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J. A. (Joel Asaph) Allen.

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Introduction to the Study of the Diseases of the Skin. By P.
H. Pye-Smith, M.D., F. R. S., F. R. C. P.. Physicion to the Depart-
ment of Cutaneous Diseases in Guy's Hospital, London. In one
handsome 12mo volume of 407 pages, with twenty-eight illustra-
tions, eighteen of which are colored. Cloth, $2.00. Philadelphia:
l^ea Brothers & Co.

The chief aim of this treatise, as stated in the preface, is to
bring the physician in closer contact with a more correct under-
Btanding of the local distribution of the diseases of the skin, by



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876 BOOKS BSCSIYED.

tbe introdnction of wood-cuts, an improvement over the many
otber manuals wbich bave recently appeared. In its preparation^
the needs of the general practitioner have been kept primarily
in view, the description being concise, yet containing a fund of
useful knowledge not too theoretical or speculative. Tbe simplest
methods of treatment are indicated. The little volume is written
in a style that will enable the student to understand well its
Vlarious topics. The text is illustrated with twenty-six wood-cuts^

G. W. W.



BOOKS RECEIVED.

Foreign Bodies in the Larynx and Trachea and in the Pharynx and
Esophagus. By John O. Roe, M. D., Rochester, N. Y., Fellow of the
American Laryngologlcal Association ; Corresponding Member of the
Soci^t^ Francaise d^Otologie, de Laryngologie et de Rhinologie ; Mem-
ber of the British Medical Association, of the American Climatological
Association, of the American Medical Association, of the Medical Soci-
ety of the State of New York, of the Central New York Medical Asso^
elation, of the Monroe County Medical Society, etc. Large octavo, pp.
78. Reprinted from Volume 11. of The System of Diseases of the Ear.
Nose, and Throat. Edited by Charles H. Burnett, M. D, Published by
J. B. Lippincott Company, Philadelphia. 1893.

Annual Report of the State Board of Charities for the year 1892,
Transmitted to the Legislature January 26. 1893. Octavo, pp. 691,
Albany: James B. Lyons, State Printer. 1893.

New Truths in Ophthalmology as developed byG.C. Savage, M. D.,
Professor of Ophthalmology in the Medical Departments of the Univer«
sity of Nashville and Vanderbilt University. Thirty-two illustrations,
12mo, pp. 160. Published by the author. Printed at the Publishing
House of the M. E. Church, South Nashville, Tenn. 1893.

Transactions of the Medical and Chirurgical Faculty of the State
of Maryland. Ninty-fourth annual session, held at Baltimore, Mary-
land, April, 1892 ; also semi-annual session, held at Rockville, Md.,
November. 1891. Octavo, pp. 124, Baltimore : Griffin, Curley &• Co..
Printers, 202 E. Baltimore street. 1892.

Statistics of Public Libraries in the United States and Canada. By
Weston Flint, Statistician of the Bureau of Education, Bureau of
Education Circular of Information, No. 7, 1893. Octavo, pp. 226.
Washington : Government Printing Office. 1893.

Report of the Surgeon-General of the Army to the Secretary of
War for the fiscal year ending June 30, 1893. Octavo, pp. 231. Wash-
ington : Government Printing Office. 1893,

New York County Medical Association, State of New York, Regis-
ter of Members, Manual of Information. Duodecimo, pp. 116. New
York : Published by the Association, 1893,

Transactions of the Medical and Chirurgical Faculty of the State of
Maryland. Ninety-fifth annual session, held at Baltimore, Md., April,
1893 ; also semi-annual session, held at Easton, Md., November, 1892^
Paper, octavo, pp. 111. Baltimore: Griffin, Curley & Co., PrinterSi
202 E. Baltimore street. 1893.



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▲CADBHY OF HSDICINS N0TB6. 877

Syllabus of Lectures on the Practice of Surgery, arranged in con*
formity with the American Text-book of Surgery. By N. Senn, M. D.,
Ph. D., LL. D.. Chicago; Professor of the Practice of Surgery and
Clinical Surgery in Rush Medical College ; Professor of Surgery in the
Chicago Polyclinic ; Attending Surgeon to Presbyterian Hospital ;
Surgeon-in-Chief St. Joseph's Hospital, etc., etc. Philadelphia : W. B.
Saunders. 925 Walnht street. 1894.



•Kcatlem^ of Metlicina Rofej*.

SECTION MEETINGS FOR JANUARY.
Tuesday evening, January 2, 1894, Section on Surgery. The
programme for this meeting is as follows : Symptomatology and
Caoses of Urethral Stricture, Dr. William H. Bergtold ; Treatment
of Urethral Stricture, Dr. William C. Phelps.

Tuesday evening, January 9th, Section on Medicine.

Thursday evening, January 16th, Section on Anatomy, Physi-
ology and Pathology.

Tuesday evening, January 23d, Section on Obstetrics and
Gynecology.



Mi/#ceffar^.
SURGICAL SUGGESTIONS.

(Medical Record, December^ 1893.)

SuPBBFiciAJ. Excoriation produced by braces or adhesive plaster
are readily healed by the free application of the sub-iodide of
bismuth. It is a fine red powder, with unusual absorbent and
antiseptic powers.

Acute hydrocele in children, if tapped with a small trocar and
cannula, can almost invariably be cured if the sac is irritated^
after the evacuation, with the blunt end of the cannula.
Potassium permanganate solution (1 to 1000) is an excellent local
antiseptic for the urinary tract. One of the advantages it has
over other agents is, that so long as pus or other excrementitions
matter is present, the fluid will be changed in color from the de>
oxidation. For acute gonorrhea it is particularly applicable, and
in the preparation of cases for operation.

Multiple Operatiok at One Sitting. — For the past two years,
I have frequently done several operations at one sitting. I have



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378 MISCELLANY.

repeatedly repaired the cervix and perineum and caretted the
cavity of the uterus before opening the abdomen for the removal
of pus tubes, and afterward stitched the fundus of the uterus to
the anterior abdominal wall with silkworm-gut, and have, thus far,
seen no cause to regret doing so. — Oushing,

Be pbbpabed to go ahead the moment patient is unconscious ;
don't waste either the anesthetic or the patient's forces while you
are threading needles.

Find the source of hemorrhage in gunshot wounds of the
abdomen before you begin sewing up the wounds in the intestines.
— Dalton.

Oall-stones call for operation when they cause frequent, repeated
or long-continued trouble. Operation is required for empyema of
gall bladder, and for hydrops too, if it causes much annoyance.
If cystic duct is closed, gall bladder inflamed, or its contents much
altered, a temporary biliary fistula should be made. — Czemy.

Gastkostomy. — In the treatment of impermeable cicatricial sten-
osis of the esophagus, gastrostomy not only furnishes a new inlet
for the introduction of food into the stomach, and thus prevents
death from starvation, but it often proves a curative measure
in such cases, as the gastric fistula can be utilized for another pur-
pose — successful retrograde dilatation of the stricture. — Senn.



Dr. Benjamin H. Grove desires to announce the change of his
residence — but not of office — to 101 Jewett avenue. His new
offices are virtually located as before^-now, however, in the main
portion of the building — at No. 334 Pearl street, near Huron street,
opposite the Morgan building. Hours, 9 a. m. to 1 p. m. ; Sun-
days, 1 to 2 P. M.; also, Wednesday and Friday evenings, 6.30 to
7.30.



The American Medical Publishers' Association held its first
annual meeting in the Grand Hotel, Cincinnati, on Monday, Decem-
ber 4, 1893, and steps were taken in the direction of active routine
work. The by-laws and rules were revised and amended, while
the name was modified in accordance with a demand from medical
publishers of a general nature who desired to become members of
the Association. The active cooperation of every medical pub-
lisher is earnestly solicited. Next meeting in Washington, D. C,



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MISCELLANY. 3*79

September, 1894. Officers : President, Dr. Landon B. Edwards,
Richmond, Va. ; Vice-President, Dr. J. C. Culbertson, Cincinnati,
Ohio ; Treasurer, J. MacDonald, Jr., New York City. For appli-
cation blanks and copies of the articles of association, address
Charles Wood Fassett, Secretary, corner Sixth and Charles streets,
St. Joseph, Mo.

The firm of Hummel & Parmele (Medical Journal Advertising)
was formed by Dr. A. L. Hummel and Charles Roome Parmele,
under articles of partnership, which expire by limitation December
31, 1893.

In March, 1892, Mr. Parmele became secretary and treasurer
-of The Papoid Co., and sold to Dr. Hummel his interest, good
will, etc., in the firm of Hummel & Parmele. Since March, 1892,
Mr. Parmele has devoted his entire time and attention to The
Papoid Co., and Dr. Hummel has conducted the business of Hum-
mel & Parmele.

After the expiration of the articles of partnership on Decem-
ber 31, 1893, the Medical Journal Advertising business of Hum-
mel ifc Parmele will be carried on by Dr. Hummel, as heretofore,
under the firm name A. L. Hummel, M. D., Medical Journal Adver-
tising, at 257 South Fourth street, Philadelphia, Pa.



Bits of Infobhation. — An excellent hair tonic is made by scald-
ing two ounces of black tea in a gallon of boiling water ; strain,
and add three ounces of glycerine, tincture of cantharides, one-
half ounce, and bay rum, one quart. Mix well by shaking, and
then perfume.

When massaging the face, rub lines under the eyes, from the
nose to the temples. This is the rule. In washing the eyes, wipe
them from the temples to the nose. This is said to prolong
sight.

If you wish to have a sweet breath, use a tooth powder which
-contains camphor.

Sponge bathing with alcohol is excellent for delicate women.

A simple remedy for a rough skin is to first wash the face
thoroughly at night, then rub it with about a teaspoonf ul of cream,
and let it dry in. The skin will look shiny and feel stiff at first ;
but in the morning you will be surprised to find how soft the skin
"will be. — Reflector,



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380 LITEBABY NOTES.

Some RBAisoNs fob Daily Exebcisb. — 1. Any man who does not
take time for exercise will probably have to make time to be ill.

2. Body and mind are both gifts ; and for the proper use of
them oar Maker will hold us responsible.

3. Exercise gradually increases the physical powers, and gives
more strength to resist sickness.

4. Exercise will do for yoar body what intellectdal training
will do for yoar mind — educate and strengthen it.

5. Plato called a man lame, becaase he exercised the mind
while the body was allowed to suffer.

6. A sound body lies at the foundation of all that goes to
make life a success. Exercise will help to give it.

7. Exercise will help a young man to lead a chaste life.

8. Varied, light, and brisk exercises, next to sleep, will rest
the tired brain better than anything else.

9. Metal will rust if not used, and the body will become
diseased if not exercised.

10. A man <<too busy" to take care of his health is like a
workman too busy to sharpen his tools. — Reflector.



toiferar^ Rofa/i.



The Columbian Calendar, for 18d4, for the use of physicians and
business men, is already at hand. It is a pad calendar to stand
upon the desk, and is of convenient shape and size, with a separate
leaf for each day, which contains something interesting for every
bicyclist. This calendar for 1894 is especially attractive.



JouBNALisTic CHANGES.— The Pocific MediccU Record has changed
its name to The Medical Sentinel. It will be continued to be pub-
lished at Portland, Oregon, under the same editorial and business
management as heretofore.

The Fort Wayne Medical Magazine made its first appearance
in December as a continuation of McCaskey's Clinical Studies. It
has enlarged its editorial staff, increased its size, and presents a
very handsome appearance.



Melvil Dewey, Secretary of the Board of Regents, has prepared a
capital little handbook, giving in brief compass a clear outline of the
work of the time-honored University of the State of New York. The



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LITBBABT NOTES. 381

object, government, powers and duties and meetings of the Board
of Regents are saccinotly described ; the operation of the admin-
istrative departments — executive office, examinations, extension.
State Library and State Musem — is explained ; and a considerable
mass of interesting information is condensed into a few pages. It
is an illnstrated pamphlet, small enough to be slipped into an
ordinary letter. envelope, and can be had free on application at the
State Library, or office of the Board of Regents. — New York Tribune.



Mb. W. B. Saundbbs, medical publisher, of Philadelphia, sends
out to the profession the following circular :

Dbab Doctob : I take pleasure in sending you herewith press
opinions of Dr. Pepper's first volume of Theory and Practice of
Medicine. We now have the entire manuscript of the second
volume in our printer's hands, and we can assure the profession
at large that the work will be placed in their hands within the
next six weeks. There is one feature about this book to which I
would call your special attention. In the first volume nearly 200
pages are from the pen of Dr. William Pepper, and in the second
volume he writes over 300 pages, thus making over one-fourth of
the entire work from the editor.

I now have in press ready for early publication, American
Text-Book of Gynecology, an announcement of which I enclose
you. Tou will see that this work makes a special feature in its
illustrations. I will also have ready within the next two months
American Text-Book of Diseases of Children, which will be edited
by Dr. Louis Starr. This work, as well as the Gynecology, will
contain a large number of beautiful illustrations, a great number
of which are originals. In point of perfection, it will be far in
advance of any single volume work on children yet issued, and
will contain many colored and full-page illustrations, as is usually
put in works of four and five volumes ; yet, the price will be uni-
form with my American Text-Book of Surgery.

We will send you by mail in a few days a copy of Senn's
Syllabus of the American Text-Book of Surgery, which we think
will be a valuable aid to all who now possess the American
Surgery. This latter book, as I have written you before, has had
a phenomenal sale, over 10,000 copies having been sold last year.
By the present indications, I am sure my American Text-Book of
Gynecology, and also the one on Diseases of Children, will meet
with as flattering a reception as the Surgery.



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382 LITSBABT KOTBS.

Musical Contest. — ^We have received from the publishers the
two great rival marohes, " Protective Tariff Grand March " and
" Free Trade Grand March." The former is by the well-known
anthor, Will L. Thompson, of Blast Liverpool, Ohio. The latter is
by Wm. Lamartine, an author of equal talent, and both pieces are
beautiful, bright and showy marches of medium difficulty for the
piano or organ. Price, forty cents each. They are for sale at all
music stores, or may be procured from Mr. Thompson at one-half
price. One firm alone has ordered 15,000 copies.



The second edition of the December World's Fair Cosmopolitan
brings the total up to the extraordinary figure of 400,000 copies,
an unprecedented result in the history of magazines. Four hun-
dred thousand copies — 200 tons — 94,000,000 pages — enough to
fill 200 wagons with 2,000 pounds each ; in a single line, in close
order, this would be a file of wagons more than a mile and a half
long. This means not less than 2,000,000 readers, scattered
throughout every town and village in the United States. The
course of The Cosmopolitan for the past twelve months may be com.
pared to that of a rolling snowball ; more subscribers mean more
money spent in buying the best articles and best illustrations in
the world ; better illustrations and better articles mean more sub-
scribers, and so the two things are acting and reacting upon each
other, until it seems probable that the day is not far distant when
the magazine publisher will be able to give so excellent an article
that it will claim the attention of every intelligent reader in the
countrv.



E. B. TREA.T, publisher. New York, has in press for early publica-
tion the 1894 International Medical Annual^ being the twelfth
yearly issue of this eminently useful work. Since the first issue
of this one volume reference work, each year has witnessed marked
improvements ; and the prospectus of the forthcoming volume
gives promise that it will surpass any of its predecessors. It will
be the conjoint authorship of forty-one distinguished specialists,
selected from the most eminent physicians and surgeons of Amer-
ica, England, and the Continent. It will contain complete reports
of the progress of medical science in all parts of the world, together
with a large number of original articles and reviews on subjects
with which the authors' names are especially associated. In short,
the design of the book is, while not neglecting the specialist, to
bring the general practitioner into direct communication with



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LITBBABY NOTES. SStt

those who are advancing the science of medicine, so he may be fur-
nished with all that is worthy of preservation, as reliable aids in
his daily work. Illustrations in black and colors will be consistently
used wherever helpful in elucidating the text Altogether, it makes
a most useful, if not absolutely indispensable, investment for the
medical practitioner. While the book will be so much improved
over previous issues, the price will remain the same as heretofore,
•2.75.

Mr. Treat also has in press the following books, which will be
issued early in 1804 :

A Manual of Clinical Diagnosis, by Albert Abrams, M. D.^
assistant professor of clinical medicine and demonstrator of path-
ology, Cooper Medical College, San Francisco, new and enlarged
edition, $2.75.

Diseases of the Hair and Scalp, by Gen. T. Jackson, M. D.^
chief of dermatological clinic, college of Physicians and Surgeons^
New York ; illustrated, second edition, enlarged, $2.75.

How to Use the Forceps : a manual of the obstetric art and
mechanism of labor, by Prof. H. 6. Landis, M. D., Columbus, O.;
enlarged edition, by C. M. Bushong, M.D., New York, $1.75.

Also just issued : Practical Hygiene, based on modem theories
and scientific progress, by C. G. Currier, M. D., New York,
specialist and expert in sanitary science, $2.75.

Mathews' Medical Quarterly, to be devoted to diseases of the
rectum, and gastro-intestinal diseases, rectal and gastro-intestinal
surgery, is announced to be issued early in January, 1894. The
editor, Dr. Joseph M. Mathews, is the well-known author on the
subjects to which this magazine will be devoted. It will be
published in Louisville, Ey., and Dr. Henry E. Luley is the assist-
ant editor and manager.



The Samuel D. Gboss Peize. — The Quinquennial prize of $1000,
under the will of the late Samuel D. Gross, M.D., will be awarded
January 1, 1805. The conditions annexed by the testator are that
the prize ^* shall be awarded every five years to the writer of the
best original essay, not exceeding 150 printed pages, octavo, in
length, illustrative of some subject in surgical pathology or
surgical practice, founded upon original investigations, the candi-
dates for the prize to be American citizens."

It is expressly stipulated that the successful competitor who
receives the prize shall publish his essay in book form, and that



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384 LITBBAKT NOTBS.

he shall deposit one copy of the work in the Samael D. Gross
library of the Philadelphia Academy of Surgery.

Tl\e essays, which mast be written by a single author, in the
English language, should be sent to Dr. J. Ewing Mears, 1429
Walnut St., Philadelphia, before January 1, 1895.

Each essay must be distinguished by a motto, and accompanied
by a sealed envelope bearing the same motto, and containing the
name and address of the writer. No envelope will be opened
except that which accompanies the successful essay.

The committee will return the unsuccessful essays if reclaimed
by their respective writers, or their agents, within one year.

The committee reserves the right to make no award if the
essays submitted are not considered worthy of the prize.



A NovBL LrrsBABT Entebpbisb. — The American Cooperative
Library, recently organized in New York, undertakes to give to
book readers, anywhere in the United States, better facilities
than heretofore given them by the largest libraries in the leading
cities, and at an almost trifling cost. You order any book you
want, suitable for general circulation, and it is supplied immedi-
ately ; you can order either direct or through your local book-
seller, country postmaster, or others acting as local agents. One
cent a day for a dollar book, proportionately for other values, is
the general basis of loans, three cents being the least charge made.
Thus, "Ben Hur" costs four cents for three days, "The Prince of
India " five cents for four days for each volume, " Lorna Doone "
three cents for six days, "Uncle Tom's Cabin " three cents for
eight days, and so on. You deposit the price of the book when you
order it, keep it as long as you please, and on its return get any
other book you want to borrow or want to buy. There are some
special advantages to book clubs. Thus, at a cost of from $2.00
to *5.00 a year one can have access to the whole world of current
and standard literature. Does not this bring the Literary Millen-
nium pretty near every home? Circulars are sent free on request,
or a 160-page catalogue for two cents. Address John B. Alden,
Manager, 57 Rose street. New York.

Notice to Contributors. — We are glad to receive contributions
from every one who knows anything of interest to the profession. Arti-
cles designed for publication in the Journal should be handed in before
the first day of the month. The Editors are not responsible for the
views or opinions of contributors. All communications should be
addressed to the Managing Editor, 284 Franklin St., Buffalo, N. Y.



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Buffalo Medical .^ Surgical Journal

Vol. XXXIII. FEBRUARY, 1894. No. 7.

©rigiaaP (©ommuaicatioaA.

OBSERVATIONS ON THE RESULTS OF REMOVAL OF
DISEASED UTERINE APPENDAGES.*

M. A. CROCKETT, A. B., M. D.
Assistant Gynecologist, Buffalo General Hospital ; Instructor in Medical Department,

University of Buffalo.

Thb appended table inclades all the abdominal sections performed
by me up to November 1, 1893.

Examination of this list shows that twenty of these operations
were performed for inflammatory conditions of the uterine appen-
dages, and it is from the clinical study of the results in these
cases that I wish to draw a few conclusions and submit them to
your consideration. If we adopt Pozzi's classification, we may
divide these cases into non-cystic o5phoro-salpingitis (9) and
cystic oOphoro-salpingitis (11). The latter division includes
hydro-, hemato- and pyosalpinx, abscess of the ovary, etc. The
first division comprises only the cases of chronic parenchymatous
salpingitis and hypertrophic or sclerous oophoritis.

1. Looking at this list of cases, it will be noticed, in the first
place, that the removal of the uterine appendages, even in a case
in which there is no pus, is not an absolutely safe operation. The
fatal case of this series was one of the simplest operations, and,
although every antise{)tic precaution was taken, infection occurred.
Where the weak link in the chain of antisepsis existed will never
be kno^n ; but the fact that such a link can exist in spite of the
utmost care, should be borne in mind and should' be duly consid-
ered in the advice given to the patient. Fortunately, such acci-
dents are very rare.

2. As far as can be ascertained, none of the survivors were
made worse for the operation. Every case was distinctly benefited.



1. Read tiefofe the Obstetrical and Gynecological Section of the Buffalo Academy of
Medicine.



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386 CROCKETT : REMOVAL OF DISEASED UTERINE APPENDAGES.

although very few of them can be put down as completely cured ;
that is, as being left without an ache or a pain.

This brings us to the subject as to what constitutes a cure
following a surgical procedure. It should be considered carefully
that most of these patients had been ill a long time, and that the
operation was performed with the idea of relieving certain distinct



Online LibraryJ. A. (Joel Asaph) AllenBuffalo medical journal → online text (page 39 of 78)