a gouge, and incising the dura mater. M. Girard described the operative treatment of serous meningitis. The next subject of discussion was the Surgical Treatment of Duodenal Ulcer. It was introduced by M. Ricard and M. Pauchet, who confined their remarks to the primary ulcer of the duodenum, which was the classic form of the disease, whereas the secondary ulcer presented no clinical interest. The diagnostic points were the pain and the previous history of the illness. The most frequent complication was perforation, which might be either acute, subacute, or chronic. The treatment of perforation consisted in lateral laparotomy and suture of the ulcer in two layers with drainage of the subhepatic space and the pouch of Douglas. An operation was the only efficacious treatment of duodenal ulcer, gastroenterostomy being the most advisable procedure. M. Ricard and M. Pauchet concluded by saying that the French statistics of these operations did not show brilliant results, probably because the operators have not had much experience of duodenal surgery. M. Tedenat, M. Hartmann, M. Jonnesco, M. Delaunay, M. Lardennois, M. Monprofit, and M. Boeckel explained their views and mentioned the results of their operations. M. Jeannel introduced a discussion' on the Immediate and Remote Effects of Cutting Operations in the Treatment of Varix of the Lower Limb, and the topic was continued by M. Mauclaire, who described the treatment of the principal complications of varix-namely, varicose ulcers, phlebitis, and rupture of the enlarged veins.
doi:10.1016/s0140-6736(01)34044-8 fatcat:dvlkiyugqzhkfnkcvovujmb2ee