134 AROUND THE WOULD VIA INDIA. 



years old, who had been afflicted with this disease for 

 five years. The cyst, the size of a man's fist, occupied 

 the under surface of the liver in the region of the sus- 

 pensory ligament. The incision was made vertically, 

 from the border of the costal arch downward. The 

 cyst was incised, opening of cyst drawn into the ab- 

 dominal incision with the index finger, contents emptied 

 and margins of cut sutured to the abdominal wound, 

 after which the lining membrane was grasped with a 

 broad, blunt forceps and extracted with ease. Two 

 drains and a small absorbent aseptic dressing finished 

 the operation. I was somewhat surprised at the extent 

 to which the Thomas splint is used here in the treat- 

 ment of tubercular coxitis and spondylitis, as its useful- 

 ness can not be compared with the plaster-of-Paris fixa- 

 tion splint in the former and the Eauchfuss sling in 

 the latter. During the last year the hospital cared for 

 1,302 sick children and the outdoor department had at- 

 tendances amounting to the astonishing number of 67,- 

 489, of which number 10,930 were new cases. Three 

 cases of hydatid of the mesentery were operated on, 4 

 of the liver, 2 of the lung and 1 of the brain ; all recov- 

 ered. Of 78 cases of rheumatism 12 proved fatal from 

 complications. One out of two cases of hemophilia died. 

 Seventeen cases of cleft palate were operated on without 

 a death, also 10 cases of congenital dislocation of the 

 hip by the bloodless operation without mortality. In 

 27 cases of chorea 1 died of endocarditis. Of 33 cases 

 of empyema. 6 died. Of 146 cases of pneumonia, 7 

 died, while the disease proved fatal 5 times in 24 cases 

 of broncho-pneumonia, and 5 times in 32 cases of endo- 

 pericarditis and endocarditis, and no fatality in 6 cases 

 of pericarditis. Twenty-two cases of appendicitis were 

 operated on, with 4 deaths, among them one perfora- 

 tion ; and 6 radical operations for hernia, with 3 deaths. 

 In 11 cases of intussusception, the operation failed to 

 save life in 6. Of 2 cases of cirrhosis of the liver, both 

 died. Of 50 cases of tuberculosis of spine and larger 



