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on with relation to vaginal versus abdominal opera- tions in pelvic diseases; recognition of infection as the cause of puerperal fever, and steps taken to avoid it; demonstration of the fallacy of the view that discount viagra viamedic the uterus should not be touched during perimetritis, salpingitis. etr. Segond makes a circular incision, and from this a lateral incision up the -ides of the uterus, forming two large valves, as it were, of tin- vagina- ail anterior and a posterioi one. \s to secondary hemorrhage, it usually occurs at the end of forty- eight hours, and can be avoided l>\ using good and proper instruments, all of which are simply modifica- tions of Pe'an's. lie is not in haste to let patients get up, but keeps them abed two weeks. Dr. Segond's paper was discussed in connection with that of Dr. Byrne's. The Relative Merits of Total or Partial Hyste- rectomy for Cancer viagra cheap less of the Cervix by Ordinary Methods and Supravaginal Excision by Galvano- Cautery. Dr. John Byrne, of Brooklyn, in this paper referred to one bearing upon the same topic which he had read at the meeting of 1892. He believed then, as he does now, that the question of primary mortality, though worthy of thought, is really of secondary im- portance. It is not so high in skilled hands but that hvsterectomy for cancer of the cervix may be regarded as coming under the domain of legitimate viagra cheap less surgery, if it were not for the fact that when one reviews the st.it istns of secondary results he becomes doubtful whether it would not be better for womankind had the operation never seen the light of day. To get at the true import of those statistics, it is necessary to study them critically. Being unable to sec me such as would throw light on the ultimate results, about twelve months ago lie discount viagra viamedic made a personal appeal to many oper- ators through letter, but only fifty-three replied, and many of these replies were such that no conclusions could be drawn from them. The time having expired, Dr. Byrne could not con- clude reading his paper, but he stated that the opinion expressed four years ago is that which he holds to- day, namely, that discount viagra viamedic there is positively no place in legi- timate surgery for colpo-hysterectomy or high viagra cheap less or low amputation in cancer of the cervix except when pel- formed through the agency of the galvano-cautery. lie thought it would not be amiss for tin- president to appoint three fellows t investigate this subject, and to agree to treat a viagra cheap less certain number of cases by galvano- cautery, say in the New York Cancer Hospital, and he would aid them in their labors if they desired. \ lengthy discussion followed these two papers, participated in by Drs. Sutton, Janvrin, Wathen, Kki.i v.Cushing, Mann, Reamy, A. I'. Dudley, Bache Emmet, Florian Krug, Ford, Coe, Gordon, Baer, and viagra cheap less BALDY. Few of the speakers touched upon the ulti- viagra cheap less mate results ol hysterectomy for cancer of the cervix except Dr. lanviin, who gave his own experience receniK published in a report of the New York County Medical \sso. iation in the Medical Record, and Dr. Coe, who said he had become doubtful as to the utility of hysterectomy for cancer of the cervix, and wished to have the committee suggested by Dr. Byrne ap- pointed. Treatment of Extra-Uterine Pregnancy Dr.