775MIDLAND MEDICAL SOCIETY.

Mr. A. L. SCOTT showed a man aged twenty-eight years- who presented an enormously Hypertrophied Heart. Therewere apparently five distinct bruits to be heard, and inaddition there were signs of a thoracic aneurysm.-Dr.’&EYMOUE TAYLOR pointed out that all the cardinal symptoms- of aneurysm existed except tumour.-Dr. BRINDLY JAMESquoted a somewhat similar case.

Mr. BIDWELL showed a case of Salivary Fistula. The

.patient was a man aged forty-five years whose fistula hadresulted from a parotid abscess. Two operations had been- found necessary. The failure of the first was probably dueto insufficient irritation having been set up. After thesecond operation considerable suppuration was induced anda complete cure was effected.-Mr. BIDWELL also showed agirl aged fourteen with a Tumour in the Left Half of the Tipof the Tongue. A distinct tumour was present and vesicleswere seen on the surface, this appearance being probably dueto lymphatic obstruction. He proposed to excise the tumour.-Mr. McADAM ECCLES concurred in the diagnosis and treat-ment.-Mr. BIDwELL also showed a woman aged forty-nineyears who presented large Gummatous Enlargements of theUpper End of the Right Radius and the Lower End of theLeft Humerus.-Mr. McADAM ECCLES suggested the possi-bility of the nodules being tuberculous.-Mr. BIDWELL saidthey were undoubtedly gummatous. The patient had passedthrough an attack of syphilis and had had gummata else-where which yielded promptly to specific treatment.-Mr.SWINFORD EDWARDS showed two cases in which he had

performed Nephro-lithotomy and Litholapaxy respectively.The following card specimens were shown :-Mr. McADAM EccLES showed microscopic sections of a

case of Rodent Ulcer.Dr. SEPTIMUS SUNDERLAND showed Broad-based Glan-

dular Polypi with a portion of the Cervix Uteri which hehad recently removed.

MIDLAND MEDICAL SOCIETY.

Exhibition of Cases and Specimens.-The Surgical Treatmentof Uterine -41yo7ita.

THE seventh ordinary meeting of this society was held onMarch 4th at the Medical Institute, Birmingham, the chairbeing taken by the President, Dr. UNDERHILL.

Dr. MELSON showed a case of Subconjunctival Dislocationof the Lens produced by a blow on the eye.

Dr. MALINS showed a specimen of Ruptured Tubal Gesta-tion. The patient, a multipara, complained of abdominalpains two days previously. The rupture occurred at 2 A.M.When seen a few hours later she was collapsed and pulseless.The abdomen was opened, the broad ligament severed, andthe cavity cleared of a huge quantity of blood. She died,sixteen hours later.

Mr. HALL - EDWARDS showed specimens of Shadow I,Photography by means of Roentgen’s Rays, notably somewhich showed that with sufficiently long exposure certainmetals allow the rays to pass.

Mr. CHRISTOPHER MARTIN read a paper on the SurgicalTreatment of Uterine Myoma. He discussed the indicationsfor surgical interference and classified the various operationsunder three headings : (1) those which removed the myomaonly-e. g., enucleation and abdominal myomectomy; (2)those which aimed at producing atrophy of the myoma-e.g., removal of the appendages and ligation of theuterine arteries; and (3) those which removed the uteruswith the myoma (hysterectomy). Vaginal hysterectomy wasrecommended in cases of small myomata. The variousmethods of performing abdominal hysterectomy were brieflydiscussed. Mr. Martin then described the technique of pan-hysterectomy, and pointed out both the advantages and dis-advantages of this operation. In conclusion he gave detailsaof eight cases in which he had performed it.

MANCHESTER MEDICAL SOCIETY.

Radical Cure of Hernia.-Winter Health -Resorts of Switzerlandland.-Exhibition of Specimens.

A MEETING of this society was held in the society’s read-’mg-room, Owens College, on March 4th. the President, Dr.HENRY ASHBY, being in the chair.

Mr. E. STANMORE BISHOP reported forty-three cases ofRadical Cure of Hernia with no mortality. Nine cases wereshown varying from two months to six and a half years sinceoperation. None had worn a truss afterwards. Diagramswere shown illustrating his own and other methods. He

expressed belief in the absolute curability of reducible herniaby surgical means so long as the operation was carefullysuited to the case and a fitting time chosen for its perform-ance. The necessity for differentiation between strangulatedand chronic hernia as to their causation was pointed out andthe importance of chronic bronchitis, stricture, gastriccatarrh, and active haemorrhoids in the causation of thelatter emphasised. These causative complaints, in Mr.Bishop’s opinion, were often not sufficiently appreciated, andif operation was performed during their existence relapse wasinvited. Lists were also presented of cases occurring inworkhouses and gaols in which this theory of causation wasworked out and justified. A case of very early operation(five weeks old) for strangulated hernia was also shown.

Dr. LEECH read a paper on Winter Health Resorts ofSwitzerland, giving a general account of the characteristicsof each, with their respective advantages and disadvantagesin the treatment of the various conditions for which peopleusually repair to Switzerland during the winter months.

Mr. WALTER WHITEHEAD showed three Calculi weighingfive ounces which he had removed successfully by supra-pubic cystotomy from the bladder of a man seventy-three years of age. The peculiar interest of the case

depended upon the fact that the patient had suffered withoutrecognition from all the prominent symptoms of stone in thebladder for about twenty years. For several years the

patient had passed thick puriform urine and had been in thehabit of passing for himself a catheter every half-hour nightand day.

LIVERPOOL MEDICAL INSTITUTION.

A Case of Rhinoplasty.-Treatment of CorneaZ Opacities.-Turbirtal -Hypertrop7ty.

A MEETING of this society was held on March 12th,Dr. RICHARD CATON, President, being in the chair.

Mr. RUSHTON PARKER showed a man aged fifty-five onwhom he had operated several times for Rodent Ulcer of theface involving the nose. At the final operation the diseasewas extensively removed, and there remained only the outerhalf of the skin of the left side of the nose, also that overthe nasal bones. A large flap from the forehead, having apedicle at the left eyebrow, was shaped to fit by a straightedge the skin on the left side of the nose, also forming a newcolumna and a large right ala extending into a gap existingon the cheek. Union by first intention occurred through thegreater part of the flap. The result was very satisfactory.The granulating surface on the forehead was covered withtwo large Thiersch grafts from the thigh.

Dr. EDGAR STEVENSON read a note on the Treatment ofCorneal Opacities by Electrolysis, which he claimed to be agreat advance on any other method of treating this affection.He found that a current of a quarter of a milliampereapplied to the cornea for one minute every other day gavethe best results. Under cocaine the application was painless.He gave details of some cases considerably improved by thetreatment and advocated its trial.-Dr. GROSSMAN said thathe had tried electrolysis for more than a year in cases ofcorneal opacities, but in his hands the results had not beenencouraging. In the young and in slight cases fair improve-ment was obtained, but in old people or in dense white scarsthe results were almost nil. He intended to continue histrial of electrolysis, but preferred circumscribed massage ofthe corneal spots.-Mr. C. G. LEE and Dr. T. STEVENSONmade remarks on the paper.

Dr. JAMES WILSON read a paper on Diseases of the Noseand Naso-pharynx in which the galvano-cautery is applicable,and laid special stress upon the part which turbinal hyper-trophy plays in some cases of deafness, tinnitus, head-ache, vertigo, asthma, hay fever, chronic cough, frontalneuralgia, and in some cases of epilepsy. He thoughtthat otologids do not as a rule pay sufficient attention tothe nasal cavities in some cases of deafness and tinnitus.

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They treat the ear and throat, but do not appear to regardthe nose as a possible factor in causing deafness. He

- instanced a case in which a woman had been for several years. under some of the most eminent ear and throat specialists

for her deafness. None of them had ever examined the nose,