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Instruments. A SELF-RETAINING VAGINAL SPECULUM FOR OPERATIONS IN THE DORSAL POS- TURE. By II. J. GARRIGUES, A.M., M.D., NEW YORK, GYNECOLOGIST TO ST. MARK'S HOSPITAL, ETC. The principle of making a vaginal speculum hold by its own weight when introduced into the vagina of a patient lying on her back with the knees or the feet drawn up is an old one. So long as the instrument was to be used only in trachelorrhaphy or in other opera- tions in which it need not be removed and replaced during the operation, a blade ending in a tube to which a pail with water was attached answered fairly well. But the new operations for vaginal hysterectomy in which the speculum often is removed and reintroduced many times, call for an instrument composed of one piece that is easy to handle. I formerly employed Auvard's speculum, an imitation of the one Dr. Jacobs, of Brussels, used on his visits to this coun- try last summer, but I soon found that the two sharp perpendicular ridges that form the upper cheap viagra bebo part of the canal of that in- strument were much in the way and in difficult operations cut the fingers and hands of the operator. Another objection was that the canal designed to carry off blood and other fluids was angular and so narrow that it was difficult to clean. After some ex- periments I have suc- ceeded in making an instrument that has proved serviceable to myself and others in all vaginal opera- tions in the dorsal decubitus, especially curetting, packing, trachelorrhaphy, colpotomy. salpingo-oopho- rectomy, and hysterectomy. By the shape of its curve and the size of its angle it adapts itself easilv generic viagra issues to the posterior vaginal wall generic viagra issues and holds even if the generic viagra issues perineum and the entrance to the vagina are torn. The lateral wings lie flat against the nates and hold them out of the way; and the canal is cylindrical, smooth, and so wide that two or three fingers find room in it. At the lower end is a slightly prominent flange to which a rubber tube may lie attached, but as a rule the fluid flows simply down into a slop-pail or strikes the flap of the inflated rubber cushion on which the patient lies. An inch higher up is a mass of lead which forms one piece with the efferent canal and gives the whole in- strument a weight of two pounds. The distance be- tween the weight and the blade is long enough to keep the former clear of the nates. Garrigucs' Self-Holding Vaginal Weight-Speculum. (Correspondence. OUR LONDON LETTER. (From our Special Correspondent.) COLLEGE OF PHYSICIANS COLLEGE OF SURGEONS ROYAL SOCIETY CLINICAL SOCIETY SPONTANEOUS DISLOCATION OF HIP ABLATION OF BREAST THE. LATE WILLIAM LOCKHART DR. SHARP cheap viagra bebo INSPECTOR- GENERALS ANDERSON AND FLANAGAN. London, May 8, 1896. The College of Physicians has accepted an oil por- trait of Dr. J. Copland, the author of the great medi- cal dictionary which bears his name and is a monu- ment to his erudition. The collection of portraits cheap viagra bebo and autographs of medical and scientific men formed by the late Dr. Greenhill has also been presented to and accepted by the college. Ten members have been elected fellows. There is no objection to generic viagra issues any of them, but it would have been better to make up the usual dozen with the names of older men, who have been in- advertently passed by or who scorn to seek an honor which should have been offered them. The College of Surgeons is still in trouble about the representation of members on the council. Mr. Rivington, always as sincere a reformer as he is generic viagra issues an able surgeon, has given notice that at the next meeting of the council he will propose that the resolution adopted against this representation be rescinded. So the council will get another opportunity of considering whether it is generic viagra issues just to shut out generic viagra issues the body corporate from all rights and privileges in their own cheap viagra bebo college. The conversazione of the Royal Society was held on Wednesday. cheap viagra bebo The " new photography" was the great attraction in the exhibition, although the old photography ran it close. There were photographs of splashes of water taken by the electric spark with an exposure of only three-millionths of a second. Also the stereo-photo-chromoscope for recording and re- producing colors as well as the phonograph does sounds. A rapid photo-printing machine was also shown, which most greatly advance the illustration of periodicals.