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Secondary syphilis. Patients have not been found to bear the irrigations badly. Strictures. The Oberlaender method combined with irrigations yields brilliant results. Tuberculosis. Tuberculous patients when not very low or in fever can be treated as other patients. Skin Surgery. Dr. F. W. Epley, of New Rich- mond, Wis., reported a viagra price za case in which he trans- ferred fifty-two square inches of skin in six large pieces from five different persons and three hundred smaller grafts from four other persons to repair an in- jury to a man's foot, all of which transfers were successful. After a brief description of the method employed, he laid special stress upon the necessity of using antiseptics freely, cocaining fearlessly, and making the donor's wound boat-shaped. A New and Original Method of Obtaining Ma- terial for Skin Grafting. Dr. viagra online risks Z. J. Lusk, of War- saw, N. Y., reported a number of cases of skin graft- ing, and stated that he employed two methods in the work. The first method is that of raising epi- dermis by cantharides, and the second is the em- ployment, after proper softening and sterilization, of exfoliated epithelium. In all cases in which these methods have been employed excellent results were obtained. Dr. J. McFadden Gaston, of Atlanta, said he would like to mention two methods with which he is famil- iar and which he considers superior to those men- tioned. The first is the employment of traction with adhesive strips to bring the edges of the torn skin to- gether and thus cover up the injury, and the other is the use of the inner membrane viagra price za of the egg for -granu- lating-purposes. He did not think the viagra online risks use of corro- sive viagra online risks sublimate, which was mentioned in Dr. Epley's paper and also in Dr. Lusk's, should be advised. 746 MEDICAL RECORD. [May 23, 1896 Dr. viagra price za Epley, in closing the discussion, said that he had found the use of corrosive sublimate very advanta- geous. One great advantage of his method of skin graft- ing was the preservation of the elasticity of the skin. The Therapeutic Value of Oxygen viagra price za in Combina- tion with Ether, Chloroform, and A. C. E. Mix- ture. Dr. J. N. DeHart, of Brooklyn, N. Y., dwelt at some length on the details employed in his meth- ods, described cases in which they have been used with excellent results, and stated that he considers the ad- ministration of anaesthetics in the way he suggests perfectly safe. Treatment of Cancer of the Rectum. Dr. Lewis H. Adler, Jr., of viagra online risks Philadelphia, read a paper on this subject. He said that the four recognized operations for this affection are extirpation, colotomy, posterior linear proctotomy, and curettage. The ideal method is extirpation, but unfortunately it is not often that the rectal neoplasm is discovered in time to permit of the entire removal of the growth and of all glandular involvement. Colotomy is quite practicable in a large number of instances and the benefits derived from its performance were minutely described by Dr. Charles B. Kelsey, in the New York Medical Journal for November, 1892. The author described at some length a case in which he performed the operation of inguinal colotomy and secured excellent results, although at the present time (three years since the operation) the patient has suffered viagra price za considerable distress from pain over the sa- crum and has not been able to work. Dr. Adler has never attempted to relieve malignant trouble affecting the rectum by means of a linear proc- totomy, but has found it an excellent plan of treatment when combined with the subsequent use of bougies in benign stricture. He called particular attention to the value of curettage in those cases of cancer in viagra online risks which the disease is within the lower three inches of the rec- tum, and its character of such a nature as to permit of its more or less complete removal bv the curette. In certain cases the combined operations of colotomy and viagra price za curettage afford viagra online risks the patient more relief than where one or the other procedure is individually adopted. At the present time all that can be offered patients under any plan of treatment in the majority of cases is tem- porary relief. ( )f seven cases of curettage of the rectum for the relief of malignant trouble, performed during the past few years, only one was deemed unsat- isfactory. viagra online risks In this case after the curettage the pa- viagra price za tient was unable to leave her bed, her appetite failed, emaciation followed, and death from exhaustion ensued in a little over two months. Even in this case, which for several reasons was a most unfavorable one for operation, the patient was much relieved of pain, and the two months she lived were certainly passed with more comfort than would have been the case had no operative interference been attempted. Dr. Adler described a case in which he per- formed the operation of curettage and secured such excellenl results that four months after the operation the patient was in such good health that he married. His gain in nYsh was very marked. viagra price za A short time after his marriage the growth in the rectum was noticed returning and the discharge reappeared. Other symp- toms developing, he was subjected six months after- ward to a similar operation. A month later marked tympanites suddenly appeared and the patient was un- able to pass either wind or faeces. Various laxatives were employed and several enemas administered be- fore the bowels were made to move, which was not until the third day. Finally the patient became con-