210 AROUND THE WORLD VIA INDIA. 



the appendix, with 1 death, and 5 incisions for appen- 

 diceal abscess, with 1 death; 6 amputations of the 

 thigh, with 1 death, and 10 amputations of the leg, 

 with 1 death. 



A few of the operations are of sufficient interest to 

 entitle them to a more extended notice here. 



ANEURISM OF COMMON AND EXTERNAL CAROTID 



ARTERIES. 



The patient was a Hindu, aged 22 years. The pul- 

 sating swelling was first noticed a rear ago and meas- 

 ured three inches in diameter at its widest part. Pa- 

 tient suffered from severe pain in the region of the 

 swelling and on the right side of the head, slight dys- 

 phagia, paralysis and wasting of the right side of the 

 tongue. The common carotid was ligated below the 

 omohyoid October 20. The pulsations in the swelling 

 facial and temporal arteries ceased at once and never 

 returned. The swelling steadily decreased in size, but 

 as the progress was too slow to satisfy the patient it was 

 later incised at his urgent request, the coagulated blood 

 removed and, as no hemorrhages attended the opera- 

 tion, the wound was sutured without making provision 

 for drainage and healed by primary intention. 



LITDATID CYST OF TIBIA. 



Operator, Captain Niblock. The patient, a Hindu 

 ryot, aged 30, was admitted to hospital for a tumor of 

 the upper end of the right tibia. He gave a history of 

 the swelling commencing seven months before and grad- 

 ually increasing; also of indefinite pain and weakness 

 in the leg for two years. Pain never severe. The 

 tumor on examination was hard, smooth, and fairly 

 regular in outline, no eggshell crackling. The tumor 

 was diagnosed as possible myeloid sarcoma, but on being 

 incised it was discovered to be a hydatid cyst, containing 

 about 10 ounces of fluid. The cyst wall was removed 

 thoroughly and the bony shell of the cyst broken and 



