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parently a meatus present. The second case belongs in the same category with those just reported by' Dr. Small in Atlanta. Dr. Guibe in November, 1895, re- lated before viagra pill cake the Socie'te Anatomique a fatal instance of congenital stricture at the junction of the anterior with the posterior urethra. The prostatic portion was dilated to the same size as the bladder. An opinion seems to prevail that instrumental ex- ploration of the urethra in the newly born is rarely if ever called for. Whenever the report is made that the urine has not been passed, and there is evidence of accumulation of urine in the bladder, even if not pro- nounced, I should advise careful exploration of the canal. [26 East Sixtieth Street. ABDOMINAL SECTION PERFORMED SUC- CESSFULLY ON AN INFANT. By ALFRED C. CARPENTER, M.D., NEW YORK. On February 28th I was asked by Dr. Joseph Moor- head, of this city, to see a patient of his in consulta- tion with him. The patient was an infant, male, two months old. Its abdomen was greatly distended ; the temperature was 102.4/ F., pulse, 120, respiration 80. The mother said she first noticed that the abdomen viagra prescription london had begun to swell when the child was three weeks old, and that it had slowly increased until viagra prescription london two days before my visit, when it rapidly became enormous. The bowels had been moving very scantily and only with great effort, and finally had ceased to move at all. I diagnosed the case as one of chronic intussusception and advised an immediate operation, giving the mother very little hope of recovery. The child was brought to my viagra pill cake sanatorium. Chloro- form was administered by Dr. Moorhead. The Intes- tines were so greatly distended with gas that it was necessary to puncture them to allow it to escape viagra prescription london and relieve the pressure upon the obstruction viagra prescription london before we could manipulate them. The bowel was reduced with- out difficulty. The abdominal cavity was flushed out, the intestines were replaced, a small wick of iodoform gauze was introduced for drainage, and the wound was closed. Recovery was uninterrupted, and the child was taken to its home ten days after the operation, the wound having entirely healed and the bowels moving naturally. According to the statistics given by Mr. Frederick Treves, of London, out of a total of seventy- three cases, there were thirteen recoveries, all of them in patients over three months of age. There have been only two successful cases reported in which the patients were three months old one by Dr. Wiggin viagra pill cake in the Medii \i. Record, the other by Dr. Kelsey in the New York viagra pill cake Medical Journal. From all available statistics this is the youngest successful case of abdominal viagra pill cake section on record. 219 East N Suture of Wounds of Large Venous Trunks Dr. M. Ricard {La Presse Medicale) reports two cases in which the continuity of the vessels has been pre- served by suture. In one case, brachiocephalic, he employed the Lembert suture and supported the vein by carefully suturing tissues above it. In a second lie sewed up an incision in a dilatation of the fem- oral just as if it had been an ordinary wound, and then Stitched the skin above it. The union in both cases was perfect. There was no hemorrhage nor distur- bance of the circulation. The lumen of the vessels seems to have been left tree. ^voitivcss of viagra prescription london UXctUcnl Science. Longevity of Physicians. The average longevity of the members of the medical profession is an inter- esting subject. A French statistician has made an in- quiry on the subject which is very encouraging for the doctors. He finds that in viagra prescription london the sixteenth century the average duration of a doctor's life was only thirty-six and one-half years. In the seventeenth it reached forty-five and two-thirds years, in the eighteenth forty- nine and two-thirds years, and at the present time he finds that it is fifty-six years. This interesting man of science proposes to find out whether the average longevity of the patients increased in the same propor- tion. Evening Sun. The Different Methods of Electrolysis in Stric- ture of the Urethra. At a recent meeting of the So- cie'te Me'dico-chirurgicale (February 10, 1896) Dr. Desnos reviewed the various procedures which have been advanced for the relief of stricture by the electro- lytic current. There are two essentially different methods which claim our attention ; one viagra pill cake which we may- call the rapid method, the other viagra pill cake the slow. The first, which was experimented with by Mally and Tripier, is due to Jardin, who has constructed viagra prescription london an ingenious instiu- ment modelled after the Maisonneuve. Currents of variable intensity are employed, but of sufficient strength to permit the electrolytic blade to traverse the stricture in a single se'ance. The negative pole is the viagra pill cake one always used in the urethra. In slow electrolysis, or the method of Newman, currents of very feeble in- tensity are employed, applied in the neighborhced of the stricture, not by means of a blade viagra prescription london as in the fcin.er case, but by an olivary bulb somewhat larger than cue which will pass of itself. This is left in contact with the stricture, while a current of from two to four mil- liamperes at most is passed. At times the obstruct icn is rapidly overcome and the engaged bulb is felt sud- denly to be liberated; at others the stricture resists, but between the sittings a work of regression has gene on, so that at the expiration of several days an increase in the calibre of the canal, often quite marked, is no- ticeable. In employing linear electrolysis of mcc'eiate intensity the following phenomena are noticeable in