148 AROUND THE WORLD VIA INDIA. 



hospitals as much as their condition will permit. The 

 surgical wards of the hospital contain 28 beds, and the 

 new pavilions are perfect in construction and appli- 

 ances. The upper part of the Avails are artistically 

 frescoed, the pictures pleasing and well selected for the 

 purpose for which they have been intended. 



The next day. July 10, I visited the hospital again, 

 this time with Mr. Giles, dean of the medical faculty 

 and professor of clinical surgery, who had in his wards 

 many very instructive cases. One case was of special 

 interest to me, and had misled the surgeon, and would 

 have misled anyone else, in making a correct ante- 

 operation diagnosis. The history of the case pointed 

 to appendicitis. The operation revealed a -retrocecal 

 subperitoneal suppurating hydatid of the right iliac 

 fossa. The operation yielded the expected relief, sup- 

 puration has almost ceased, and the patient will soon 

 be discharged, restored to perfect health. Within a very 

 few weeks Mr. Giles had operated on three cases of un- 

 descended testicle, complicated by hernia. In all the 

 results were excellent. Mr. Giles has the reputation 

 of being one of the most conservative and successful 

 surgeons of Southern Australia, and his clinical teach- 

 ing is highly appreciated by his attentive classes. Ap- 

 pendicitis appears to be unusually prevalent in South- 

 ern Australia, as I was shown many cases recently 

 operated on in the wards of both Dr. Poulton and Mr. 

 Giles, and I have no reason to believe that either of 

 these surgeons would resort to the use of the knife 

 unless the indications were clear. 



The great prevalence of hydatid in Adelaide and sur- 

 rounding country is well shown by the records of this 

 hospital. Last year 34 cases were operated on, of which 

 number 3 died. Pneumonia appears to have been very 

 virulent, as of G9 cases, 43 were cured, 4 relieved, and 

 22 died. Of 30 appendicitis operations, 2G were cured 

 and 4 died; 2 deaths in 19 cases of ectopic pregnancy; 



