202 AROUND THE WORLD VIA INDIA. 



made for the education of military pupils for the Indian 

 subordinate medical department, colonial apprentices, 

 apothecaries, male and female, and chemists and drug- 

 gists. As an inducement for diligence on the part of 

 the students the Madras Medical College offers annually 

 nine medals, eleven prizes and ten scholarships. 



MADRAS GOVERNMENT GENERAL HOSPITAL. 



This institution is intimately connected with, and in 

 fact is, the clinical part of the Madras Medical College 

 (Fig. 37), all of the attending physicians and surgeons 

 being members of its faculty. The hospital is made up 

 of a number of two-story pavilion buildings around a 

 capacious square court ornamented with tropic trees, 

 shrubs and flowers. The buildings harmonize with each 

 other. It can accommodate 450 patients. The amount 

 and varietv of clinical material in this institution is 

 simply enormous. The operating theater, while not up 

 to all of the modern requirements, is one of the best in 

 India. Chloroform is the routine anesthetic. The fa- 

 vorite suturing material is silk and silkworm gut, as the 

 use of absorbable sutures has given rise to many disap- 

 pointments. Biniodid of mercury is the favorite anti- 

 septic for hand and surface disinfection and sterilized 

 gauze is used for dressing wounds. I found a great 

 many emergency cases in this hospital, fractures and 

 accidental wounds, as well as a number of cases of ab- 

 scess of the liver recently operated on. Among the 

 most important cases was a man who was admitted into 

 the hospital a few days previously with a strangulated 

 inguinal hernia of four clays' standing. Professor Gif- 

 fard performed the operation. The bowel was gan- 

 grenous. Enterectomy was done, the continuity of the 

 bowel restored by suturing, and the patient is recovering 

 without having shown any untoward symptoms since 

 the operation. Although inguinal hernia is met with 

 quite frequently in Madras, femoral hernia is very rare, 

 only one case being admitted to the hospital during the 



