Practical Treatise on Disease in Children. By Eustace Smith, M.D., Fellow of the Royal College of Physicians; Physician to his Majesty the King of the Belgians; Physician to the East London Children's Hospital, and to the Victoria Park Hospital for Diseases of the Chest. 8vo, pp. 868. $5.00. New York: Wm. Wood & Co. Columbus : A. H. Smythe.

This book is unusually full in its discussion of all the diseases peculiar to childhood. Diseases which possess the same characteristics in children as in adults, are not considered. The author's long and valuable experience in this department of medicine, leads him naturally to present his subject in a purely clinical manner. As statistics, unless based on larger numbers, are so liable to mislead, the author omits them entirely. Diagnosis and treatment, as being most important, are most dwelt on, but not to the neglect of morbid anatomy and etiology. Diet and hygiene are carefully considered. Illustrative cases are introduced as indicated, taken from his own case-book or from those of his colleagues.

As one of the best and freshest works on this important subject, the book will meet with a large demand.

Handbook of the Diagnosis and Treatment of Skin Diseases. By Arthur Van Harlingen, M. D., Professor of Diseases of the Skin in the Philadelphia Polyclinic and College for Graduates in Medicine, etc. With two colored plates. Philadelphia: P. Blakiston, Son & Co., 1884. Columbus: A. H. Smyte. 8vo. Pp. 282.

This book is a small one, but it is made so by the omission of pathological anatomy and, almost entirely, of etiology. The rarer diseases are referred to but briefly, while the common ones are discussed fully. The author has had a wide and varied experience, and has given the profession an excellent book for ready reference. The topics are arranged, for convenience, in alphabetical order.

A Practical Treatise on Fractures and Dislocations. By Frank H. Hamilton, M. D., LL. D., late Professor of Surgery at Bellevue Hospital Medical College and Surgeon to Bellevue Hospital; Consulting Surgeon to Hospital for Ruptured and Crippled, etc., etc. Seventh American edition, revised and improved. Illustrated with 379 wood cuts. 8vo., leather, pp. 1,005. Price, $6.50. Henry C. Lea's Son & Co., Philadelphia. 1884. Columbus: Geo. H. Twiss.

If was

The first edition of this work appeared twenty-five years ago. the first complete work entirely devoted to this portion of the surgical field, and at once took the highest rank as an authority both in this country and throughout the world. It has always been a book without which no surgeon's library could be regarded as complete.

The present edition embraces all that the author has been able to gather in reference to the subject, and, as much has appeared within the past few years, the book is perceptibly larger and fuller than its predecessor. The

author does not place much reliance on experiments made upon the cadaver, so fashionable of late with some young surgeons, as determining most points in fractures and dislocations. There is too much difference between dead and living muscles and tissues to enable such experiments to be regarded as at all conclusive. The author is also uninclined to attach much weight to the evidence afforded by museum specimens, unaccompanied by any clinical history, or to the testimony of surgeons whose reliability as experts has not been established.

We will not, of course, question the intelligence of our readers by offering any commendation of the work.

A Manual of Diseases of the Throat and Nose. By Morell Mackenzie, M. D., Lond. Vol. II. Diseases of Esophagus, Nose and NasoPharynx. New York: Wm. Wood & Co.

This is a part of Wood's Library for the current year. We noticed the same book, a few weeks ago, as issued by other publishers. That rival publishers should seize upon the same book, is a good indication of its value.

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In June, 1884, I saw Florence W., age 19, in consultation with Dr. Martin, of Cairo, W. Va. For a year past she had been suffering from an abdominal enlargement, caused by a tumor which first appeared in the right side, and was accompanied by pain; menstruation was regular in time and quantity. This tumor occupied the whole of lower abdomen and extended above the umbilicus; it was freely movable, dull on percussion, and gave the feeling of a semi-solid body; was accompanied with considerable ascitic effusion. I diagnosed it as probably an ovarian fibro-cyst, or possibly a uterine fibroid; promised her if she would arrange to come to where she could be convenient, that my friend Dr. T. A. Harris, of Parkersburg, W. Va., and myself would operate. Nothing was done, and in September I was asked to see her 'again, as she was suffering greatly from abdominal distension. I found it necessary to tap her, which gave relief, draining off two gallons of highly albuminous fluid, which proved to be ascitic. The wall of the tumor was wounded by the trocar and bled freely. Arrangements were then made for the operation as soon as she could come to Volcano, after the tapping.

On Sept. 26, Drs. Harris and myself operated, assisted by Drs. Martin and Johnson. The patient had been prepared for the operation by taking

a bath daily for several days; full doses of tr. ferri chlor., a free purgative day before, and ten grs. quinine evening before and on the morning of operation. Strict antiseptic measures were adopted, omitting the use of spray; instruments and sponges were immersed in a carbolic solution; a 1-2,000 bichloride solution was used for all other purposes. On opening abdomen a large quantity of ascitic fluid escaped; the tumor was found to be a cyst of the left ovary, was very vascular; a portion of its contents was drawn off by tapping; the fluid was so viscid that it escaped with difficulty. The adhesions, which were in front, to the abdominal parietes and omentum were easily broken, being recent. The abdominal wound extended until about eight inches long; the tumor delivered; the pedicle secured by a stout silk ligature tied through and through, and the pedicle then dropped into abdomen. Dr. Harris then found the right ovary, which was about the size of a black walnut, was full of small cysts; its pedicle was secured in like manner and ovary removed. The abdominal cavity was then thoroughly cleaned by the bichloride solution. We found this expedited by filling the cavity with the solution and then withdrawing it with a syringe. After all oozing had ceased the wound was closed by deep silver sutures, with intervening superficial silk ones. No adhesive straps were applied. Iodoform was dusted along the line of wound. A glass Thomas drainage tube was inserted at lower angle of wound. A layer of absorbent cotton saturated in the sublimate solution was applied. Over this a layer of carbolized jute; again a layer of dry absorbent cotton, covering whole abdomen, then a flannel bandage. Time occupied, nearly two hours. Part of this time was consumed by the patient's respiration being impeded by the anesthetic, requiring artificial respiration for some time. Anesthetic used was first chloroform, and after anesthesia was produced ether was substituted. Immediately before operation an hypodermic injection of morphia and atropia was given. Directions given to her nurse to have absolute rest. No nourishment, ice ad libitum, and brandy if indicated. No nausea followed.

The tumor proved to be a multilocular cyst filled with a colloid fluid; weight, with contents, twelve pounds.

8 P. M.-Resting comfortably, some discharge of colored serum from tube. Pulse, 120; temp., 99°. To have opium suppository, at 10 P. M.; catheter to be used every six hours.

3 P. M.:

September 27, 9 A. M.-Temp., 99; pulse, 108; res., 32. Temp., 101; pulse, 120. 9 P. M Temp., 100; pulse, 120. Tube has been injected, with carbolized solution, three times to-day, until liquid returns clear. This was continued as long as tube remained in; had

sufficient morphine to procure rest. At noon commenced giving iced milk with lime water every hour, so that she got half oz. milk each hour. To have five grains quinine in the morning.

September 28, 9 A. M.-Temp., 100°; pulse, 120; res., 21. 4 P. M.: Temp., 102°; pulse, 140. 9 P. M.: Temp., 100; pulse, 120. Has a slight cough; has rested well; has had five grs. quinine every four hours; onehalf oz. milk every hour, with two drachms brandy every four hours, and morphia as needed.

September 29, 9 A. M.-Temp., 99°; pulse, 120; res., 18. 2:30 P. M.: Temp., 100°; pulse, 140. 9 P. M.: Temp., 101°; pulse, 120; res., 21, Is quite comfortable.

September 30, 9 A. M.-Temp., 100°; pulse, 108; res., 30. 3. P. M.: Temp., 100°; pulse, 120. 8:30 P. M.-Temp., 101°; pulse, 100; res., 20. To-day has had one-half ounce of beef tea alternately with the milk; other treatment continued. Dressed the wound; healed nearly entire length. Noticed a slight fullness on left side of abdomen, near upper suture; still has some cough.

October 1, 9 A. м.—Temp., 99°; pulse, 84 ; res., 16. 2. P. M.: Temp., 99°; pulse, 96; res., 16. 9:30 P. M.: Temp., 99°; pulse, 80. Increase amount of milk and beef tea. Tube came out to-day.

October 2, II A. M.-Temp., 99°; pulse, 80; res., 17.

9 P. M.:

Temp., 100; pulse, 8o. Considerable bronchitis over both lungs; a stimulant expectorant ordered.

October 3, 9 A. M.-Did not rest well, cough troublesome and caused pain in wound; drawing on sutures. Temp., 99°; pulse, 90; res., 18. Removed deep sutures, found an abscess in abdominal wall at upper suture, which discharged along tract of suture. 4 P. M. Temp., 100; pulse, 96. Tongue cleaning. To-day ceased to use catheter.

October 4, 10 A, M.-Temp., 98°; pulse, 84; res., 16. Made an opening in abdominal wound down to abscess, and washed out the cavity with carbolized solution. 4 P. M.: Temp., 100; pulse, 96.

October 5, 10 A. M.: Temp., 98°; pulse, 84. 5 P. M.: Temp., 98; pulse, 84. Gave ten grains of calomel at bed-time.

October 6, IO A. M.-Bowels moved. From this time continued to improve until the end of three weeks, when she sat up for half an hour. On removal of the sutures adhesive straps were applied. Her nurse haying returned home, she was given improper food and had an acute attack of indigestion, which delayed her convalescence. week returned home well.

At end of sixth

This made the third case of ovariotomy performed by Dr. Harris and