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thus caused great destruction of tissue. He could hardlylay down a specific rule as to which cases were most suit-able for scraping. Spots of lupus too small to be scrapedhe treated by drilling with a pointed piece of wood tippedwith nitrate of mercury.

LEEDS AND WEST RIDING MEDICO-CHIRUR-GIGAL SOCIETY.

AT the meeting held on January 9th, Dr. Bell, President, iin the chair, after the exhibition of several pathologicalspecimens,- .

Dr. JAMES BRAITHWAITE related a case of FibroidTumour (Sessile) in the Anterior Wall of the Uterus. Thiswas removed from the peritoneal surface of the uterus byenucleation, and a large abscess was opened into the capsuleof the tumour. The abdominal wound was closed, but freedrainage was provided for by the capsule being stitched tothe lower angle of the wound. The patient was in a verybad condition at the time, having been tapped for ascitesrepeatedly; and she died within twelve hours from cardiacthrombosis.-Professor JESSOP remarked that his experienceof the removal of uterine myoma by abdominal sectionwas limited to three cases. In 1865 he performed hysterec-tomy by tl e extra-peritoneal method in a case of very largemultiple myoma, and the patient died after the removal ofthe clamp on the sixth day. A few years later he operatedin a similar case by the intra-peritoneal method, and thepatient died in the course of a few hours. A few weeks agolie operated by enucleation in a case in which the tumourweighed between 4 and 5 lb. He found some difficulty instripping the tumour of its cyst; but there was not muchhaemorrhage. In dealing with the cyst he inverted itsedges so as to bring the serous surfaces in contact to theextent of about the upper five-sixths, and stitched themargins at the lower end to the abdominal wall for drainage.The patient is now convalescent, and Mr. Jessop hopes tobring her for inspection on a future occasion.-Mr. C. G.WHEELHOUSE mentioned two cases of abscesses in theuterine walls, one of which opened primarily into thebladder, the other directly into the uterine cavity, and bothof which, the former by mechanical dilatation of the urethraand the latter by dilatation of the uterine cervix, werereached, cleansed, drained, and cured.

Dr. HELLIER read some notes of a case of HystericalIschuria in the case of a young lady aged fifteen, in whomfor a period of nearly seven weeks there was marked scanti-ness of urine, interspersed with periods of complete sup-pression. On two occasions there was no secretion for forty-eight hours, and once, it was asserted, no urine was passedfor five days. The case was associated with severe attacksof gastralgia, with obstinate constipation and menstrualirregularity, but there was little vomiting and no uraemicsymptoms. After considering the possibility of fraud, Dr.Hellier discussed the reasons which led him to employ thesomewhat unsatisfactory term " hysterical," criticised someof the common definitions of the word, but pointed out thatit must be retained for the present because of its very prac-tical meaning in (1) diagnosis, (2) prognosis, (3) treatment,with special reference to the employment of moral means ofcure.

Mr. MAYO ROBSON showed a patient who had sustainedan extensive laceration of the arm, leaving a large gap seveninches long by three wide in front of and above and belowthe right elbow-joint, exposing the brachial artery. Aftera sharp attack of secondary haemorrhage on the fifth dayfrom ulceration into the brachial artery, which necessitatedits ligation, healthy granulations covered the wound, and onthe sixteenth day after the accident a large flap of skinwith its base below was reflected from the thorax and

placed directly on the granulating surface, being leftattached by a pedicle two and a half inches wide, which wasseparated on the twelfth day. The flap had nearly all lived,and the patient had now a sound right arm with everymovement perfect. The points of interest in the casewere :-(1) The transplanting of the flap directly on togranulations, and not on a refreshed surface; (2) the ques-tion as to whether or not the brachial should have beenligatured at first, thus saving the patient the danger ofdeath from sudden rupture. Bearing on this point, Mr.Robson had seen a wound heal without haemorrhage, in

which the carotid artery was not only exposed, but evennotched.-Dr. BARRS pointed out the little tendency blood-vessels have to participate in pathological changes going onin their vicinity, so long as the blood stream through themis uninterrupted.-Professor JESSOP related several caseswhere he had successfully transplanted flaps on to granu-lating surfaces.-Mr. Wheelhouse and Mr. Ward spoke, andMr. Robson replied.

Mr. W. H. BROWN related a case where two months afterAmputation of a Stiff Index-finger following Whitlow thestump became so tender that the patient begged to have itremoved, which was done. The removed portion was exa-mined by Dr. Griffith, who reported that there were twosmall fibrous nodules situated in depressions at the end ofthe bone. These consisted of nerve-fibres embedded in fibroustissue.-Professor JESSOP related a case in many respectslike the above in which amputation of the finger failed torelieve, but after years of suffering the neuralgia spon-taneously disappeared.

Dr. CHURTON read notes of a case of Syphilis very earlyaffecting the nervous system, and showed the patient, a managed twenty-four years, strong but of dissolute habits, whohad had a chancre four months ago. Two months after thishe had sensory disorders in his right foot, spreading to thewhole limb, and shortly after to the left foot and limb ; hestaggered in walking. A month later the hands becameaffected; he could not cut his food or pick up a match; hecould not distinguish any object with accuracy by the senseof touch. When admitted into the Leeds Infirmary heseemed dazed and gave varying replies; he could not walkat all nor stand alone, even with his eyes open and anxiouslywatching his legs. The plantar and patellar reflexes wereabsent; simple muscular power somewhat feeble, no specialwasting of muscles. Under treatment by mercurial inunc-tion, rest, and abstinence from alcohol, the patient had inthree weeks so much improved that only slight symptomsof ataxy remained.

Mr. MAYO ROBSON showed a girl, aged sixteen, from whomhe had removed, on Dec. 10th, the sac of a Spina Bifida thesize of a foetal head, on account of severe brain symptoms,apparently due to inflammation of the sac, great increase offluid, and pressure on the nervous centres. The patient wasin good health, and presented only a cicatrix over the site

, of the tumour. He drew attention to : (1) Simple tension,

; raising temperature; (2) suppuration set up by tension,and not necessarily by septicity; (3) the new departure inthe treatment of such cases; and (4) the excellent result ofthe operation, which undoubtedly saved the life of the

, patient.-Dr. Eddison, Mr. M’Gill, and Professor Jessop. joined in the discussion.

Reviews and Notices of Books.Scientific Pupers and Addresses. By GEop.GF. ROLLESTON,

M.D., F.R.S., &c. Arranged and Edited by WILLIAMTURNER, F.R.S.; with a Biographical Sketch by EDWARDB. TYLOR. Two Volumes. Oxford: Clarendon Press.1884.

WE have experienced great pleasure in reading thesememorials of a very active, vigorous, and independentworker and thinker. The subjects of which they treat aremultifarious, and all as he treats them are rendered interest-ing. Whether we open the volume at the chapters devotedto the series of prehistoric crania which he with CanonGreenwell took such pains to unearth and describe, at thatin which he discusses the origin of the domestic pig, at theplace where he inquires into the cause of the rot in sheep,where he so nearly gave a correct solution in naming theblack slug instead of the Limnasus since shown by Lewis tobe the real delinquent, or at some other of the numerousessays contained in these volumes, we cannot fail to be struckat the amazing extent of Dr. Rolleston’s knowledge, thefacility with which he adduces and arranges facts, andthe caution with which he draws inferences from them.Rolleston was indeed a brilliant man. His memory was

singularly tenacious and his powers of work extraordinary.In fact, his too early death may be in great part attributable