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edges together with stout silver wire passed at a dis- tance of about an inch from the edges of the flaps. It was only necessary that the wound should be oval. The stitches sometimes cut through, but this made no material difference. In about ten per cent, of the cases, in which stitching together by these means could not be done, he had employed flaps and skin grafting. An objection to the operation sale viagra women by flaps was that the pa- tient was already viagra india brand often collapsed after the extensive dissection, and the plastic proceedings added to the length of the operation. In such cases he stitched the wound together as much as possible, and then in three or four days skin-grafted the remainder of the wound. Cases treated in this manner did very well, indeed, and he had very few failures after skin grafting. Mr. YVallis had seen flaps in plastic operations about the face become very viagra india brand congested and sale viagra women threaten to slough, but this had been prevented by multiple pricking of the flap. The objection to this method for the breast was that viagra india brand it involved the exposure of the wound. Mr. Barwell said he used large lead-button sutures where the tension was greatest, and he frequently relieved the stitching by making incisions parallel to the wound edge and then sewing these latter up in a direction at right angles to the wound edge. As he believed that the resistance was chiefly in the subcutaneous tissue, he was careful to divide any prominent fibrous bands. Mr. Bowlby said that the patients appeared to suffer more pain when the flaps were dragged together, and that the patient was more hidebound with the drag- ging than with the flap method. Cases in which the tumor extended toward the clavicle or toward the ster- num were more suitable for flaps, while the wounds extending toward the axilla came together better by dragging. Mr. Mayo Robson, in reply, said that it was only in the exceptional cases that he used the flap method, as undermining and dragging were better when possible, taking care that viagra india brand when dragging was resorted to the stitches should be placed well away from the edge of the wound. In his flaps he took the whole thickness of the tissue, and he had done it in stout people as well as in thin ones without producing sloughing. He used no sale viagra women drainage whatever. Mr. sale viagra women Butlin, in reply, said his flaps appeared to be much like Mr. Mayo Robson's, except that in very fat viagra india brand people he thought it better to take skin only. The Hap method avoided the necessity viagra india brand of skin grafting, which was to the patient a second operation. The after-contraction by viagra india brand the flap method was small, and the upper extremity could be moved with ease. William Lockhart, F.R.C.S., died on April 25th, at Blackheath, where he had resided for many years. He was eighty-four years of age, and had been for twenty-five years a medical missionary in China. His first diploma dated 1833, and he became F.R.C.S. in 1857. He was also a fellow of the geographical soci- eties of London and Paris. He embodied his views of medical missions in an interesting volume entitled the " Medical Missionary in China." He was the writer of reports sale viagra women on the hospitals of Pekin and Shang- hai, and contributed to the Dublin sale viagra women Medical Journal translations of Chinese works on midwifery, inocula- tion, and other medical subjects. He passed through some thrilling experiences during his missionary ca- reer, especially during the Tai-Ping rebellion, partic- ularly when endeavoring to prevent the burning of Shanghai, which, however, he was sale viagra women doomed to witness. He founded tire first hospital there; its successor is the most important Chinese hospital at the present 79 MEDICAL RECORD. [May 30, 1896 time. He married a sister of Sir H. Parkes in 1841, who survives him. Some years ago their viagra india brand golden wed- dino- was kept with their children and children's children. William Sharp, F.R.S., M.D., who died on April 10th, was a link with the medicine of the past. He attained the ripe age of ninety-one. He took his col- lege and hall diplomas in 1826-27, and began prac- tice a year later at Bradford, where he became senior surgeon to the infirmary. He was an active advocate of Tocal museums and his work in promoting them largely contributed to his being elected F.R.S. in 1840. He" removed to Hull in 1843, and in 1847 t0 viagra india brand Rugby, where he remained the rest of his life. The archbish- op of Canterbury gave him the degree of M.D. in 1856. The authority of this ecclesiastic to confer de- grees was claimed among other privileges as successor to the Pope of Rome, sale viagra women and was exercised at intervals by holders of the see of Canterbury from the time of the Reformation. I believe the archbishop still gives degrees in divinity, and he affected to confer an M.D. aslate as 1862, but this would be useless, as the med- ical act of 1858 authorized the registration of such degrees in medicine only if presented prior to the act. So any since 1858 could only be looked upon as marks of presumption on the part of the archbishop and cheap tokens of his personal favor. It is right to add that the later favors were shown only to men qualified to practise by the corporations or universities. Dr. Sharp continued library work up to 1S92. He pub- lished several pamphlets on therapeutic problems, in some of which he seemed to lean to homoeopathy, but he criticised Hahnemann and his work unsparingly. In 1886 he issued an essay on '" Therapeutics Found- ed on Organopathy and Antipraxy." By " organopa- thv" he meant influencing diseases by drugs which acted on particular organs. I don't think the essay had any influence on medical thought, but this and some other articles were regarded with good nature as the eccentricities of an old man of considerable powers who was willing to become a system builder, an occu- pation which on many others seems to exercise a fas- cination.