INDIA. 209 



iii the hospital was 644. Among the mosi Erequenl 

 causes of death we find malaria, 48; dysentery, L6; 

 tuberculosis, 83; diseases of liver, 38; diseases of the 

 urinary organs, 40. Cholera is credited with 5 deaths. 

 Only 5 deaths occurred from septic diseases acquired in 

 the hospital. They were as follows: One case of 

 sa/premia, 1 case of septic peritonitis after enterectomy, 

 1 case of erysipelas after operation on tubercular glands 

 of the neck, 1 ease of cancrum oris occurring in a pa- 

 tient suffering from malaria, and 1 case of gangrene of 

 the leg following the puerperal state in a debilitated 

 woman. 



Foity-eight deaths occurred in cases of septic dis- 

 eases contracted outside of the hospital, namely, 16 from 

 tetanus. 9 from cancrum oris, 9 from cellulitis, 3 from 

 gangrene, 3 from sloughing after extravasation of urine, 

 1 from sloughing of scrotum, 1 from sloughing phage- 

 dena of penis, and 7 from septicemia (two puerperal). 



The total number of operations performed was 6,281, 

 with a mortality of only 1.9 per cent. Among the more 

 important operations were 43 for elephantiasis of the 

 scrotum, with 1 death; 8 suprapubic cystotomies for 

 stone, with 4 deaths. 1 death following a median perin- 

 eal operation and 2 litholapaxies, with 1 death ; 61 op- 

 erations for hemorrhoids without mortality. 7 by liga- 

 ture, 3 by excision and 51 by clamp and cautery; 10 

 operations for extravasation of urine, with 1 death; 700 

 operations for hydrocele by tapping, tapping with in- 

 jection, incision and eversion of sac, excision of parietal 

 part of sac and incision and drainage; 31 castration? 

 without a death ; 5 operations for prolapse of the rec- 

 tum, with 1 cured, 2 relieved and 2 deaths; 26 opera- 

 tions for strangulated hernia, with 9 deaths, and 102 

 radical operations, with 3 deaths; 31 operations for 

 abscess of the liver, with 3 deaths, and 15 exploratory 

 punctures of the liver, with 1 death from hemorrhage; 

 6 exploratory laparotomies, with 2 deaths; 3 operation^ 

 for intestinal obstruction, with 2 deaths; 5 excisions of 



