AUSTRALIA. I'-"-' 



tidSj all recovered; of 15 cholecystotomiea our died; of 

 102 cases of appendicitis subjected to operative treatment 

 15 died, and in 40 cases the disease was complicated by 

 suppuration. Ovariotomy was performed 19 times with- 

 out mortality. Of 10 eases of hystereci y 3 died; 11 



eases of tubal pregnancy with one death; 11 operations 

 for pyosalpinx without a death; 99 operations for malig- 

 nant tumors, 79 were relieved, 1-1 not benefited and 6 

 died ; in 100 cases of radical operation for hernia, of 

 which number 77 were inguinal, 2 died. Of 7 eases of 

 prostatectomy 5 were relieved and 2 died. Two cases 

 of perforated typhoid ulcer operated on died, and of 7 

 cases of perforated gastric ulcer operated on only one 

 recovered. This hospital, the oldest and largest in the 

 city, is always overcrowded and lacks many features of a 

 modern institution, all of which should appeal strongly 

 to the charitably disposed citizens and an appreciative 

 generous government to provide it with ample means 

 to carry out its humane intentions on a larger and more 

 efficient scale in the future. 



RADICAL CURE FOR INGUINAL HERNIA. 



Australian surgeons, as a rule, prefer Bassini's meth- 

 od in operating for the radical cure of inguinal hernia. 

 Professor Bird is in favor of a small incision parallel 

 with and at least one inch above Poupart's ligament. He 

 is careful not to injure the fibrous expansion of the su- 

 perficial fascia and external oblique any more than is 

 absolutely necessary to reach the hernial sac. Instead of 

 using the knife freely, as is usually done, he makes lib- 

 eral use of blunt dissection, thus separating instead of 

 cutting resisting fibers. He never divides the external 

 ring and insists that if we divide it, no suture, however 

 deft, will make it nearly as strong as before; "we divide 

 fibers whose integrity we can never replace." He incises 

 the external ring only in young subjects to procure room 

 to carry out the necessary manipulations in the canal. 

 He believes that the unnecessary division of the strong 



