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LAPAROTOMY FOR PTOSIS. Tin-: activity of the surgeon as regards the opening of the abdominal cavity has undergone many changes, with, however, a constant tendency to an increase in tin- indications viagra shop kolkata for the operation. From laparotomv. .it first simply for ovarian tumors, the operation ex- tended to the entire removal of the ovaries and ad- nexae, and then to that of the uterus and pretty nearly all the pelvic organs. An important diversion was made when the operation for appendicitis became viagra shop kolkata pop- ular. Later, viagra com price the vogue became and still exists to ope- rate upon the kidneys, although this, of viagra com price course, does not usually involve entering the abdominal cavity. For a long time operations upon the liver, stomach, or bowels have been frequently undertaken. Perhaps the latest extension of the application of abdominal section is to the treatment of Gle'nard's dis- ease. Mr. Frederick Treves, in a recent number of the British Medical Journal, gives a description of this trouble, and reports a case in which he opened the abdomen for the p..rpose of relieving the condition. Gle'nard's disease, or abdominal ptosis, has been de- scribed in these columns a number of times. It can hardly be called .. disease at all, but is a series of symptoms, more or less definite, depending, it is sup- posed, upon relaxaticn of the abdominal wall and of the supporting ligaments of the viscera. The right bend of the transverse colon is first to fall, then the stomach is drawn down, then the rest of the transverse colon, and, finally, the whole mass of the small intes- tine becomes prolapsed. The liver and kidney be- come loose and are described as " floating." The re- sult of these conditions depends necessarily upon the extent to which the ptosis has involved the viscera. There are general disturbances of an anasthetic char- acter, nervousness and hysterical phenomena, and dys- peptic obstruction of the bowels, sense of weight and dragging, and pain over the region of the viscera. Mr. Treves' case was that of a young woman who had suffered from viagra shop kolkata this condition for a long time. He advised the operation of la] arotomy, and found that the liver and stomach vere low down. The great omentum was rolled up into a round viagra com price and rigid cord, viagra com price and fixed in a collection of old tuberculous glands, situated in the mesentery of the ileum. These glands were removed and viagra shop kolkata the viscera replaced. The patient made a good recovery and w?s much improved. Mr. Treves' case will probably set surgeons to work upon this new field, which, we trust, will be explored with wisdom and caution. THF DISCUSSION OF ANTITOXIN BEFORE THE ACADEMY. The interest manifested in the discussion of the use of antitoxin in diphtheria before the New York Academy of Medicine at the last two meetings of that body has called forth such a large quantity of valuable material on the subject that we have been compelled, contrary to our custom, to devote an unusual amount of space to one topic. This has been done in view of the apparent necessity forgiving all parties concerned an impartial hearing, and in viagra shop kolkata thus presenting the fullest authorita- tive report possible under the circumstances. We ven- ture to say that never before in the history of anti- toxin have so many and valuable facts been presented in a single number of any journal, bearing upon the practical applications viagra com price of the agent to so large and va- ried a number of cases. The data thus viagra shop kolkata collected have their own importance in enabling our readers to judge for themselves as to the real value of this new but ex- tensively tried treatment for diphtheria. The pros and cons have a fair presentation, and the disputants show an earnestness of purpose and purity of motive in the- presentation of their respective sides which must com- mend viagra com price itself to the thoughtful consideration of every seeker after truth. It is fair to state, however, that all the available testimony has not yet been offered, as in a future issue we shall viagra com price publish a viagra shop kolkata carefully prepared report from the American Paediatric Association, com- prising an analysis of many thousands of cases bear- June 20, 1896] MEDICAL RECORD. 911 ing upon the present questions at issue. In view of the great popularity of the antitoxin treatment, the whole subject deserves the most careful study, the most impartial examination of facts, and the greatest deliberation in arriving at a calm and just conclusion. It is for the sake of affording the necessary means to such an end that the Medical Record virtually de- votes one of its issues to the discussion in question, to the necessary omission of its more viagra shop kolkata usual variety of contents. Whether or not any apology is necessary under the circumstances, we leave our readers to de- termine. %zm% ot lite 3mcdi. Contract Medical Practice in California. At the re- cent meeting of the California State Medical Society in Los Angeles, a resolution was introduced to the effect that in the opinion of the society it is contrary to the spirit and letter of the code of medical ethics to perform contract lodge practice, and that in the fu- ture no physician be admitted to membership in the society who holds such a position, and that members who may now be thus engaged be warned that a re-