APPENDIX-Section on Surgery and Anatomy. the index finger, within the rectum. The point is now either brought out at the anus, or made to engage against a wooden gorget. If brought out at the anus, the knife is run along the groove, and the tissues severed; and, if not, the knife should be made to impinge against the gorget, by being introduced along the groove of the director, which is then withdrawn. The knife and gorget are now withdrawn together, thus completely severing the intervening tissues; or, a probe-pointed bistoury may be introduced on the director, against the finger, when both finger and bistoury are brought out together. A pair of strong spring scissors may also be used for severing the tissues, being introduced on the director. Great care should be exercised in severing the sphincter muscle-to do it at right angles to its muscular fibres, or at right angles to the anus; for, if divided obliquely, it often fails to unite, and its integrity is consequently impaired. The after treatment consists in placing a tent of picked lint, or absorbent cotton, anointed with carbolized oil, over the parts. This is to be removed once or twice a day, and the parts cleaned with carbolized water. Healing generally takes place in from two to three weeks. In cases of long standing, where many abscesses have formed and much indurated tissue exists within the sinus, it is well to either incise it freely with the knife or scrape it out with the curette. The first abscess which forms and is opened externally, if its burrowings have not been too extensive, by Hemorrhoids and Fistula in Ano-J. B. Stinson, M. D., Sherman, Texas. being properly washed out and free drainage resorted to, with the patient at rest, may heal without leaving a fistula. APPENDIX-Section on Surgery and Anatomy. [Prof. Souchon was present by invitation, and the following papers, read by him, having been referred to the Publishing Committe are incorporated in the TRANSACTIONS, though the author is not a member of the Association.-PUB. COM.] RECAPITUATION OF SURGICAL CASES. Treated and Operated on in Wards 2 to 8 and 10, Charity Hospital, of New Orleans, La., from October 1, 1885, to March 31, 1886, with Remarks. BY EDMOND SOUCHON, M. D., NEW ORLEANS, LA. Professor of Anatomy and of Clinical Surgery, Tulane University of La., in charge of Wards. The total number of patients, including the out-door patients, treated in those wards during the time mentioned, was 471-all accessible to the students of the medical class, who were not only allowed, but pressed to examine them for themselves, and follow them throughout. Of that number, 65 underwent more or less serious operations-all performed before the class in the operating amphitheatre, after explanation of the cases. Recapitulation of Surgical Cases-Edmond Souchon, M. D., New Orleans, La. The following are the diseases treated: Abscesses, sundries, 10; abscess (acute) of mammary gland in male, 1; abscess (chronic), 2. Adenitis of various glands, 16; adenitis of submaxillary, 2. Adenoma of wrist, 1; anchylosis of elbow, following dislocation, I; aneurism of femoral artery, I. I. Arthritis of elbow, 1; arthritis of knee-joint, I. Cancer of tongue, 1; cancer of superior maxilla, 1. Cancer of cheek (epithelioma), 1; carbuncles, 2. Chancres, 3; chancroids, II; concussion of the brain, 2. Conjunctivitis, I; contusions, 24; contusion of epigastrium, I. Cystitis, chronic, 4; circumcision, 2. Deformity of toes, 1; dislocation of elbow, 1. Eczema, 4; erysipelas, 6. Fracture of base of skull, 4; fracture of interior maxilla, 5. Fracture of superior maxilla (alveolar process), 1; fracture of humerus, I. Fracture of radius and ulna, 5; fracture of radius alone, 2. Fracture of radius (the head), I; fracture of ribs, 5. APPENDIX-Section on Surgery and Anatomy. Fracture of femur, 2; fracture of tibia and fibula, 6. Fracture of tibia alone, I; Pott's fracture, I. Frost bite of fingers and toes, 6; fistula in ano, II. Gonorrhoea, 15. Hernia, reducible inguinal, 2; hernia, irreducible inguinal, 1. Hemorrhoids, 12; herpes, 1; hip-joint disease, 1. Hydrocele, 1. Impetigo, 1. Keloid tumor of ear, I. Lymphadenoma of parotid region, 1. Mercurial salivation, 1; medical cases, 4. Necrosis of inferior maxilla, I; necrosis of bones of forearm, I. Necrosis of phalanges, 1. Necrosis of ischium, 1. Necrosis of femur (invaginated), 1. Necrosis of tibia, 1. Necrosis of tarsal bones, I. Necrosis of os calcis, I. Needles, splinters, etc., in body, 3. Onanism, I orchitis, 8; otitis, I ozena, I. Paronychia, 6; perineal infiltration of urine, 6. Phlebitis (long saphena and femoral), 1. Phlegmon of the hand, 5; Pott's disease, 1. Prostate, hypertrophy, 1. Rhematism (acute), 1. Rheumatism (chronic), 1. Sprain of elbow, 2; sprain of wrist, 3. |