CEYLON. 187 



is rare among the native women. Women the subjects 

 of ovarian cysts of enormous size frequently enter this 

 hospital for operation. Little operating is done in 

 the country villages and patients usually do not seek 

 medical advice until they are much inconvenienced 

 from the size of the tumor. Prostatectomy is performed 

 by the suprapubic route. Stone in the bladder is not 

 of frequent occurrence. Tuberculosis of the lungs is 

 quite common, as during one year, 1901-1902, 956 cases 

 were admitted to the different hospitals. Surgical tu- 

 berculosis is much less prevalent, as during the same 

 year only 60 cases of tuberculosis of the glands of the 

 neck were treated, 32 of lupus and only 5 cases of tuber- 

 culosis of the joints. I did not see a single case of spinal 

 deformity among the thousands of people I saw in 

 Ceylon and only one case of ankylosis of the hip and 

 2 cases of ankylosis of the knee joint, and very few 

 cases of tuberculosis of glands of the neck or its re- 

 mote result, scarring of the neck. Only 12 cases of 

 snakebite are reported for one year, of whom 2 died. 



SEPTIC THROMBOPHLEBITIS OF THE SPERMATIC VEINS. 



Dr. Thomasz a few years ago described a form of 

 septic thrombophlebitis occurring in young men the 

 subject of varicocele; the immediate cause is usually 

 an injury of some kind which induces the thrombosis. 

 When this has taken place the pus microbes find in the 

 obliterated lumen of the veins a favorable soil for their 

 reproduction, which leads very rapidly to pyemia and 

 death. The disease pursues a very acute course and is 

 nearly always fatal unless an early radical operation 

 is performed, which must also include the testicle on the 

 affected side. 



CEYLON MEDICAL COLLEGE. 



The Ceylon Medical College was formally opened on 

 June 1, 1870, with one principal and three lecturers. 

 The first intent of the school was to be "simply an ele- 

 mentary school." The faculty was increased three years 



